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芬兰中枢神经系统缺陷:III. 孕期疾病与药物

Defects of the central nervous system in Finland: III. Disease and drugs in pregnancy.

作者信息

Granroth G

出版信息

Early Hum Dev. 1978 Jul;2(2):147-62. doi: 10.1016/0378-3782(78)90007-5.

DOI:10.1016/0378-3782(78)90007-5
PMID:569047
Abstract

The matched pair system of the Finnish Register of Congenital Malformations was used to search for association between defects of the central nervous system (CNS), and maternal diseases and/or drug consumption during pregnancy. The study material consisted of 710 cases with CNS defects and their controls. Significant associations were found for the following conditions: influenza, threatened abortion, depressive state, toxemia of pregnancy, diabetic mothers, and for the consumption of the following drugs: salicylates, pyrazolones/anilines, euphoristic analgesics, sympathomimetics, barbiturates, and cough medicines. 259 cases with polydactyly and their controls were also compared, with a view to demonstrating what biases might be introduced by the case-control method. After utilizing the possibilities of this design for examining the above mentioned significant associations, the factors to be seriously considered were reduced to the following ones: influenza, depressive state, toxemia of pregnancy, diabetic mothers and cough medicines.

摘要

利用芬兰先天性畸形登记册的配对系统,来探寻中枢神经系统(CNS)缺陷与孕期母亲疾病和/或药物使用之间的关联。研究材料包括710例患有中枢神经系统缺陷的病例及其对照。发现以下情况存在显著关联:流感、先兆流产、抑郁状态、妊娠中毒症、糖尿病母亲,以及以下药物的使用:水杨酸盐、吡唑酮/苯胺、欣快性镇痛药、拟交感神经药、巴比妥类药物和止咳药。还比较了259例多指畸形病例及其对照,以证明病例对照法可能引入的偏差。在利用该设计来检验上述显著关联的可能性之后,需要认真考虑的因素减少到以下这些:流感、抑郁状态、妊娠中毒症、糖尿病母亲和止咳药。

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1
Defects of the central nervous system in Finland: III. Disease and drugs in pregnancy.芬兰中枢神经系统缺陷:III. 孕期疾病与药物
Early Hum Dev. 1978 Jul;2(2):147-62. doi: 10.1016/0378-3782(78)90007-5.
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Defects of the central nervous system in Finland: V. Multivariate analysis of risk indicators.芬兰中枢神经系统缺陷:V. 风险指标的多变量分析
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Factors affecting risks of congenital malformations. II. Effect of maternal diabetes on congenital malformations.影响先天性畸形风险的因素。II. 母亲糖尿病对先天性畸形的影响。
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引用本文的文献

1
First-Trimester Influenza Infection Increases the Odds of Non-Chromosomal Birth Defects: A Systematic Review and Meta-Analysis.早孕期流感感染增加非染色体出生缺陷的风险:系统评价和荟萃分析。
Viruses. 2022 Dec 2;14(12):2708. doi: 10.3390/v14122708.
2
Influenza epidemics and anencephaly.流感流行与无脑儿
Am J Public Health. 1990 Apr;80(4):473-5. doi: 10.2105/ajph.80.4.473.