血清孤啡肽、瘦素水平与产后抑郁的相关性研究

Correlation Study Between the Levels of Serum Orphanin and Leptin and Postpartum Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(4)
作者
作者单位

聊城市第四人民医院妇科 ;

摘要
研究血清孤啡肽(NC)、瘦素(LP)水平与产后抑郁的相关性。方法 选择2017年12月至2019年12月220例产妇作为研究对象,将爱丁堡产后抑郁量表(EPDS)≥10分者分为抑郁组,EPDS<10者分为无抑郁组。比较两组的年龄、产次、分娩方式、体重、孕周、新生儿体重、新生儿性别和NC、LP,并用Pearson直线相关法分析NC、LP与产后抑郁的相关性,用多因素Logistic回归分析产后抑郁的危险因素。结果 220例产妇中,98例EPDS≥10分,122例EPDS<10分。两组的产次、分娩方式、孕周、新生儿体、新生儿性别比较,差异均无统计学有意义(P>0.05);抑郁组的年龄、体重显著高于无抑郁组,差异均有统计学意义(P<0.05)。抑郁组的NC显著高于无抑郁组,LP显著低于无抑郁组,差异均有统计学意义(P<0.05)。经Pearson直线相关法分析,NC与产后抑郁呈正相关(P<0.05),LP与产后抑郁呈负相关(P<0.05)。经多因素Logistic回归分析,年龄、体重、NC、LP均是产后抑郁发生的独立危险因素。结论 NC与产后抑郁呈正相关,LP与产后抑郁呈负相关,这提示监测NC、LP水平,可防治产后抑郁。
Abstract
Objective To study the correlation between the levels of serum orphanin (NC) and leptin (LP) and postpartum depression. Methods A total of 220 pregnant women from December 2017 to December 2019 were selected as the research object. The women with Edinburgh postpartum depression scale (EPDS) ≥ 10 were set as the depression group, and the women with EPDS <10 were set as the non-depression group. The age, parity, delivery mode, weight, gestational week, neonatal weight, neonatal gender, NC, and LP were compared between the two groups, and the correlation between NC, LP and postpartum depression was analyzed using the Pearson linear correlation method. Multivariate logistic regression was used to analyze the risk factors for postpartum depression. Results Of the 220 women, 98 had EPDS ≥ 10 points, and 122 had EPDS <10 points. There were no significant differences in parity, delivery methods, gestational weeks, neonatal body, and sex of the newborns between the two groups (P> 0.05). The age and weight of the depression group were significantly higher than those of the non-depression group. Statistical significance (P <0.05). The NC of the depression group was significantly higher than that of the non-depression group, and the LP was significantly lower than that of the non-depression group. The differences were statistically significant (P <0.05). By Pearson linear correlation analysis, NC was positively correlated with postpartum depression (P <0.05), and LP was negatively correlated with postpartum depression (P <0.05). By multivariate logistic regression analysis, age, weight, NC, and LP were independent risk factors for postpartum depression. Conclusion NC is positively correlated with postpartum depression, and LP is negatively correlated with postpartum depression, which prompts monitoring of NC and LP levels,can prevent postpartum depression.
关键词
孤啡肽;瘦素;产后抑郁;年龄;体重
KeyWord
orphanin; Leptin; Postpartum Depression; Age; Weight
基金项目
页码 712-714
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傅珂*. 血清孤啡肽、瘦素水平与产后抑郁的相关性研究 [J]. 国际精神病学杂志. 2020; 47; (4). 712 - 714.

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