中国妇女发作控制和怀孕结果:一个前性的多中心队列研究
Nanya Hao1, Ammar T Abdulaziz1, Lu Lu1
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Epilepsia
|February 11, 2025
概括
对于患有的妇女来说,在怀孕期间,控制通常是稳定的. 然而,家族史,氨酸,托皮拉酸和缺乏叶酸是主要先天性形的主要预测因素.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 甲状腺学 甲状腺学
背景情况:
- 在亚洲人群中,关于管理和怀孕结果的数据有限.
- 了解抗发作药物 (ASM) 和活动的影响对于这一群体至关重要.
研究的目的:
- 评估发作和ASM对患的孕妇及其后代的影响,使用中国妊娠登记册.
- 为了确定妊娠和婴儿不良后果的危险因素.
主要方法:
- 自2012年以来对患有的孕妇进行的前性多中心研究.
- 产后长达一年的随访,以评估ASM的使用,发作的频率和婴儿的结果.
- 描述性分析和后勤回归以确定风险因素和相关性.
主要成果:
- 包括1763个怀孕;1270个活产. 在大多数怀孕中,发作频率保持稳定.
- 常见的ASM是:勒维他拉塞坦 (39%),氧卡巴塞平 (19%),拉莫特里金 (17.5%). 酸 (VPA) 的暴露率很低 (14.2%).
- 重大先天性形 (MCM) 的发生率为4.4%. 预测MCM的因素包括使用VPA,缺乏叶酸,家族MCM病史和使用托皮拉 (TPM).
结论:
- 在患有的妇女中,在整个怀孕期间,发作控制在很大程度上保持.
- 母亲使用VPA和TPM,缺乏叶酸,以及家族MCM病史是婴儿MCM的显著预测因素.
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