母亲焦虑和抑郁对早产儿体格和智力发育的影响  

Influence of maternal anxiety and depression on physical and intelligence development of premature infants

作　　者：张进军[1] 雷芳 武秀梅 张惠芳[1] 马英[1] ZHANG Jin-jun;LEI Fang;WU Xiu-mei;ZHANG Hui-fang;MA Ying(Neonatology Department,Xi'an Children's Hospital,Xi'an 710003,China)

机构地区：[1]西安市儿童医院新生儿科,陕西西安710003

出　　处：《临床医学研究与实践》2018年第11期131-133,共3页Clinical Research and Practice

基　　金：西安市卫生和计划生育委员会科技计划项目(No.J201603049)

摘　　要：目的探讨母亲焦虑和抑郁对早产儿体格和智力发育的影响,为早产儿及其母亲身心健康心理干预提供依据。方法采用国际通用的汉密尔顿焦虑量表和抑郁量表将入住本院NICU的早产儿分为母亲有焦虑和(或)抑郁的研究组,及母亲无焦虑和抑郁的对照组。纠正胎龄6月龄时,比较两组早产儿体格发育和智力发育情况。结果纠正胎龄6月龄时,接受有焦虑和(或)抑郁母亲看护的研究组早产儿分别以体重、头围计算和身长计算生长发育迟缓(EUGR),EUGR发生率均高于母亲无焦虑和抑郁的对照组(P=0.023、P=0.022、P=0.025)。贝利量表评分:研究组智力发展指数(MDI)得分(83.04±12.18)分,低于对照组的(88.62±11.87)分(P=0.002);研究组精神运动发育指数(PDI)得分为(80.13±10.86)分低于对照组的(86.18±11.35)(P=0.001)。结论母亲患有焦虑和(或)抑郁使早产儿生长发育迟缓发生率增加,贝利量表得分降低,可以证明母亲患有焦虑和(或)抑郁影响早产儿的体格发育和智力发育。Objective To analyze the influence of maternal anxiety and depression on physical and intelligence development of premature infants,to provide scientific basis for psychotherapy to promote the health of premature infants and their mothers.Methods Premature infants admitted to NICU in our hospital were divided into study group(mother with anxiety and depression)and control group(mother without anxiety and depression)by using the international Hamilton anxiety scale and depression scale.The physical and intelligence development level of premature infants in the two groups were compared at correct gestational age of 6 months.Results At corrected age of 6 months,compare with the control group,the preterm infants accepted care of mothers with anxiety and depression in the study group were calculated by weight,head circumference and body length growth retardation respectively,the incidences of growth retardation in the study group were higher than those in the control group(P=0.023,P=0.022,P=0.025).Bayley scale score:the mental development index score in the study group was(83.04±12.18),which was lower than that of the control group(88.62±11.87)(P=0.002);and the physical development index score in the study group was(80.13±10.86),which was lower than that in the control group(86.18±11.35)(P=0.001).Conclusion Maternal anxiety and depression can increase the incidence of growth retardation and decrease intelligence development levels in premature infants.

关 键 词：早产儿 焦虑 抑郁 体格发育 智力发育 

分 类 号：R473.72[医药卫生—护理学]