怀孕期间接触非典型抗精神病药物与流产风险之间的关联
Tomofumi Ishikawa1, Takamasa Sakai2, Noriyuki Iwama3,4
1Laboratory of Biomolecule and Pathophysiological Chemistry, Graduate School of Pharmaceutical Sciences, Tohoku University, Sendai, Japan.
这项研究发现,在暴露于非典型抗精神病药物的孕妇中,流产风险没有增加. 然而,对二的暴露与更高的流产风险有关.
科学领域:
- 围产阶段的精神病学
- 生殖毒理学 生殖毒理学
- 药学流行病学 药学流行病学
背景情况:
- 不典型的抗精神病药物在怀孕期间经常被处方.
- 了解他们关于怀孕结果的安全概况至关重要.
研究的目的:
- 调查怀孕期间非典型抗精神病药物使用与流产风险之间的关联.
- 评估使用二胺药物作为阳性对照.
主要方法:
- 一个嵌套的病例控制研究利用一个大型的日本行政数据库.
- 匹配了44118个病例与132317个对照 (3:1比率).
- 条件后勤回归分析调整为混因素.
主要成果:
- 在非典型抗精神病药物暴露和流产风险 (aOR 0.966) 之间没有发现统计学意义上的关联.
- 最常被处方的非典型抗精神病药物阿里皮普拉也没有增加流产风险 (aOR 0.998).
- 二甲类药物暴露与流产风险增加有关 (aOR 1.431).
结论:
- 目前的证据不支持怀孕期间非典型抗精神病药物使用与流产风险增加之间的关联.
- 类药物可能会造成流产的风险,需要进一步调查.
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