怀孕期间益生菌补充剂对妊娠并发症的影响:一个总体的元分析
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Updated: Jan 8, 2026

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Probiotic Studies in Neonatal Mice Using Gavage
Published on: January 27, 2019
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Qian Gao1, Yuanju Sun2, Yuanyuan Qu1
1Department of Obstetrics and Gynecology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.
Medicine
|December 23, 2025
概括
益生菌补充剂降低了妊娠糖尿病的风险,但增加了孕妇的孕前风险和妊娠年龄. 需要进一步的研究来澄清这些复杂的影响.
科学领域:
- 产科和妇科 产科和妇科
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 以前对益生菌治疗怀孕并发症的研究产生了不一致的结果.
- 需要进行一项综合元分析,以澄清益生菌对怀孕结果的影响.
研究的目的:
- 研究益生菌补充剂对妊娠并发症的影响.
- 分析对妊娠糖尿病,妊娠前,妊娠体重增加,妊娠年龄和剖腹产率的影响.
主要方法:
- 系统地搜索PubMed和Scopus数据库的元分析,直到2024年4月.
- 包括27个元分析,包括83,817名参与者.
- 随机效应模型用于结合相对风险和标准化平均差异.
主要成果:
- 益生菌显著降低了妊娠糖尿病的风险 (RR=0.71,95% CI:0.61-0.83).
- 益生菌使用与孕前的风险增加有关 (RR=1.23,95% CI:1.07-1.42) 和延长妊娠年龄 (SMD=0.07,95% CI:0.02-0.11).
- 没有观察到对剖腹产或妊娠期体重增加的显著影响.
结论:
- 在怀孕期间补充益生菌可以降低妊娠期糖尿病的风险.
- 然而,它增加了孕前的风险,并增加了妊娠年龄.
- 这些发现突出了孕期益生菌的复杂的风险-益处概况.
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