自免疫性疾病和不良妊娠结果:一个总体审查
Megha Singh1, Steven Wambua1, Siang Ing Lee1
1Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Lancet (London, England)
|November 24, 2023
概括
患有自身免疫性疾病的女性面临更高的妊娠不良后果风险,包括流产和子宫前. 这一综合性审查综合了有关这些风险的证据, 以提供更好的产妇护理.
科学领域:
- 生殖医学
- 免疫学
- 公共卫生
背景情况:
- 自身免疫性疾病对女性的影响不成比例,尤其是在生育年龄.
- 这些情况与妊娠不良后果的风险增加有关,研究结果各不相同.
- 进行了总体审查,以巩固自身免疫性疾病和妊娠并发症的证据.
研究的目的:
- 识别,评估和综合系统性审查的结果.
- 巩固自身免疫性疾病和不良妊娠结果的证据.
- 为临床实践和未来的研究方向提供信息.
主要方法:
- 在2022年9月30日之前对Medline,Embase和Cochrane数据库进行系统搜索.
- 包括对自身免疫性疾病和妊娠结果的系统审查.
- 使用AMSTAR 2进行质量评估和叙述/定量合成数据.
主要成果:
- 分析了包括709项初级研究的33项系统性审查.
- 在Sjögren综合征,SLE,甲状腺自身免疫,全身性硬化和腹腔疾病中观察到流产的风险增加.
- 发现患有子宫前 (T1DM,SLE),妊娠期糖尿病 (IBD,甲状腺自身免疫) 和IUGR (全身性硬化症,腹病) 的风险较高.
结论:
- 患有自身免疫性疾病的孕妇面临明显更高的孕妇和胎儿不良后果的风险.
- 进一步的研究对于开发更好的产后护理策略至关重要.
- 在怀孕期间需要加强多学科治疗.
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