初产妇产后不良心理、生理应激及泌乳情况与新生儿健康状况的关系  

Relationship between postpartum unhealthy psychology, physiological stress and lactation status of primipara and neonatal health status

作　　者：马琳[1] 潘妍[1] 刘艳丽[1] 徐芝灵[1] MA Lin;PAN Yan;LIU Yanli;XU Zhiling(Obstetrics Department,the First People's Hospital of Shangqiu,Shangqiu 476100,China)

机构地区：[1]商丘市第一人民医院产科,河南商丘476100

出　　处：《临床医学研究与实践》2025年第6期29-32,共4页Clinical Research and Practice

摘　　要：目的 探究初产妇产后不良心理、生理应激及泌乳情况与新生儿健康状况的关系。方法 采用便利抽样法选取2020年2月至2022年2月医院收治的226对初产妇及新生儿为研究对象,参照新生儿健康评估标准,将存在健康问题的新生儿及对应初产妇纳入观察组(n=102),无健康问题的新生儿及对应初产妇纳入对照组(n=124)。评估并比较两组的心理状况、泌乳情况、生理应激情况,采用Spearman相关性分析探究新生儿健康状况与初产妇产妇不良心理、泌乳情况及生理应激情况的关系。结果 观察组的敌对、焦虑、抑郁、强迫、恐怖、偏执、精神病性、人际关系、躯体化评分及总分高于对照组,差异具有统计学意义(P<0.05)。观察组的产后泌乳开始时间晚于对照组,产后48 h泌乳量评分低于对照组,差异具有统计学意义(P<0.05)。观察组的去甲肾上腺素、血管紧张素Ⅱ、醛固酮水平高于对照组,差异具有统计学意义(P<0.05)。Spearman相关性分析结果显示,新生儿不良健康状况与初产妇产后症状自评量表(SCL-90)评分、产后泌乳开始时间、去甲肾上腺素、血管紧张素Ⅱ、醛固酮水平呈正相关,与初产妇产后48 h泌乳量评分呈负相关(P<0.05)。结论 新生儿不良健康状况会增加初产妇产后不良心理、生理应激发生风险,导致泌乳受限。临床应重视新生儿不良健康状况较差初产妇的心理状态,积极采取针对性措施,以改善泌乳功能,避免对母乳喂养产生不利影响。Objective To investigate the relationship between postpartum unhealthy psychology,physiological stress and lactation status of primipara and neonatal health status.Methods Convenience sampling method was used to select 226 pairs of primiparas and newborns admitted in the hospital from February 2020 to February 2022 as the research objects.According to the neonatal health assessment criteria,newborns with health problems and corresponding primiparas were included in observation group(n=102),and newborns without health problems and corresponding primiparas were included in control group(n=124).The psychological status,lactation and physiological stress of the two groups were evaluated and compared,and Spearman correlation analysis was used to explore the relationship between neonatal health status and maternal unhealthy psychology,lactation status and physiological stress.Results The scores of hostility,anxiety,depression,compulsion,terror,paranoia,psychosis,interpersonal relationship,somatization and total score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The postpartum lactation start time of the observation group was later than that of the control group,the postpartum 48 h lactation score was lower than that of the control group,and the differences were statistically significant(P<0.05).The levels of norepinephrine,angiotensinⅡand aldosterone in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Spearman correlation analysis results showed that neonatal poor health status was positively correlated with postpartum Symptom Check List-90(SCL-90)score,postpartum lactation start time,norepinephrine,angiotensinⅡand aldosterone levels,and negatively correlated with postpartum 48 h lactation score of primipara(P<0.05).Conclusion Neonatal poor health status will increase the risk of postpartum unhealthy psychology and physiological stress in primiparas,leading t

关 键 词：初产妇 不良心理 生理应激 泌乳情况 新生儿健康状况 

分 类 号：R174[医药卫生—妇幼卫生保健]