怀孕期类风湿关节炎药物治疗的变化:使用日本索赔数据库进行的一项回顾性观察研究
Yuichi Shiotsuki1,2, Miho Iida3, Tsuchiya Shiori2
1Graduate School of Health Management, Keio University, Kanagawa, Japan.
Modern rheumatology
|November 9, 2025
概括
产后类风湿性关节炎 (RA) 治疗的密集处方较少,这表明当前的指导方针有效地管理怀孕期间和分娩后的疾病活动. 甲索和口服皮质类固醇是常见的产后治疗方法.
科学领域:
- 类风湿病学 类风湿病学
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
背景情况:
- 怀孕期间风湿性关节炎 (RA) 管理需要仔细考虑药物安全性和有效性.
- 了解分娩前期的药物治疗趋势对于优化母亲和胎儿的结果至关重要.
研究的目的:
- 为了分析类风湿性关节炎 (RA) 药物处方在分娩时的变化.
- 使用日本索赔数据库调查RA治疗模式的最新趋势.
主要方法:
- 使用JMDC索赔数据库进行的回顾性观察队列研究.
- 包括在2018年4月至2023年10月期间分娩的RA孕妇.
- 结果定义:产后开始或恢复密集治疗 (生物DMARDs,有针对性的合成DMARDs,OCS,甲状腺素) 产后.
主要成果:
- 分析了229名RA母亲和246名分娩的情况.
- 在22.4%的分娩中启动了密集治疗,43.1%的分娩者继续使用他们之前的处方.
- 甲索是最常见的产后新处方 (7.3%);口服皮质类固醇 (OCS) 是最常见的整体. 在怀孕期间TNF抑制剂下降,产后恢复.
结论:
- 产后强化治疗率低于之前报告的水平.
- 目前针对RA孕妇的指导方针在控制疾病活动方面似乎有效.
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