院前急救干预对临产妇心理状态和妊娠结局的影响  

Effect of pre-hospital emergency intervention on psychological state and pregnancy outcome of parturient women

作　　者：戚晓敏 曾金石 万鑫 QI Xiaomin;ZENG Jinshi;WAN Xin(Department of Emergency,Ganzhou Medical Emergency Center,Jiangxi Province,Ganzhou 341000,China;Department of Laboratory Medicine,Ganxian District People's Hospital of Ganzhou City,Ganxian County,Jiangxi Province,Ganzhou 341100,China)

机构地区：[1]江西省赣州市医疗急救中心急救科,江西赣州341000 [2]江西省赣州市赣县区人民医院检验科,江西赣州341100

出　　处：《中国当代医药》2023年第30期108-111,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312119)。

摘　　要：目的探讨院前急救干预对临产妇心理状态和妊娠结局的影响。方法选取2020年1月至2022年12月江西省赣州市医疗急救中心收治的66例临产妇作为研究对象,采用随机抽签法将其分为对照组(n=33)和观察组(n=33)。对照组采用常规干预,观察组采用院前急救干预。比较两组产妇的分娩前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、皮质醇(Cor)、促肾上腺皮质激素(ATCH)、去甲肾上腺素(NE)、肾上腺素(ADR)水平,评估两组产妇分娩结局和新生儿结局。结果观察组和对照组分娩后2 h SAS、SDS评分低于本组分娩前,差异有统计学意义(P<0.05),且观察组患者分娩后2 h SAS、SDS评分低于对照组,差异有统计学意义(P<0.05);观察组和对照组分娩后2 h Cor、NE、ADR、ATCH水平低于本组分娩前,差异有统计学意义(P<0.05),且观察组患者分娩后2 h Cor、NE、ADR、ATCH水平低于对照组,差异有统计学意义(P<0.05);观察组不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05);观察组新生儿不良结局总发生率低于对照组,差异有统计学意义(P<0.05),且观察组新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论临产妇经院前急救干预可有效调节临产妇分娩不良情绪,改善心理状态,同时可有效缓解机体应激反应,改善妊娠结局。Objective To explore the influence of pre-hospital emergency intervention on the psychological state and preg-nancy outcome of parturient women.Methods A total of 66 parturient women admitted to Ganzhou Medical Emergency Center of Jiangxi Province from January 2020 to December 2022 were selected as research subjects and were divided into control group(n=33)and observation group(n=33)by random drawing method.The control group was given routine inter-vention,and the observation group received pre-hospital emergency intervention.The self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,cortisol(Cor),adrenocorticotropic hormone(ATCH),norepinephrine(NE),a-drenaline(ADR)levels were compared between both groups before and after delivery,and the delivery outcomes and neona-tal outcomes in the two groups were evaluated.Results The SAS score and SDS score in observation group and control group at 2 hours after delivery were lower than those before delivery,and the differences were statistically significant(P<0.05),and the scores of SAS and SDS in observation group at 2 hours after delivery were lower than those in control group,the dif-ferences were statistically significant(P<0.05).The levels of Cor,NE,ADR and ATCH in observation group and control group at 2 hours after delivery were lower than those before delivery,and the differences were statistically significant(P<0.05),and the levels of Cor,NE,ADR and ATCH at 2 hours after delivery in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).The total incidence rates of adverse pregnancy outcomes in observation group were lower compared with those in control group,with statistically significant differences(P<0.05).The total incidence rate of neonatal adverse outcomes in observation group were lower compared to control group,and the differences were statistically significant(P<0.05),and the neonatal Apgar score was higher in observation group than that in control group,and the differences w

关 键 词：临产妇 院前急救干预 心理状态 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]