产前焦虑抑郁情绪对产科并发症和妊娠结局的影响分析  

Effect of prenatal anxiety and depression for obstetric complications and pregnancy outcomes analysis

作　　者：龚世丽 

机构地区：[1]四川省德阳市罗江县妇幼保健院,618500

出　　处：《中外女性健康研究》2015年第20期9-10,共2页Women＇s Health Research

摘　　要：目的：分析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2013年2月至2014年1月来我院进行产检并在我院分娩的产妇160例，根据产妇的情绪将160例产妇分成对照组80例产妇，治疗组80例产妇，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定，SAS评分高于50分或SDS评分高于53分表示产妇有产前焦虑抑郁情绪，作为治疗组；SAS评分低于50分且SDS评分低于53分表示产妇无产前焦虑抑郁情绪，作为对照组。观察两组产妇早产、羊水过少、分娩方式、妊娠剧吐、胎儿宫内窘迫、妊娠期糖尿病、围产期感染、羊水过多、胎膜早破、产后出血、先兆子痫、新生儿窒息、低体质量发生情况。结果：治疗组产妇剖宫产率明显高于对照组产妇，差异显著（P＜0.05），治疗组产科并发症发生率明显高于对照组产科，差异显著（P＜0.05），对照组围生儿结局明显优于治疗组患者，差异显著（P＜0.05）。结论：产妇患有产前焦虑抑郁情绪易提高产妇发生产科并发症的几率，增加胎儿早产、低出生体质量、新生儿窒息等新生儿并发症，对产妇及胎儿均有严重影响。Objective： Analysis of prenatal anxiety and depression emotion of obstetric complications and pregnancy outcomes analysis.Methods： Select the February 2013-2014 since January were giving birth in our hospital and in our hospital delivery of maternal 160 cases, according to the mother＆#39;s emotional 160 cases of maternal divided into control group 80 cases of maternal treatment group 80 cases of maternal, maternal mood adopt self-Rating Anxiety scale （SAS） and self-Rating Depression scale （SDS） on the mood of pregnant women were assessed, SAS score higher than 50 points or SDS score is above 53 points indicates prenatal maternal anxiety and depression as a treatment group, SAS score less than 50 points and the SDS score below 53 points indicates no prenatal maternal anxiety and depression as a control group. Preterm mothers were observed, oligohydramnios, mode of delivery, hyperemesis gravidarum, fetal distress, gestational diabetes, perinatal infection, polyhydramnios, premature rupture of membranes, postpartum hemorrhage, preeclampsia, neonatal asphyxia , low body mass were observed.Results： The treatment group was significantly higher rate of cesarean section mothers, significant differences （P〈0.05）, treatment group was significantly higher incidence of obstetric complications obstetrics, significant difference （P 〈0.05）, treatment group perinatal outcome of children significantly lower than the control group of patients, the difference was significant （P 〈0.05）.Conclusion： With prenatal maternal anxiety and depression easy to improve the chances of maternal obstetric complications, increased fetal prematurity, low birth weight, neonatal asphyxia and other neonatal complications, both maternal and fetal seriously affected.

关 键 词：产前焦虑情绪 抑郁情绪 产科并发症 妊娠结局 

分 类 号：R749.72[医药卫生—神经病学与精神病学]