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母亲使用的止吐药与唇腭裂

Maternal anti-nauseants and clefts of lip and palate.

作者信息

Golding J, Vivian S, Baldwin J A

出版信息

Hum Toxicol. 1983 Jan;2(1):63-73. doi: 10.1177/096032718300200105.

DOI:10.1177/096032718300200105
PMID:6840794
Abstract

1 Data on drug prescriptions were obtained from the general practitioners of 196 women who had had infants with clefts of lip or palate and those of 407 control women, matched for age, parity, social class and year of delivery. 2 There was no excess of index women who had presented with nausea or vomiting. 3 There was a significant excess (12 cases, nine controls, P less than 0.02) of women who had been prescribed Debendox (the 3-constituent, or pre-1976, formulation of Bendectin) in early pregnancy. 4 This result was not thought to be conclusive evidence of a teratogenic effect but caution in prescribing is advised pending more extensive studies.

摘要
  1. 关于药物处方的数据来自196名生育唇腭裂婴儿的女性以及407名对照女性的全科医生,这些对照女性在年龄、产次、社会阶层和分娩年份方面进行了匹配。2. 出现恶心或呕吐症状的索引女性数量并未过多。3. 在怀孕早期曾被开具戴朋多克斯(1976年前含三种成分的或配方的反应停)的女性显著过多(12例,9例对照,P<0.02)。4. 该结果不被认为是致畸作用的确凿证据,但在进行更广泛的研究之前,建议在开处方时谨慎行事。

相似文献

1
Maternal anti-nauseants and clefts of lip and palate.母亲使用的止吐药与唇腭裂
Hum Toxicol. 1983 Jan;2(1):63-73. doi: 10.1177/096032718300200105.
2
Debendox revisited.
Br J Obstet Gynaecol. 1985 Aug;92(8):780-5. doi: 10.1111/j.1471-0528.1985.tb03046.x.
3
Association of Maternal First-Trimester Ondansetron Use With Cardiac Malformations and Oral Clefts in Offspring.母亲在孕早期使用昂丹司琼与后代心脏畸形和口腔裂的关系。
JAMA. 2018 Dec 18;320(23):2429-2437. doi: 10.1001/jama.2018.18307.
4
[Cleft lip and palate associated with meclozine].
Ginecol Obstet Mex. 1996 Nov;64:485.
5
Birth defects related to bendectin use in pregnancy. I. Oral clefts and cardiac defects.孕期使用苯乙双胍相关的出生缺陷。I. 口腔腭裂和心脏缺陷。
JAMA. 1981 Jun 12;245(22):2311-4.
6
Protective effect of hyperemesis gravidarum for nonsyndromic oral clefts.妊娠剧吐对非综合征性唇腭裂的保护作用。
Obstet Gynecol. 2003 Apr;101(4):737-44. doi: 10.1016/s0029-7844(02)03125-3.
7
Debendox.
Med J Aust. 1986 Mar 3;144(5):280. doi: 10.5694/j.1326-5377.1986.tb115908.x.
8
Association between cleft lip with or without cleft palate and prenatal exposure to diazepam.唇裂伴或不伴腭裂与产前暴露于地西泮之间的关联。
Lancet. 1975 Sep 13;2(7933):478-80. doi: 10.1016/s0140-6736(75)90548-6.
9
Orofacial clefts and maternal anticonvulsant use.
Reprod Toxicol. 1995 Jan-Feb;9(1):97-8. doi: 10.1016/0890-6238(95)93875-j.
10
CDC study: no evidence for teratogenicity of Bendectin.
JAMA. 1979 Dec 7;242(23):2518.

引用本文的文献

1
Antihistamines and birth defects: a systematic review of the literature.抗组胺药与出生缺陷:文献系统综述
Expert Opin Drug Saf. 2014 Dec;13(12):1667-98. doi: 10.1517/14740338.2014.970164. Epub 2014 Oct 11.
2
Assessment of antihistamine use in early pregnancy and birth defects.评估抗组胺药物在早孕和出生缺陷中的应用。
J Allergy Clin Immunol Pract. 2013 Nov-Dec;1(6):666-74.e1. doi: 10.1016/j.jaip.2013.07.008. Epub 2013 Sep 12.
3
Use of antihistamine medications during early pregnancy and isolated major malformations.
孕早期使用抗组胺药物与孤立性严重畸形
Birth Defects Res A Clin Mol Teratol. 2009 Feb;85(2):137-50. doi: 10.1002/bdra.20513.
4
Maternal drug histories and central nervous system anomalies.母亲的用药史与中枢神经系统异常。
Arch Dis Child. 1984 Nov;59(11):1052-60. doi: 10.1136/adc.59.11.1052.
5
The debendox saga.地本多克斯事件
Br Med J (Clin Res Ed). 1985 Oct 5;291(6500):918-9. doi: 10.1136/bmj.291.6500.918.
6
Cleft lip with or without cleft palate: identification of sporadic cases with a high level of genetic predisposition.唇裂伴或不伴腭裂:具有高度遗传易感性的散发病例的识别。
J Med Genet. 1987 Mar;24(3):163-9. doi: 10.1136/jmg.24.3.163.
7
Maternal drug histories and congenital malformations: limb reduction defects and oral clefts.母亲用药史与先天性畸形:肢体短小缺陷和腭裂
J Epidemiol Community Health. 1988 Mar;42(1):1-7. doi: 10.1136/jech.42.1.1.
8
Is vomiting during pregnancy teratogenic?孕期呕吐会致畸吗?
Br Med J (Clin Res Ed). 1986 Apr 26;292(6528):1136. doi: 10.1136/bmj.292.6528.1136-a.