孕产妇心理、社会状况对新生儿血压的影响

目的:探讨孕产妇心理、社会状况对新生儿血压的影响。方法:整群抽取2010年7～12月在安庆某三甲医院产科住院分娩的单胎孕产妇和新生儿,由专人调查产妇的一般人口学特征及相关信息,并由孕产妇自行填写《症状自评量表(SCL-90)》;新生儿出生后及时测量血压。结果:新生儿收缩压与母亲收缩压之间、新生儿舒张压与母亲舒张压之间均无统计学关联。母亲的受教育程度、抑郁因子对新生儿的收缩压有影响;母亲的人际因子、抑郁因子、敌对因子、恐怖因子等对新生儿的舒张压有影响(均P<0.05)。在控制了混杂因素后,抑郁因子是新生儿收缩压的危险因素(OR=4.884,95%CI=1.632～14.629),恐怖因子是新生儿舒张压的危险因素(OR=3.127,95%CI=1.070～9.143)。结论:孕产妇的抑郁、恐怖等心理状况可以影响新生儿的血压水平。

Effect of psychological and social status of pregnant women on blood pressure of neonates

Objective:To explore the effect of psychological and social status of pregnant women on blood pressure of neonates. Methods:Cluster sampling method was used to select the women of singleton pregnancy and their neonates from obstetric department of a third-class hospital from July to December in 2010,then the general demographic characteristics and related information of parturient women were investigated,the pregnant women were asked to fill out SCL-90;blood pressure of the neonates was measured immediately after birth. Results:There was no statistical correlation between systolic blood pressure(SBP)/diastolic blood pressure(DBP) of neonates and SBP/DBP of their mothers.The educational level and depression factor of the mothers had impact on SBP of neonates;interpersonal factor,depression factor,hostility factor,and horror factor of the mothers had impact on DBP of neonates(P<0.05).After controlling confounding factors,depression factor was the risk factor of SBP of the neonates(OR=4.884,95%CI=1.632-14.629),horror factor was the risk factor of DBP of the neonates(OR=3.127,95%CI=1.070-9.143). Conclusion:The psychological status(such as depression and horror) of pregnant women can affect blood pressure of the neonates.