妊娠期糖尿病患者抑郁情绪调查及其与分娩方式、不良妊娠结局的相关关系

Survey of depression in gestational diabetes mellitus patients and its relationship with delivery mode, adverse pregnancy outcomes

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

河南省濮阳市人民医院产科 ;

摘要
[摘要]目的:探讨妊娠期糖尿病患者抑郁情绪调查及其与分娩方式、不良妊娠结局的相关关系。方法:收集2012年5月-2015年12月间在本院接受治疗及分娩的妊娠期糖尿病患者78例作为观察组,根据SDS评分中位数将观察组分为SDS高分组、SDS低分组各39例;另取同期在本院接受产检并分娩的正常孕妇60例作为正常对照组。孕36周时,采用抑郁自评量表(SDS)评估两组患者的抑郁情绪;记录各组研究对象的最终分娩模式、不良妊娠结局发生情况。结果:观察组的分娩前SDS评分值高于对照组(P<0.05);SDS高分组、SDS低分组阴道分娩比例低于正常对照组,剖宫产、产钳助产比例高于正常对照组,胎膜早破、产后出血、产后感染、巨大儿、新生儿窒息、新生儿低血糖发生率高于正常对照组(P<0.05); SDS高分组阴道分娩比例低于SDS低分组,剖宫产、产钳助产比例高于SDS低分组,胎膜早破、产后出血、产后感染、巨大儿、新生儿窒息、新生儿低血糖发生率高于SDS低分组(P<0.05)。结论:妊娠期糖尿病患者产前存在不同程度的抑郁情绪,SDS评分值与顺产率呈负相关,与不良妊娠结局发生率呈正相关。
Abstract
[Abstract]Objective: To study the depression in gestational diabetes mellitus(GDM) patients and its relationship with delivery mode, adverse pregnancy outcomes. Methods: 78 cases of GDM patients in our hospital during May 2012 to December 2015 were chosen as observation group and further divided into high SDS group, low SDS group, each group was formed by 39 cases; another 60 cases of normal pregnant women underwent antenatal examination and childbirth in our hospital at the same time were chosen as control group. 36 weeks of pregnancy, degree of depression was evacuated by Self-Rating Depression Scale(SDS). The final delivery mode and adverse pregnancy outcomes were recorded. Results: SDS score in observation group before delivery was higher than that in control group(P<0.05); The rate of vaginal delivery in High SDS group, low SDS group was lower than that in normal control group, cesarean section, forceps delivery rate were higher than those in normal control group, rates of Premature rupture of membranes, Postpartum hemorrhage, Postoperative infection, Macrosomia, Neonatal asphyxia, neonatal hypoglycemia were higher than those in normal control group(P<0.05); The rate of vaginal delivery in high SDS group was lower than that in low SDS group, cesarean section, forceps delivery rate were higher than those in low SDS group, rates of Premature rupture of membranes, Postpartum hemorrhage, Postoperative infection, Macrosomia, Neonatal asphyxia, neonatal hypoglycemia were higher than those in low SDS group(P<0.05).
关键词
[关键词]妊娠期糖尿病;抑郁;分娩方式;不良妊娠结局
KeyWord
[Keywords] gestational diabetes mellitus; Depression; delivery mode; Adverse pregnancy outcomes
基金项目
页码 144-146
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赵丽娟*,冯国芹,丁秀梅,贾素民. 妊娠期糖尿病患者抑郁情绪调查及其与分娩方式、不良妊娠结局的相关关系 [J]. 国际精神病学杂志. 2018; 45; (1). 144 - 146.

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