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使用FDA不良事件报告系统 (FAERS) 分析ASM和男性不孕症
Kunyang An1,2, Jingyu Xu3,4, Yujia Xi5,6
1Department of Urology Surgery, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Frontiers in public health
|February 11, 2026
概括
某些抗发作药物 (ASM),如卡巴马泽平和酸,可能会增加男性不孕症的风险. 这项研究分析了FDA的数据,强调了使用ASM的男性生殖健康监测的必要性.
科学领域:
- 药物监测和生殖毒理学
- 神经学和病管理管理
背景情况:
- 抗发作药物 (ASM) 对于治疗至关重要,但可能会对男性生育造成风险.
- 男性不孕症对全球不孕率有很大影响,需要对与药物相关的因素进行调查.
研究的目的:
- 使用FDA不良事件报告系统 (FAERS) 调查抗发作药物 (ASM) 与男性不孕症之间的关联.
主要方法:
- 在2004年至2024年的FAERS数据上使用混合信号检测框架 (ROR和BCPNN).
- 分析了81,618个涉及ASM的脱重复病例报告,以确定与男性不孕症相关的病例.
主要成果:
- 卡巴马泽平 (ROR = 8.73) 和酸 (ROR = 6.82) 显示了男性不孕症的最高风险信号.
- 牛炭bazepine,lamotrigine和 levetiracetam也表明了潜在的风险,而phenytoin,topiramate和clonazepam没有.
- 大多数与ASM有关的报告来自美国,涉及18-65岁的男性患者.
结论:
- 研究结果强调ASM可能影响男性生育能力,强调需要对生育年龄患者进行生殖健康监测.
- 临床实践应该平衡ASM的疗效与它们的生殖毒性,这需要进一步研究机制和验证.
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