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妊娠与先天性畸形的激素检测(作者译)

[Hormonal tests of pregnancy and congenital malformations (author's transl)].

作者信息

Goujard J, Rumeau-Rouquette C, Saurel-Cubizolles M J

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1979;8(6):489-96.

PMID:548550
Abstract

I.N.S.E.R.M. has carried out two prospective inquiries centred on the evaluation of the teratogenic action of drugs on human beings. The first survey was between 1963 and 1969 and the second between 1975 and 1977 and they were carried out in maternity hospitals. The first test, which was carried out on 12,764 women, had shown no overall association between the use of hormonal tests for the diagnosis of pregnancy (oestrogens-progestogens) and congenital malformation in the infant. The second study, which was carried out on 3,451 women who were questioned in the same way, shows that there is an excessive number of newborn babies with malformations when the mothers took certain products (oestrogens-progestogens when the progestogen was a derivative of testosterone). The problem of a methodological bias is discussed and the results are interpreted in the light of epidemiological studies that have recently been carried out abroad.

摘要

法国国家健康与医学研究院开展了两项前瞻性调查,重点评估药物对人类的致畸作用。第一次调查在1963年至1969年之间进行,第二次在1975年至1977年之间进行,均在妇产医院开展。第一次测试对12,764名女性进行,结果显示用于诊断妊娠的激素检测(雌激素 - 孕激素)与婴儿先天性畸形之间没有总体关联。第二项研究对3,451名女性进行了同样方式的询问,结果表明当母亲服用某些产品(当孕激素是睾酮衍生物时的雌激素 - 孕激素)时,出现畸形的新生儿数量过多。文中讨论了方法学偏差问题,并根据国外最近进行的流行病学研究对结果进行了解释。

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