产前焦虑抑郁情绪对产科并发症和妊娠结局的影响  

The influence of obstetric complications and pregnancy outcome because of prenatal anxiety and depression

作　　者：丁海燕 安晨凤 孙超 

机构地区：[1]舟山市妇幼保健院产科,浙江省舟山316000

出　　处：《中国基层医药》2015年第1期28-31,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省舟山市卫生科技计划项目（2013A03）

摘　　要：目的 探讨产前焦虑抑郁情绪对产科并发症和妊娠结局的影响.方法 选择100例孕妇为研究对象,采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对孕妇的情绪进行评估,SAS标准分≥50分或SDS标准分≥53分者为观察组,SAS标准分＜50分且SDS标准分＜53分者为对照组,比较两组孕妇分娩方式、先兆子痫、妊娠剧吐、妊娠期糖尿病、围产期感染、羊水过多、羊水过少、胎膜早破、产后出血、胎儿宫内窘迫、早产、低体质量、新生儿窒息发生情况.结果 对照组初产妇剖宫产率明显低于观察组（4.00％比22.00％,Х^2 =7.161,P＜0.05）,观察组产科并发症发生率明显高于对照组（32.00％比2.00％,Х^2=15.946,P＜0.05）,对照组围生儿结局显著优于观察组（4.00％比20.00％,Х^2=6.061,P＜0.05）.结论 产前焦虑抑郁情绪明显增加孕妇产科并发症,增加围生儿胎儿宫内窘迫、早产、低出生体质量、新生儿窒息的发生概率.Objective To investigate the influence of obstetric complications and pregnancy outcome because of prenatal anxiety and depression.Me^ods One hundred primipara were selected as the research objects,their emotions were evaluated by Self-Rating Anxiety Scale（SAS）,Self-Rating depression Scale（SDS）.The patients＇ scores of SAS ≥50points or SDS ≥ 53points were selected as the observation group,the patients＇scores of SAS ≥ 50points and SDS≥53points were selected as the control group.The pregnant women childbirth way,preeclampsia,hyperemesis gravidarum,gestational diabetes,perinatal infection,hydramnios,oligohydramnios,premature rupture of membranes,postpartum hemorrhage,fetal distress,premature birth,low birth quality,neonatal asphyxia of two groups were compared.ResultsThe primipara cesarean delivery rate of the control group was lower than that of the observation group（4.00% vs 22.00%,Х^2 =7.161,P 〈0.05）,the obstetric complications incidence of the observation group was higher than that of the control group （32.00% vs 2.00%,Х^2 =15.946,P 〈 0.05）,the birth outcomes incidence of the observation group was lower than that of the control group （4.00% vs 20.00%,Х^2 =6.061,P 〈 0.05）.Conclusion Prenatal anxiety and depression significantly increase pregnant women obstetric complications,increase the perinatal fetal intrauterine distress and the probability of premature birth,low birth quality and neonatal asphyxia.

关 键 词：焦虑 抑郁 妊娠并发症 妊娠结局 

分 类 号：R749.72[医药卫生—神经病学与精神病学]