不同孕激素的有效性和安全性在第一次流产的妇女:一个网络的元分析
Hongqiong Zhao1, Wei He2, Chunyu Xia3
1Department of Pharmacy, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
概括
口服二二有效地降低了在遭受流产威胁的妇女中流产的风险. 这种孕激素在预防流产方面比阴道孕激素和安慰剂更安全,更有效.
科学领域:
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 威胁性流产,以早期阴道出血为特征,影响了很大一部分怀孕.
- 大约25%的威胁性流产进展到完全流产.
- 有效的干预措施对于改善妊娠结果至关重要.
研究的目的:
- 评估各种孕激素在治疗可能流产的有效性和安全性的比较.
- 确定最佳的孕激素治疗,以减少流产风险.
主要方法:
- 在主要数据库 (PubMed,EMBASE,Cochrane图书馆) 进行了系统的文献搜索,直到2023年4月.
- 在18个随机对照试验 (RCT) 上进行了贝叶斯网络元分析,包括对照元分析.
- 评估结果包括流产率,早产,活产率,先天性异常和不良事件.
主要成果:
- 与安慰剂 (OR 0.5) 和阴道孕激素 (OR 0.57) 相比,口服二二显著降低了流产风险.
- 与安慰剂相比,口服孕激素也显示出流产风险降低 (OR 0.61).
- 对于早产,先天性异常或活产率,没有观察到孕激素和安慰剂之间的显著差异.
结论:
- 口服二二是一种安全有效的选择,可减少流产威胁的妇女流产的发生.
- 它在预防流产方面表现出比阴道孕激素和安慰剂更高的疗效.
- 进一步的研究可能会探索长期新生儿结果和特定的孕激素配方.
更多相关视频
09:04Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
Published on: September 10, 2018
9.7K
06:49Methods for Studying Uterine Contributions to Pregnancy Establishment in an Ovariectomized Mouse Model
Published on: April 7, 2023
1.6K
相关概念视频
Drugs for Peptic Ulcer Disease: Prostaglandin Analogs as Mucosal Protective Agents
375
The gastric mucosa produces prostaglandins E2 (PGE2) and prostacyclin (PGI2), crucial in maintaining gastric health. They exert cytoprotective effects, including increasing bicarbonate secretion, releasing protective mucin, reducing gastric acid output, and preventing harmful vasoconstriction. These effects are mediated through various receptors, such as EP1, EP2, EP3, and EP4.
Non-steroidal anti-inflammatory drugs (NSAIDs) can induce peptic ulcers by inhibiting cyclooxygenase, decreasing...
Non-steroidal anti-inflammatory drugs (NSAIDs) can induce peptic ulcers by inhibiting cyclooxygenase, decreasing...
375
Birth Control Methods
214
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
214
Ovarian Cycle
1.1K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.1K
Hormonal Regulation of the Menstrual Cycle
315
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
315
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
