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儿童癌症与孕期用药

Childhood cancer and drugs in pregnancy.

作者信息

Sanders B M, Draper G J

出版信息

Br Med J. 1979 Mar 17;1(6165):717-8. doi: 10.1136/bmj.1.6165.717.

Abstract

A study was carried out on 11 169 matched case-control pairs of children aged up to 15 years included in the Oxford Survey of Childhood Cancers to see whether an association exists between cancer in children and drugs given to their mothers during pregnancy. The mothers of children who developed cancer reported about 25% more illnesses during pregnancy than mothers of healthy control children. Two specific illnesses, pulmonary tuberculosis and epilepsy, were investigated. For these there was a higher than average case-control excess of reports and there had been a suggestion that the drugs used in treatment, isoniazid and phenytoin, might be carcinogenic. The results of this investigation provide no real evidence for any association between the drugs taken by the mothers during pregnancy and subsequent cancer in the child.

摘要

一项针对纳入牛津儿童癌症调查的11169对年龄在15岁以下的匹配病例对照儿童进行的研究,旨在探究儿童患癌与母亲孕期用药之间是否存在关联。患癌儿童的母亲报告称,孕期患病情况比健康对照儿童的母亲多约25%。对两种特定疾病——肺结核和癫痫进行了调查。对于这两种疾病,病例对照报告的超额情况高于平均水平,并且有人提出治疗所用药物异烟肼和苯妥英可能具有致癌性。这项调查结果并未提供确凿证据证明母亲孕期服用的药物与孩子随后患癌之间存在任何关联。

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