孕前接触甲基胺及其与出生结果的关联:一个元分析
Nima Rastegar-Pouyani1, Fatemeh Fakhari1, Armineh Rezagholi Lalani2
1Department of Toxicology and Pharmacology, Faculty of Pharmacy, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Birth defects research
|July 8, 2025
概括
产前甲胺暴露显著增加了早产 (PTB),低出生体重 (LBW) 和对于妊娠年龄 (SGA) 很小的风险. 这一系统性审查突出了关于怀孕期间物质使用的关键公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 围产儿医学 围产儿医学
- 毒理学 毒理学 毒理学
背景情况:
- 滥用甲基胺是一种日益严重的全球公共卫生问题.
- 产前接触甲胺对胎儿发育和新生儿健康构成重大风险.
研究的目的:
- 系统地审查和元分析产前甲胺暴露和不良分娩结果之间的关联.
- 评估早产 (PTB),低出生体重 (LBW) 和怀孕年龄 (SGA) 较小的风险.
主要方法:
- 在PubMed,科学网和Scopus (截至2021年12月) 的系统文献搜索.
- 使用几率比率 (OR) 和95%信心区间 (CI) 的八项观察性研究的元分析.
- 评估异质性,出版偏见,并进行敏感性分析.
主要成果:
- 产前甲胺暴露与PTB的风险增加了2.64倍 (OR 2.64;95% CI 1.89-3.70).
- 与2.83倍更高的LBW风险相关 (OR2.83;95% CI 1.09-7.38).
- 与1.44倍高的SGA风险相关 (OR1.44;95%CI1.04-1.99). 这种风险是因为
结论:
- 在产前暴露于甲基胺和PTB,LBW和SGA之间存在实质性的关联.
- 这些发现强调了对解决产前甲基胺使用问题的干预措施的迫切需要.
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