怀孕期间抗精神病药物消费对妊娠期糖尿病发病风险的影响:系统性审查和元分析
1Neurology Department, Guangzhou Red Cross Hospital, Guangzhou, China.
Frontiers in psychiatry
|February 26, 2026
概括
第二代抗精神病药物 (SGA) 与第一代抗精神病药物 (FGA) 不一样,显著增加孕妇妊娠糖尿病 (GDM) 风险. 连续或多个三个月的暴露构成最大的风险,需要仔细监测.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 怀孕期间抗精神病药物的使用量有所增加.
- 有关代谢影响的担忧,特别是孕期糖尿病 (GDM).
研究的目的:
- 系统地审查和分析有关怀孕期间抗精神病和抗抑郁药物暴露和GDM风险的观察性研究.
主要方法:
- 在2025年之前对观察性研究进行系统审查和元分析.
- 数据提取和质量评估 (纽卡斯尔-太华尺度) 由两个独立审查员.
- 使用随机效应模型计算的聚合相对风险 (RRs).
主要成果:
- 包括17项研究,包括大型基于注册表的队列和前性调查.
- 母亲接触第二代抗精神病药物 (SGA) 与增加GDM风险 (RR = 1.59) 有显著关联.
- 第一代抗精神病药物 (FGA) 没有显著的GDM相关性 (RR = 1.31);持续/多个季度SGA暴露时风险最高.
结论:
- 增加的GDM风险主要与SGA有关,而不是FGA.
- 量身定制的治疗计划,密切的血糖监测和多学科护理对于服用精神药物的孕妇至关重要.
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