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早期妊娠中的多西拉敏与胎儿畸形

Debendox in early pregnancy and fetal malformation.

作者信息

Fleming D M, Knox J D, Crombie D L

出版信息

Br Med J (Clin Res Ed). 1981 Jul 11;283(6284):99-101. doi: 10.1136/bmj.283.6284.99.

Abstract

During the mid-1960s, 22 977 pregnant women in Scotland and England were followed up prospectively for the incidence of malformations in their infants evident at birth or within six weeks. During the first 13 weeks of gestation 620 of these women had been prescribed Debendox (dicyclomine-doxylamine-pyridoxine) and 743 other women agents other than Debendox containing pyridoxine. Of the 620 women given Debendox, 589 (95%) had a normal outcome of pregnancy, 8 (13%) delivered a malformed infant, and 23 (3.7%) had other outcomes. Of the 22 357 women who were given Debendox, 445 (2.0%) produced infants with malformation; and the rates for all abnormal outcomes among women given Debendox and those not given the drug were 5.0% and 5.4% respectively. These results support the hypothesis that Debendox is not teratogenic.

摘要

在20世纪60年代中期,对苏格兰和英格兰的22977名孕妇进行了前瞻性随访,以了解其婴儿在出生时或六周内明显出现的畸形发生率。在妊娠的前13周,这些妇女中有620人被开了地苯多克斯(双环胺 - 多西拉敏 - 吡哆醇),另有743名妇女服用了除地苯多克斯外含有吡哆醇的其他药物。在服用地苯多克斯的620名妇女中,589名(95%)妊娠结局正常,8名(1.3%)产下畸形婴儿,23名(3.7%)有其他结局。在22357名未服用地苯多克斯的妇女中,445名(2.0%)产下畸形婴儿;服用地苯多克斯的妇女和未服用该药物的妇女中所有异常结局的发生率分别为5.0%和5.4%。这些结果支持地苯多克斯无致畸性这一假设。

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本文引用的文献

1
Debendox and congenital malformations in Northern Ireland.
Br Med J. 1980 Nov 22;281(6252):1379-81. doi: 10.1136/bmj.281.6252.1379.
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