先兆流产与孕期生活事件及心理压力的相关性探讨  

Correlations between threatened abortion and life events during pregnancy and psychological stress

作　　者：张博雯[1] 周伟元[1] 黄小芳[1] 

机构地区：[1]浙江省安吉县人民医院妇产科,浙江安吉313300

出　　处：《中国现代医生》2016年第31期44-47,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016ZHB024)

摘　　要：目的 探讨先兆流产与孕期生活事件及心理压力的相关性。方法 选择我院2014年3月-2016年3月期间收治的70例先兆流产患者作为观察组,另选择同期来我院健康体检的70例健康产妇作为对照组。收集两组产妇的孕检资料及其他相关资料,调查两组产妇的孕期生活事件情况,并评估两组产妇心理压力情况,作对比分析。结果 孕期不良生活事件阳性率调查结果显示,观察组产妇家庭方面（45.71%）、婚姻方面（25.71%）、工作方面（22.86%）、法律方面（8.57%）、生活琐事方面（40.00%）、人际关系方面（30.00%）孕期不良生活事件阳性率均显著高于对照组,差异有统计学意义（P〈0.05）。观察组无压力（18.57%）、轻度压力（18.57%）构成比均显著低于对照组,差异有统计学意义（P〈0.05）;观察组产妇中度压力（30.00%）、重度压力（32.86%）及心理压力总发生率（81.43%）均显著高于对照组,差异有统计学意义（P〈0.05）。结论 孕期生活事件及心理压力与先兆流产存在一定相关性,孕期不良生活事件及过大的心理压力可增加先兆流产风险,可为孕期保健提供一定参考依据。Objective To discuss the correlations between threatened abortion and life events during pregnancy and psychological stress. Methods 70 threatened abortion patients who were admitted into our hospital from March 2014 to March 2016 were selected as the observation group, and another 70 healthy puerperae who were given physical exami- nation in our hospital in the same period were selected as the control group. The data of pregnancy test and other relat- ed data were collected to study the life events of the two groups of puerperae during pregnancy and to evaluate the psy- chological stress of the two groups. Comparative analysis were performed. Results The positive rates of adverse life events during pregnancy showed that the positive rates of adverse life event related to family（45.71%）, marriage （25.71%）, work （22.86%）, legal events （8.57%）, life trivia （40.00%）, and interpersonal relationship （30.00%） in the observation group were significantly higher than those in the control group（P〈0.05）; the proportion of ＂no stress （18.57%）＂ and ＂slight stress （18.57%）＂ in the observation group was significantly lower than that in the control group （P〈0.05）; the proportion of ＂moderate stress （30.00%）＂ and ＂severe stress（32.86%）＂ and the total incidence rate of psy- chological stress were significantly higher than those in the control group（P〈0.05）. Conclusion There are certain corre- lations between life events during pregnancy and psychological stress and threatened abortion. The adverse life events during pregnancy and excessive psychological stress may increase the risk of threatened abortion, which provides cer- tain references for the pregnancy care.

关 键 词：孕期生活事件 心理压力 先兆流产 孕期保健 

分 类 号：R714.21[医药卫生—妇产科学]