母亲焦虑抑郁对婴儿湿疹的影响研究  

The study on the influence of maternal anxiety and depression on infant eczema

作　　者：刘悦[1] LIU Yue(Department of Dermatology,Tianjin Women and Children's Health Care Center,Tianjin 300070,China)

机构地区：[1]天津市妇女儿童保健中心皮肤科,天津300070

出　　处：《中国城乡企业卫生》2025年第2期4-7,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的探讨母亲焦虑抑郁对婴儿湿疹发病及治疗有效率的影响,为婴儿湿疹的治疗及预防提供依据。方法选取2018年1月1日—2019年12月31日于天津市妇女儿童保健中心皮肤科就诊的湿疹患儿90例为研究对象,参照焦虑自评量表(SAS)和抑郁自评量表(SDS)对90例湿疹患儿母亲进行焦虑及抑郁现况评估,按标准分将研究对象分为研究组(SAS标准分≥50分和/或SDS标准分≥53分)和对照组(SAS标准分<50分和SDS标准分<53分)各45例。比较两组患儿的症状体征评分、治疗疗效及食物特异性免疫球蛋白G(sIgG)水平。结果治疗后7、14 d,两组症状体征评分均较治疗前降低,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组sIgG评分高于对照组,差异有统计学意义(P<0.05)。治疗后7 d,研究组显效率为17.78%,低于对照组的42.22%;研究组有效率为46.67%,高于对照组的15.56%,差异均有统计学意义(P<0.05)。治疗后7、14 d,两组总有效率比较,差异无统计学意义(P>0.05)。结论母亲伴有焦虑抑郁可诱发婴儿湿疹或加重其病情发展,导致湿疹患儿食物sIgG阳性率上升,甚至影响患儿的治疗效果。因此,在治疗婴儿湿疹的同时,应重视并加强对患儿母亲的心理健康指导,以促进患儿早日康复。Objective To explore the influence of maternal anxiety and depression on the incidence and treatment efficiency of infant eczema,and to provide basis for the treatment and prevention of infant eczema.Methods Ninety children with eczema who visited the Department of Dermatology of Tianjin Women and Children's Health Care Center from January 1,2018 to December 31,2019 were selected as the study subjects,and the anxiety and depression status of 90 mothers of children with eczema were assessed with the self rating anxiety scale(SAS)and self rating depression scale(SDS),according to standard scores,the study subjects were divided into study group(SAS standard score≥50 points and/or SDS standard score≥53 points)and control group(SAS standard score<50 points and SDS standard score<53 points)with 45 cases in each group.The symptom and sign scores,treatment efficacy,and food specific immunoglobulin G(sIgG)levels between the two groups of children were compared.Results On the 7th and14th day after treatment,the symptom and sign scores of both groups decreased compared to before treatment,and the study group was higher than the control group,and the differences were statistically significant(P<0.05).The s IgG score in the study group was higher than that in the control group,and the difference was statistically signifcant(P<0.05).After 7 days of treatment,the apparent efficiency rate in the study group was 17.78%,which was lower than 42.22%in the control group;the effective rate in the study group was 46.67%,which was higher than 15.56%in the control group,and the differences were statistically significant(P<0.05).After 7,14 days of treatment,the total effective rates of the two groups were compared,and the differences were not statistically significant(P>0.05).Conclusion The presence of anxiety and depression in mothers could trigger eczema in infants or worsen their condition development,leading to an increase in the positive rate of food sIgG in children with eczema,and even affecting the treatment effectiveness of t

关 键 词：婴儿湿疹 母亲 焦虑 抑郁 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]