妊娠期心理困扰与妊娠高血压综合征发生的关系  

Relationship between psychological distress during pregnancy and pregnancy-induced hypertension syndrome

作　　者：陆洁 LU Jie(Delivery Center,Hangzhou Obstetrics and Gynecology Hospital,Hangzhou 310000,Zhejiang,China)

机构地区：[1]杭州市妇产科医院分娩中心,浙江杭州310000

出　　处：《中国现代医生》2023年第27期89-92,98,共5页China Modern Doctor

摘　　要：目的探讨妊娠期心理困扰与妊娠高血压综合征(pregnancy-induced hypertension syndrome,PIH)发生的关系。方法选取2021年1月至6月在杭州市妇产科医院建档的796名孕妇作为研究对象,根据妊娠期间是否发生PIH将孕妇分为PIH组和非PIH组,观察两组孕妇妊娠12周、16周、20周时蒂尔堡孕期困扰量表(Tilburg pregnancy distress scale,TPDS)-消极影响(negative affect,NA)阳性率,采用多因素Logistic分析,观察TPDS-NA阳性与PIH发生的关系。结果796名孕妇妊娠期间共确诊PIH 73例,发病率9.17%。PIH组在妊娠12周、16周、20周时TPDS-NA阳性率、2个时间点阳性率和3个时间点阳性率均高于非PIH组(P<0.05)。两组孕妇的年龄、吸烟、被动吸烟、孕前体质量指数(body mass index,BMI)、高血压家族史、产次、叶酸补充、孕期增重、妊娠期糖尿病比较,差异有统计学意义(P<0.05)。剔除混杂因素后的结果显示,2个时间点和3个时间点TPDS-NA阳性是PIH的风险因素(P<0.05),且3个时间点TPDS-NA阳性孕妇的PIH风险高于2个时间点阳性孕妇。结论妊娠12~20周时长期存在(≥2次检查)心理困扰明显增加患PIH的风险。Objective To explore the relationship between psychological distress during pregnancy and pregnancy-induced hypertension syndrome(PIH).Methods 796 pregnant women who were filed in Hangzhou Obstetrics and Gynecology Hospital from January to June 2021 were selected as the study subjects.Pregnant women were divided into PIH group and non PIH group based on whether PIH occurred during pregnancy.The Tilburg pregnancy distress scale(TPDS)-negative affect(NA)positivity rate was observed at 12 weeks,16 weeks,and 20 weeks of pregnancy in both groups,and the relationship between TPDS-NA positivity and PIH occurrence was observed using multivariate Logistic analysis.Results 73 PIH patients were diagnosed in 796 patients during pregnancy,and the incidence rate was 9.17%.The positive rate of TPDS-NA,the positive rate at 2 time points and the positive rate at 3 time points in PIH group were higher than those in non PIH group at 12,16 and 20 weeks of gestation(P<0.05).There were significant differences between PIH and non PIH groups in age,smoking,passive smoking,pre pregnancy body mass index(BMI),family history of hypertension,birth times,folic acid supplementation,weight gain during pregnancy,and gestational diabetes(P<0.05).After excluding confounding factors,the results showed that TPDS-NA positivity at 2 time points and 3 time points was the risk factor of PIH(P<0.05),and the PIH risk of pregnant women with TPDS-NA positivity at 3 time points was higher than that of pregnant women with TPDS-NA positivity at 2 time points.Conclusion the long-term psychological distress(≥2 examinations)at 12-20 weeks of gestation significantly increases the risk of PIH.

关 键 词：妊娠高血压综合征 心理困扰 多因素LOGISTIC分析 

分 类 号：R714.24[医药卫生—妇产科学]