子痫前期患者剖宫产术前心理应激状况及对产后子宫复旧进程的影响  

Psychological stress status of preeclampsia patients before cesarean section and its impact on the process of postpartum uterine involution

作　　者：王晓红[1] 蒋小慧 崔红梅[1] 刘亚利[1] 许茸茸 WANG Xiaohong;JIANG Xiaohui;CUI Hongmei(First Department of Obstetrics,Gansu Provincial Maternity and Child-care Hospital(Gansu Province Central Hospital),Gansu,Lanzhou 730050,China)

机构地区：[1]甘肃省妇幼保健院(甘肃省中心医院)产一科,兰州市730050

出　　处：《河北医药》2024年第1期105-108,共4页Hebei Medical Journal

基　　金：甘肃省科技计划项目任务书-省青年科技基金计划(编号:22JR5RA730)。

摘　　要：目的分析子痫前期患者剖宫产术前心理应激状况及对产后子宫复旧进程的影响。方法纳入2021年1月至2022年12月进行剖宫产分娩的127例子痫前期患者作为研究对象,术前评估心理应激状况[躯体症状自评量表(SCL-90)],出院时、剖宫产术后42 d评估子宫复旧情况,分析子痫前期患者剖宫产术前心理应激状况对产后子宫复旧进程的影响。结果127例子痫前期患者剖宫产术前心理应激整体呈中低水平,剖宫产后宫底下降指数为15.74%~25.50%,平均(20.62±1.75)%;不同年龄、体重指数、产次、重度子痫前期、喂养方式、营养状况、心理应激状况宫底下降指数比较,差异有统计学意义(P<0.05);经多元线性回归得到方程:Y=22.135-0.957×1+0.806×3-0.721×5-0.933×7,结果显示,年龄≥35岁、经产妇、人工喂养、存在心理应激是子痫前期患者剖宫产后子宫复旧进程的影响因素(P<0.05)。结论子痫前期患者剖宫产术前心理应激状况会影响产后子宫复旧进程,临床上应加强对子痫前期患者产前的心理干预,减轻其心理应激水平,促进产后子宫复旧。Objective To analyze the psychological stress status of preeclampsia patients before cesarean section and its impact on the process of postpartum uterine involution.Methods From January 2021 to December 2022,127 patients with preeclampsia who underwent cesarean section were included as the study subjects.All patients were evaluated for their psychological stress status before surgery using the Symptom Checklist-90(SCL-90).At discharge and 42 days after cesarean section,uterine involution was evaluated to analyze the impact of psychological stress status of preeclampsia patients before cesarean section on the process of postpartum uterine involution.Results The uterine floor decline index of 127 patients with preeclampsia after cesarean section ranged from 15.74% to 25.50%,with the mean value of(20.62±1.75)%.There was a significant difference in the uterine floor decline in patients stratified by the age,body mass index(BMI),parity,severe preeclampsia,feeding patterns,nutritional status,and psychological stress(P<0.05).The equation obtained by multiple linear regression was Y=22.135-0.957×age+0.806×parity-0.721×feeding patterns-0.933×psychological stress.The results showed that age≥35 years old,multiparous women,artificial feeding,and psychological stress were the influencing factors for uterine involution in patients with preeclampsia after cesarean section(P<0.05).Conclusion The psychological stress status of preeclampsia patients before cesarean section can affect the process of postpartum uterine involution.In clinical practice,it is necessary to strengthen prenatal psychological intervention for preeclampsia patients to reduce their psychological stress level and promote postpartum uterine involution.

关 键 词：子痫前期 剖宫产 心理应激状况 子宫复旧进程 

分 类 号：R714.2[医药卫生—妇产科学]