妊娠期异常情绪与围生期结局相关性探讨

目的:探讨妊娠期异常情绪与围生期结局的相关性。方法:对妊娠24～28周开始在该院进行产前检查及分娩的孕妇215例进行对照研究。应用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评定孕妇的情绪状态。据HAMA评定结果将研究对象分为两组,即焦虑组(观察组37例)及非焦虑组(对照组178例),以探讨不良情绪对围生期结局的影响。结果:①具有焦虑症状孕妇37例(17.21%),无焦虑症状者178例(82.79%),观察组孕妇HAMA及HAMD总分、GST(50g糖筛查)值显著升高,妊娠期糖尿病患者亦显著增多,与焦虑和抑郁情绪呈正相关(P<0.05);②两组分娩方式有显著性差异,观察组剖宫产者率显著增多,与焦虑和抑郁情绪呈正相关(P<0.05);③观察组新生儿体重显著降低,并发症显著增多,与焦虑和抑郁情绪呈正相关(P<0.05)。结论:妊娠期焦虑、抑郁等异常情绪与围生期结局有正相关关系。

Probe into the correlativity between abnormal psychological status in pregnant women and their perinatal outcomes

Objective:To explore the correlativity between abnormal psychological status in pregnant women and their perinatal outcomes.Methods:215 pregnant women who began perinatal health care during their pregnant 24~28 week were recruited. Psychological state was evaluated with Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). According to the evaluated results with HAMA, the pregnant women were divided to two groups: 37 patients with anxiety as study group, 178 normal pregnant women as control group.Results:(1)The incidence of anxiety in the pregnant women were 17.2 (37/215). Total score of HAMA and HAMD, value of 50 g glucose screen in the study groups were higher significantly than those in control group. The number of pregnant women with gestational diabetes mellitus (GDM) in the study groups was higher significantly than that in control group and was close related to anxiety and depression disorders of pregnant women (P<0.05).(2) There were significant difference in the way of labor between two groups.The incidence of cesarean section in the study groups was higher and was close related to anxiety and depression disorders of pregnant women (P<0.05). (3)The neonatal weights in the study groups were lower significantly and their complications were more significantly, being close related to anxiety and depression disorders of pregnant wom en (P<0.05). Conclusion:Abnormal psychological status in pregnant women could be close related to their perinatal outcomes.