在残疾人怀孕期间使用处方药:基于人口的队列研究
Andi Camden1,2, Sonia M Grandi3,4, Yona Lunsky2,5
1Department of Health and Society, University of Toronto Scarborough, Toronto, Canada.
Journal of women's health (2002)
|July 1, 2024
概括
怀孕期间的药物使用在残疾人中很常见,特别是在潜在的有害药物和多种处方中. 这凸显了需要怀孕前的护理,以确保安全.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 怀孕期间,残疾人往往需要服用特定药物.
- 在这个人群中,药物使用的流行率和模式,特别是原性药物,尚不清楚.
研究的目的:
- 检查各种残疾个体在怀孕期间使用处方药的流行率和模式.
- 为了比较残疾人和无残疾人之间的药物使用,包括毒药物和多药物.
主要方法:
- 基于人口的队列研究在加拿大安大略省 (2004-2021年).
- 包括身体,感官,智力/发育或多重残疾人的怀孕,与没有残疾的人相比.
- 修改后的Poisson回归用于计算对治疗性药物使用和多种药物的调整相对风险 (aRR).
主要成果:
- 在所有残疾人群体中,与没有残疾人群体相比,怀孕期间使用药物的比例更高.
- 在多重残疾人中,原药的使用量显著增加 (aRR 2.03).
- 同时使用五种或五种以上的药物 (多种药物) 在患有多种残疾 (aR 2.21) 和智力/发育障碍 (aR 2.13) 的人群中更为常见.
结论:
- 在残疾孕妇中,使用药物,包括潜在的致病药物和多药物,很普遍.
- 对于这群人来说,急需加强预孕咨询和监测,以减轻怀孕期间与药物相关的风险.
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