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产前暴露于琥珀酸多西拉敏和盐酸双环胺(胃复安)与先天性畸形、围产期死亡率、出生体重及智商评分的关系。

Antenatal exposure to doxylamine succinate and dicyclomine hydrochloride (Benedectin) in relation to congenital malformations, perinatal mortality rate, birth weight, and intelligence quotient score.

作者信息

Shapiro S, Heinonen O P, Siskind V, Kaufman D W, Monson R R, Slone D

出版信息

Am J Obstet Gynecol. 1977 Jul 1;128(5):480-5. doi: 10.1016/0002-9378(77)90028-x.

Abstract

In a prospective cohort study of 20, 282 gravidas and their offspring, congenital malformation rates were similar in the children of over 1,000 women exposed and those not exposed to two components of Bendectin (doxylamine succinate and dicyclomine hydrochloride) during the first four lunar months of pregnancy. In a cohort reduced to 41,337 mother-child pairs for technical reasons, mean birth weight and perinatal mortality rates were similar according to exposure or nonexposure to either drug, as were intelligence quotient scores measured at four years of age in 28,358 of the children. Control of potential confounding factors with a variety of multivariate techniques did not materially alter these findings.

摘要

在一项针对20282名孕妇及其后代的前瞻性队列研究中,超过1000名在怀孕头四个月接触过两种成分(琥珀酸多西拉敏和盐酸双环胺)的苯海拉明孕妇的子女与未接触过的孕妇的子女先天性畸形率相似。由于技术原因,在一个缩减至41337对母婴的队列中,无论是否接触这两种药物中的任何一种,平均出生体重和围产期死亡率相似,在28358名儿童四岁时测量的智商分数也相似。使用多种多变量技术控制潜在混杂因素并没有实质性改变这些结果。

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