46例甲状腺功能减退孕产妇抑郁焦虑状况23周随访对照研究  

A 23-week follow-up control study of depression and anxiety in 46 maternal cases with hypothyroidism

作　　者：吉昌兰 丛伟东[2] 刘红滟 JI Chang-lan(East 2^nd Ring Branch of the Second People's Hospital of Fujian Province,Fuzhou,Fujian, 350003,China)

机构地区：[1]福建省第二人民医院东二环分院,350000 [2]福建医科大学附属福州神经精神病医院

出　　处：《齐齐哈尔医学院学报》2018年第18期2133-2135,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨妊娠29周后出现甲状腺功能减退的妊娠妇女在产前11周及产后12周内抑郁焦虑的发生状况。方法采用Hamilton焦虑、抑郁(17项)量表于妊娠29周、妊娠39周;产后1周、4周、8周、12周对甲减组(46例)以及正常对照组(47例)样本进行评定,经t检验与重复资料方差分析进行统计,比较抑郁、焦虑的发生情况。结果甲减组的产前、产后焦虑抑郁发生率均高于同期对照组。结论伴有甲状腺功能减退的孕产妇更易出现抑郁焦虑状况,应加强护理防意外。Objective To study the occurrence of patient’s antepartum and postpartum depression and anxiety 11 weeks before parturition and 12 weeks after parturition,which were caused by hypothyroidism after gestation for 29 weeks. Methods Using Hamilton depression anxiety rating scale( 17 items) to assess the patients in hypothyroid group( 46 cases) and control group( 47 cases) at 29 th,39 th week of pregnancy,and the1 st,4 th,8 th,12 th week after parturition. Occurrence of depression and anxiety were compared by using t-test and variance analysis of repeated data at multiple factors level. Results The incidence of antepartum and postpartum anxiety and depression in hypothyroidism group was higher than that in control group.Conclusions Maternal hypothyroidism may lead to higher chance of depression and anxiety,postpartum care should be reinforced.

关 键 词：甲状腺功能减退(甲减) 焦虑抑郁 孕产妇 

分 类 号：R749[医药卫生—神经病学与精神病学]