CAJ | 학술논문

目的：促进哺乳期降压药物的合理应用。方法通过查阅相关书籍、文献以及药品说明书，以 Hale 博士的哺乳期药物的危险性分级方法及美国儿科学会建议对常用降压药物进行总结和评价。结果目前常用的降压药物中，硝苯地平、普萘洛尔、美托洛尔、拉贝洛尔、卡托普利、依那普利和氢氯噻嗪等药物对母亲及乳儿影响较小，应用较安全。结论对哺乳期需要治疗的高血压患者，应充分权衡利弊，选择最安全有效地药物，制定最合适的治疗方案。
목적：촉진포유기강압약물적합리응용。방법통과사열상관서적、문헌이급약품설명서，이 Hale 박사적포유기약물적위험성분급방법급미국인과학회건의대상용강압약물진행총결화평개。결과목전상용적강압약물중，초분지평、보내락이、미탁락이、랍패락이、잡탁보리、의나보리화경록새진등약물대모친급유인영향교소，응용교안전。결론대포유기수요치료적고혈압환자，응충분권형리폐，선택최안전유효지약물，제정최합괄적치료방안。
Objective To promote the reasonable use of antihypertensive drugs in lactating women. Methods The commonly used antihypertensive drugs were summerized and evaluatad by referring to related books, literatures and medicine instructions, based on Dr. Hale's Lactation Risk Category and American Academy of Pediatrics Committee on Drugs. Results Nifedine, propranolol, metoprolol, labetalol, captopril, enalapril and hydrochlorothiazide appear safe for use in lactating women. Conclusion Prescribing medications for a breast-feeding mother requires weighing the benefits of medication use for the mother against the risk of not breast-feeding the infant or the potential risk of exposing the infant to medications. The physician should select the safest and most effective medication and make an appropriate therapeutic regimen.