妊娠期糖尿病孕妇合并抑郁症现状及危险因素分析

Analysis of the Current Situation and Risk Factors of Depression in Pregnant Women with Gestational Diabetes Mellitus

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(2)
作者
作者单位

鹤壁市人民医院 妇产科 ;

摘要
【摘要】妊娠期糖尿病(GDM)孕妇合并抑郁症现状及危险因素分析。方法 本研究对象为我院2019年6月-2022年6月110例GDM孕妇,评估抑郁情绪,将合并抑郁症患者设为观察组,其余设为对照组,调查两组年龄、糖尿病病程等一般资料,并通过多因素分析探讨合并抑郁症的危险因素。结果 110例GDM孕妇合并抑郁症38例,其中轻度抑郁19例,中度17例,重度2例;观察组与对照组年龄、GDM病程、流产史、文化水平、血糖控制情况、产次差异具有统计学意义(P<0.05),两组糖尿病家族史、家庭月收入、居住地差异无统计学意义(P>0.05);多因素分析显示,年龄≥35岁、GDM病程>3个月、流产史、文化水平小学及以下、血糖控制不佳、初产是GDM孕妇合并抑郁症的危险因素。结论 妊娠期糖尿病孕妇合并抑郁症率较高,以轻、中度抑郁为主,高龄产妇、GDM病程长、流产史等会增加患抑郁症风险。
Abstract
[Abstract] Objective To analyze the current situation and risk factors of depression in pregnant women with gestational diabetes mellitus (GDM). Methods A total of 110 pregnant women with GDM in our hospital from June 2019 to June 2022 were the subjects of this study, and their depression was evaluated. The patients with depression were set as the observation group and the rest as the control group. The general data such as age and duration of diabetes were investigated. The risk factors of depression were analyzed by multifactor analysis. Results Among 110 GDM pregnant women, 38 had depression, including 19 cases of mild depression, 17 cases of moderate depression, and 2 cases of severe depression. There were significant differences between the observation group and the control group in age, duration of GDM, history of abortion, educational level, blood glucose control and parity (P<0.05). There was no significant difference in family history, family monthly income and residence between the two groups (P>0.05). Multivariate analysis showed that age ≥ 35 years, duration of GDM>3 months, history of abortion, educational level of primary school and below, poor blood glucose control, and first birth were the risk factors for GDM pregnant women with depression. Conclusion Pregnant women with gestational diabetes mellitus have a high rate of depression, mainly mild and moderate depression. Older women, long course of GDM and abortion history will increase the risk of depression.
关键词
关键词:妊娠期糖尿病;孕妇;抑郁症;危险因素
KeyWord
Key words Gestational Diabetes Mellitus; Pregnant Woman; Depression; Risk Factors
基金项目
页码 290-292
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许晓荣*. 妊娠期糖尿病孕妇合并抑郁症现状及危险因素分析 [J]. 国际精神病学杂志. 2023; 50; (2). 290 - 292.

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