妊娠期雌激素波动与孕妇焦虑抑郁的相关性研究

Relationship on estrogen fluctuations during pregnancy and pregnant women anxiety depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

重庆市大足区人民医院妇产科 ;
四川省巴中市中心医院妇产科 ;

摘要
摘要 分析妊娠期雌激素波动与孕妇焦虑抑郁的相关性。方法 将2013/12至2015/5来我院产科进行围产期产检的92例合并焦虑抑郁的孕妇纳入实验组,将我院同期产科进行围产期产检的92例健康孕妇纳入对照组,比较两组孕妇焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、雌二醇(estradiol,E2)水平、促卵泡激素(follicle-stimulating hormone,FSH)水平水平以及不同E2、FSH水平焦虑抑郁孕妇SAS、SDS评分。结果 实验组孕妇SAS、SDS评分及FSH水平均明显高于对照组,E2水平明显低于对照组,有统计学差异(P<0.05);血清E2水平≤20pg/ml和>80pg/ml的孕妇SAS、SDS评分明显高于>20~80pg/ml的孕妇,有统计学差异(P<0.05);血清E2水平≤20pg/ml的孕妇与>80pg/ml的孕妇SAS、SDS评分对比,差异无统计学意义(P>0.05);随着血清FSH水平升高,孕妇SAS、SDS评分逐渐升高,各组间比较,有统计学差异(P<0.05)。结论 焦虑抑郁孕妇存在妊娠期E2缺乏或大幅度异常升高以及FSH大幅度异常升高状态,妊娠期雌激素波动与孕妇焦虑抑郁有紧密联系。
Abstract
【Abstract】 Objective To explore the relationship on estrogen fluctuations during pregnancy and pregnant women anxiety depression. Methods 92 cases of anxiety depression pregnancy were researched as the experiment group, the 92 healthy pregnant women were researched as the control group, the scores of SAS, SDS, the levels of E2, FSH were compared. Results The scores of SAS, SDS, the levels of FSH for the experiment group were higher than the control group(P<0.05); The levels of E2 for the experiment group were lower than the control group(P<0.05); The scores of SAS, SDS for the pregnant on the levels of E2 ≤20pg/ml and >80pg/ml were higher than the levels of E2 >20~80pg/ml(P<0.05); There had no significant difference on the scores of SAS, SDS for the pregnant on the levels of E2 ≤20pg/ml and >80pg/ml(P>0.05); The FSH higher, the scores of SAS, SDS higher(P<0.05). Conclusion Anxiety depression exist pregnant women during pregnancy E2 lack or abnormally elevated significantly and FSH significantly higher abnormal state, it has relationship on estrogen fluctuations during pregnancy and pregnant women anxiety depression.
关键词
关键词 妊娠期;雌激素;孕妇;焦虑抑郁
KeyWord
【Keywords 】Gestation period; Oestrogen; Pregnancy; Anxiety-depression
基金项目
页码 605-607
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冉约曼*,孟雪梅,赵小卫,张丁兮. 妊娠期雌激素波动与孕妇焦虑抑郁的相关性研究 [J]. 国际精神病学杂志. 2016; 43; (4). 605 - 607.

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