在怀孕和哺乳期间,IBD治疗的安全性和使用
Lg Rabinowitz1, A Gade1, T Deyhim1
1Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Expert review of gastroenterology & hepatology
|January 11, 2026
概括
在怀孕期间管理炎症性肠病 (IBD) 需要预先计划,以获得最佳的孕产妇和胎儿结果. 大多数IBD疗法在怀孕和哺乳期间使用是安全的,强调患者教育.
科学领域:
- 胃肠病学 胃肠病学
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 炎症性肠病 (IBD) 主要影响女性在生殖年龄.
- 关于IBD治疗在孕妇和哺乳期患者的安全性和有效性的数据有限.
- 胃肠病学学员往往缺乏管理孕妇IBD患者的经验.
研究的目的:
- 审查关于IBD治疗在受孕,怀孕和哺乳期间的安全性和有效性的最新证据.
- 强调预孕咨询和IBD患者治疗优化的重要性.
- 为了解决在怀孕期间和产后治疗IBD的知识差距.
主要方法:
- 关于怀孕期间IBD管理的当前科学文献的全面审查.
- 讨论各种IBD药物类别,包括5-aminosalicylates,生物药物和免疫调节剂.
- 对不同生殖阶段的IBD治疗的安全性和有效性数据的分析.
主要成果:
- 大多数IBD疗法可以在整个怀孕和哺乳期安全地继续使用.
- 预孕前的患者教育对于维持缓解至关重要.
- 优化管理对于预防孕产妇和胎儿不良后果至关重要.
结论:
- 怀孕前的计划和患者教育对于在怀孕期间成功治疗IBD至关重要.
- 需要继续进行研究,并将孕妇纳入研究,以优化护理.
- 基于证据的策略是必要的,以改善IBD患者的孕产妇和新生儿结果.
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