国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (1): 75-79.

• 综述 • 上一篇    下一篇

妊娠期抗生素应用及对胚胎发育影响

丁之德   

  1. 上海交通大学医学院
  • 收稿日期:2016-09-22 修回日期:2016-11-30 出版日期:2017-02-15 发布日期:2017-03-28
  • 通讯作者: 丁之德 E-mail:zding@shsmu.edu.cn
  • 基金资助:
    上海交通大学医学院第九期大学生RBL项目

Antibiotics application during the pregnancy and their effects on fetal development

Zhide DING   

  • Received:2016-09-22 Revised:2016-11-30 Published:2017-02-15 Online:2017-03-28
  • Contact: Zhide DING E-mail:zding@shsmu.edu.cn

摘要: 我国为抗生素应用大国,过度应用抗生素屡见不鲜,妊娠期应用更甚。抗生素过度应用不仅增加耐药细菌产生,造成更为严重感染,同时对妊娠妇女体内胎儿及其出生后成长亦有长期不良影响。因此,抗生素带来巨大治疗利益同时,其潜在风险亦极大。文章通过归纳总结回顾性研究及动物实验数据,阐述抗生素的使用情况及其可能不良反应,从妊娠期间不同病因的用药与其对胚胎发育及新生儿成长的影响两方面进行阐述。前者包括人工破膜术、尿路感染及阴道分娩等不同情况下抗生素合理应用;后者包括现阶段发现的某些抗生素对于胚胎各系统发育畸形、新生儿免疫低下及新生儿成年后肥胖的影响。研究抗生素在妊娠期应用及其对胚胎及新生儿发育影响,除了为临床合理用药提供理论依据,更具有重要的社会警示作用。

关键词: 抗生素, 妊娠期, 感染, 胚胎发育, 畸形

Abstract: Antibiotic overuse, which is common phenomenon among all population in China especially pregnant women, can trigger more severe infections by promoting drug-resistant bacteria and also contribute to a long-term harmful effect on embryonic and neonatal development. Although many advantages in antibiotics application in clinics, the underlying huge risks still can’t be ignored. In this article, we review the antibiotics application during pregnancy and its potential side-effects on embryo or newborn development by summarizing the results of retrospective studies and animal experiments presented in published research papers. The former includes the rational appliance of antibiotics in circumstances of artificial rupture of membrane, urinary tract infections, and infections during vaginal delivery; and the latter concludes the newly-reported harmfulness of antibiotics to the embryo or newborn, such as fetal abnormalities, low immunity of newborn to diseases and infant’s obesity subsequently. Thus, the review of the application of antibiotics in clinics during the pregnancy and by-effects on the embryo and newborn development, which can provide theoretical evidences for clinical rational application of antibiotics, is an important caution to our society as well.

Key words: antibiotics, pregnancy, infections, embryonic development, abnormalities