在怀孕中服用口服素补充剂:一个多中心,随机,双盲临床试验
Norbert Winer1, Emilie Misbert2, Damien Masson3
1Department of Gynecology and Obstetrics, Centre Hospitalier Universitaire de Nantes, Nantes, France; Nantes Université, NUN, UMR 1280 PhAN INRAE, Nantes, France.
The American journal of clinical nutrition
|December 5, 2024
概括
口服L-氨酸补充剂没有延长怀孕时间或改善孕前 (PE) 的结果. 治疗增加了母亲的缩血压和肝酶,这表明它不是PE的有希望的治疗方法.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 孕前 (PE) 是孕产妇和胎儿死亡的一个重要原因.
- 补充L-氨酸在PE治疗中表现出有限的疗效.
- 作为L-氨酸的前体,L-氨酸可能为PE提供更有效的治疗方法.
研究的目的:
- 为了评估口服L-氨酸补充剂在孕期延长前性怀孕中的疗效.
- 评估L-氨酸对PE中母亲和新生儿结局的影响.
主要方法:
- 一个多中心的,随机的,双盲试验,涉及115名怀孕女性,怀孕36周之前患有妊娠前.
- 参与者接受了口服L-素 (58) 或安慰剂 (57).
- 监测包括怀孕的持续时间,孕产妇/新生儿后果和胎盘功能障碍标志物 (sFlt-1/PlGF比率).
主要成果:
- 在L-氨酸和安慰剂组之间,怀孕持续时间没有显著差异.
- 新生儿体重和整体妊娠结果在各组之间是相似的.
- 在L-氨酸组中,在分娩时观察到肝酶 (ALT,AST) 升高和缩血压升高.
结论:
- 口服L-氨酸补充剂对怀孕持续时间,胎儿生长或产前的孕产妇/新生儿结局没有证明有好处.
- 系统血压升高和肝酶的增加表明潜在的不良影响.
- L-氨酸不是一个有前途的治疗药物,用于管理因子宫前而复杂的怀孕.
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