中国神经精神疾病杂志2024,Vol.50Issue(1) :60-64.DOI:10.3969/j.issn.1002-0152.2024.01.011

双相障碍与妊娠期并发症及新生儿患病风险研究进展

Research progress on bipolar disorder and pregnancy complications and neonatal risk

张雨淋 冯晓玲
中国神经精神疾病杂志2024,Vol.50Issue(1) :60-64.DOI:10.3969/j.issn.1002-0152.2024.01.011

双相障碍与妊娠期并发症及新生儿患病风险研究进展

Research progress on bipolar disorder and pregnancy complications and neonatal risk

张雨淋 1冯晓玲2
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作者信息

  • 1. 黑龙江中医药大学研究生院(哈尔滨 150040)
  • 2. 黑龙江中医药大学附属第一医院妇科二科
  • 折叠

摘要

患有双相障碍(bipolar disorder,BD)的孕妇处于高风险妊娠状态,必要的精神药物治疗、特殊的应激反应、不良的生活习惯以及孕期激素波动都在一定程度上增加妊娠高血压、妊娠糖尿病、早产及流产等并发症风险.此外,分娩方式也会受到影响,BD产妇往往以剖宫产为主.药物能够穿透胎盘血脑屏障进入母胎微循环,结合遗传基因和环境的作用,可诱发胎儿的神经发育异常导致出生后患先天畸形、注意力缺陷多动障碍及孤独症谱系障碍等疾病风险增高.对于患有双相障碍的孕妇,权衡药物种类和剂量的选择尤为重要,这将有助于提高临床对妊娠合并精神障碍类疾病的风险管理和疾病控制的准确性.

Abstract

Pregnant women with bipolar disorder(BD)are a high-risk pregnancy state.Necessary psychotropic drug treatment,special stress reactions,bad living habits,and fluctuations in pregnancy hormones all increase the risk of pregnancy to a certain extent.Risks of complications such as hypertension,gestational diabetes,premature birth and spontaneous abortion.Drugs can penetrate the placental blood-brain barrier and enter the maternal-fetal microcirculation.Combined with the effects of genetic genes and the environment,they can induce neurodevelopmental abnormalities in the fetus,leading to congenital malformations,attention deficit hyperactivity disorder,autism spectrum disorder and other diseases after birth.The mode of delivery may also be affected.Women with BD often give birth by caesarean section.It is particularly important to weigh the choice of drug types and dosages,which will help improve the accuracy of clinical risk management and disease control of pregnancy-related mental disorders.

关键词

双相障碍/重度抑郁/狂躁/妊娠并发症/新生儿患病

Key words

Bipolar disorder/Major depression/Mania/Pregnancy complications/Neonatal morbidity

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基金项目

国家自然科学基金(81973894)

国家自然科学基金(82174421)

黑龙江省自然科学基金重点项目(ZD2021H006)

黑龙江中医药大学优秀创新人才支持计划科研项目(2018RCL12)

出版年

2024
中国神经精神疾病杂志
中山大学

中国神经精神疾病杂志

CSTPCD北大核心
影响因子:1.38
ISSN:1002-0152
参考文献量42
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