妊娠期口腔疾病治疗用药的安全性建议  

The medication guidance of oral diseases during pregnancy

作　　者：陈小瑄 刘显[1] 张雪峰(综述)[1] 万乾炳(审校)[1] CHEN Xiaoxuan;LIU Xian;ZHANG Xuefeng;WAN Qianbing(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院,成都610041

出　　处：《实用口腔医学杂志》2024年第6期855-859,共5页Journal of Practical Stomatology

摘　　要：妊娠期多种口腔疾病易患,对孕妇全身健康及胎儿健康造成不良影响。口腔疾病的局部治疗、全身抗感染治疗均可能涉及药物使用。孕妇常对局麻药、抗生素等药物对胎儿的影响存忧。口腔医生应掌握药物使用的指征和安全范围,以帮助制定综合性临床管理策略。指征明确时,不应回避合理的用药。采取正确的治疗手段才能尽量避免严重不良后果发生。文章就妊娠期口腔局部和全身常用药的安全性进行归纳总结,以期为妊娠期口腔疾病治疗提供更完善的解决方案。Pregnancy predisposes to various oral diseases,which can compromise the health of both the pregnant woman and the fetus.Management of these diseases often entails both local and systemic anti-infective treatments,which may involve complex medication practices.There is a prevalent concern among pregnant women regarding the potential effects of local anesthetics,antibiotics and other pharmacological agents on fetal health.Dentists should comprehend the drug indications and their safe usage boundaries to formulate effective systematic strategies and clinical management protocols.The rational use of medications should not be precluded.Effective treatment should be administered to prevent adverse outcomes.This article reviews the safety of commonly used local and systemic oral medications during pregnancy and aims to offer appropriate therapeutic approaches for managing oral diseases in this population.

关 键 词：妊娠期 口腔疾病 用药建议 胎儿 安全性 

分 类 号：R988.2[医药卫生—药品] R984[医药卫生—药学]