妊娠期体质指数变化血压变异性与产后抑郁的相关性分析  

Analysis on the correlations between change of body mass index, blood pressure variability during pregnancy and postpartum depression

作　　者：胡娟[1] 赵云[2] 郝洲华 叶志英[1] HU Juan;ZHAO Yun;HAO Zhou-Hua(Hospital of Huazhong University of Science and Technology,Wuhan,Hubei 430074,China)

机构地区：[1]华中科技大学医院,湖北武汉430074 [2]湖北省妇幼保健院,湖北武汉430070

出　　处：《中国妇幼保健》2022年第10期1745-1748,共4页Maternal and Child Health Care of China

基　　金：国家自然科学基金资助项目(81803018)。

摘　　要：目的 探究妊娠期体质指数(BMI)变化、血压变异性与产后抑郁的相关性。方法 选取2017年7月—2020年7月于该院分娩且确诊为产后抑郁的102例产妇纳入产后抑郁组,另选取同期于该院分娩的102例健康产妇纳入对照组。观察并记录两组产妇妊娠期BMI变化、血压变异性;采用Pearson法分析产后抑郁产妇妊娠期BMI增幅、24 h血压变异性与爱丁堡产后抑郁量表(EPDS)评分的相关性;采用Logistic回归分析影响产后抑郁发生的相关因素。结果 产后抑郁组EPDS评分、妊娠期BMI增幅、24 h收缩压变异性及24 h舒张压变异性均显著高于对照组(均P<0.05)。Pearson相关性分析结果显示,产后抑郁产妇妊娠期BMI增幅、血压变异性均与EPDS评分呈正相关(均P<0.05)。Logistic回归分析结果显示,EPDS评分、妊娠期BMI增幅、24 h收缩压变异性、24 h舒张压变异性升高均为影响产后抑郁发生的独立危险因素(均P<0.05)。结论 妊娠期BMI增幅过高、血压变异性均可增加产妇产后抑郁发生的风险,孕期应密切监测BMI增幅、血压波动情况,加强孕期指导,有效控制孕妇妊娠期BMI变化及血压变异性在合理范围内,对预防产后抑郁的发生具有重要意义。Objective To explore the correlations between change of body mass index(BMI), blood pressure variability during pregnancy and postpartum depression.Methods From July 2017 to July 2020, 102 cases of postpartum depression were selected as postpartum depression group, and 102 healthy postpartum women were selected as control group. The changes of BMI and blood pressure variability during pregnancy were observed and recorded;Pearson method was used to analyze the correlations between the increase of BMI, 24-hour blood pressure variability and EPDS score in postpartum depression group;Logistic regression analysis was used to analyze the related factors of postpartum depression.Results EPDS score, BMI increase during pregnancy, 24-hour systolic blood pressure variability, and 24-hour diastolic blood pressure variability in postpartum depression group were significantly higher than those in control group(P<0.05). Pearson correlation analysis showed that the increase of BMI and blood pressure variability during pregnancy were positively correlated with EPDS score(P<0.05). Logistic regression analysis showed that EPDS score, BMI increase during pregnancy, 24-hour systolic blood pressure variability, and 24-hour diastolic blood pressure variability were independent risk factors of postpartum depression(P<0.05).Conclusion High increase of BMI and blood pressure variability during pregnancy can increase the risk of postpartum depression. It is necessary to monitor the increase of BMI and blood pressure variability during pregnancy and strengthen the guidance during pregnancy. It is of great significance to effectively control the changes of BMI and blood pressure variability during pregnancy in a reasonable range for the prevention of postpartum depression.

关 键 词：体质指数变化 血压变异性 妊娠期 产后抑郁 相关性 

分 类 号：R714.1[医药卫生—妇产科学]