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中国医药导刊 ›› 2021, Vol. 23 ›› Issue (8): 598-602.

• 合理用药 • 上一篇    下一篇

湖南省育龄妇女生殖毒性药物合理使用调查分析

吴小燕, 湛亚, 文晓柯*

  

  1. 湖南省妇幼保健院药学研究部, 湖南 长沙 410008
  • 收稿日期:2021-07-09 修回日期:2021-07-29 出版日期:2021-08-28 发布日期:2021-08-28
  • 基金资助:
    湖南省医学会临床药学科研基金项目(项目编号:HMA202001004;项目名称:妊娠期药学咨询技术服务平台的构建);湖南省药学会医院药学专业委员会研究基金项目(项目编号:2020YXH006;项目名称:基于互联网的妊娠期药学咨询服务);湖南省出生缺陷协同防治科技重大专项(项目编号:2019SK1010;项目名称:孕期药物与出生缺陷相关性研究与预防)

Analysis on Rational Use of Reproductive Toxic Drugs among Fertile Woman in Hunan Province

WU Xiaoyan, ZHAN Ya WEN Xiaoke*   

  1. Pharmaceutical Research Department of Hunan Maternal and Child Health Hospital, Hunan Changsha 410008 China
  • Received:2021-07-09 Revised:2021-07-29 Online:2021-08-28 Published:2021-08-28

摘要: 目的:了解育龄妇女生殖毒性药物使用情况,保证妊娠期用药安全,降低药物引起的出生缺陷。方法:选取湖南省育龄妇女为调查对象,通过问卷星制作调查问卷,从育龄妇女的基本信息、叶酸增补情况、安全用药知识、生殖毒性药品使用等方面对育龄妇女合理用药问卷调查进行分析。结果:本次调查回收有效问卷共637份,本科及以上学历占55.42%51.8%的育龄妇女是有计划地怀孕;65.93%的育龄妇女能在孕前增补叶酸;94.35%的育龄妇女对药物致畸的风险意识较高,5.34%的育龄妇女在妊娠期间使用了生殖毒性药物。结论:应加强育龄妇女生殖毒性药品的合理用药与科普宣教,同时引导育龄妇女有计划地怀孕,做到规律增补叶酸。建议药品监管部门出台相关的政策及具体的管理办法,加强生殖毒性药品监管,减少其引起的出生缺陷。

关键词: 育龄妇女, 生殖毒性药物, 合理用药, 科普宣教

Abstract: Objective: To investigate the usage of reproductive toxic drugs in fertile woman ensure the safety of drug use during pregnancy and reduce the birth defects caused by drugs. Methods The fertile woman in Hunan province were selected as the research objects and the questionnaire was made by "questionnaire star". The questionnaire was analyzed from the basic information of women of childbearing age folic acid supplement knowledge of safe drug use use of reproductive toxic drugs and other aspects. Results 637 valid questionnaires were collected 55.42% of them had bachelor degree or higher education. 51.8% of fertile woman were pregnant in a planned way. 65.93% of fertile woman could supplement folic acid before pregnancy. 94.35% of fertile woman had high risk awareness of drug-induced teratogenesis and 5.34% of fertile woman used reproductive toxic drugs during pregnancy. Conclusion Science education on the rational use of reproductive toxic drugs for women of childbearing age should be strengthen to guide women of childbearing age to conceive in a planned way and supplement folic acid regularly. It is suggested that relevant policies and specific management measures should be operated and the supervision of reproductive toxic drugs should be strengthened to reduce the birth defects.


Key words: Fertile woman , Reproductive toxic drugs , Rational use of drugs , Popularization science education

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