不同年龄孕妇焦虑现状调查及产科相关因素分析  

Investigation on anxiety status of pregnant women in different age groups and analy-sis on related obstetric factors

作　　者：夏贤[1] 蔡美玉 胡卫红 钮玉洁[1] 胡瑶[2] XIA Xian;CAI Mei-Yu;HU Wei-Hong(Obstetrics and Gynecology Hospital of Fudan University,Shanghai,200011,China)

机构地区：[1]复旦大学附属妇产科医院,上海200011 [2]上海市精神卫生中心,上海200030

出　　处：《中国妇幼保健》2020年第14期2676-2679,共4页Maternal and Child Health Care of China

基　　金：国家卫生计生委重点研发计划资助项目(2016YFC1000403);上海市精神卫生中心院级课题项目(2016-YJ-06)。

摘　　要：目的调查不同年龄孕妇的焦虑现状,分析产科相关因素。方法选取2015年9月-2016年9月在复旦大学附属妇产科医院登记并初次进行产检的6893例孕妇作为研究对象,按年龄分为低龄组(<25岁)277例、适龄组(25~34岁)5804例和高龄组(≥35岁)812例。分析各年龄组孕妇焦虑筛查状况及产科相关因素。结果孕妇焦虑筛查阳性率为9.560%。低龄组和非低龄组孕妇焦虑筛查阳性率比较,差异有统计学意义(P<0.05)。单因素分析显示:低龄组孕妇中,既往剖宫产史与焦虑筛查阳性相关;适龄组孕妇中,孕产次、不良孕产史均与焦虑筛查阳性相关;高龄组孕妇中,孕产次与焦虑筛查阳性相关(均P<0.05)。多因素分析显示:相对于既往有妊娠史的初产妇,适龄组和高龄组孕妇初次妊娠者焦虑筛查阳性的风险均较低,高龄组经产妇焦虑筛查阳性的风险也较低(均P<0.05)。在适龄组孕妇中,有不良孕产史的孕妇焦虑筛查阳性的风险较高(P<0.05)。结论不同年龄孕妇的焦虑筛查阳性率和不同的产科因素相关。应关注孕妇焦虑情绪及产科相关因素。Objective To survey anxiety status of pregnant women in different age groups,analyze related obstetric factors.Methods From September 2015 to September 2016,6893 pregnant women receiving prenatal examination for the first time in Obstetrics and Gynecology Hospital of Fudan University were selected and divided into younger group(<25 years old,277 cases),age-appropriate group(25~34 years old,5804 cases),and older group(≥35 years old,812 cases).The screening status and related obstetric factors of anxiety in the three groups were analyzed.Results The screening positive rate of anxiety was 9.560%in this study.There was statistically significant difference in screening positive rate of anxiety between younger group and non-younger group(P<0.05).Univariate analysis showed that cesarean section history was correlated with positive result of anxiety screening in younger group;the times of pregnancy and de-livery and adverse pregnancy history were correlated with positive result of anxiety screening in age-appropriate group;the times of pregnancy was correlated with positive result of anxiety screening in older group(P<0.05).Multivariate analysis showed that compared with the pri-miparous women with pregnancy history,the risks of anxiety in primiparous women without pregnancy history in age-appropriate group and older group were low,the risk of anxiety in multiparous women in older group was also low(P<0.05).In age-appropriate group,the risk of anxiety in pregnant women with adverse pregnancy history was high(P<0.05).Conclusion The screening positive rate of anxiety in pregnant women in different age groups are correlated with different obstetric factors.It is necessary to pay attention to maternal anxiety and related obstetric factors.

关 键 词：孕妇 焦虑 产科相关因素 

分 类 号：R715.3[医药卫生—妇产科学]