妊娠期糖尿病产妇焦虑和抑郁情绪对妊娠结局的影响

Effect of maternal gestational diabetes anxiety and depression on pregnancy outcomes.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

重庆市大足区人民医院妇产科 ;
四川省妇幼保健院功能影像科 ;

摘要
探究据娘期糖尿病产妇焦虑和1中郁情绪对据娘结局的影响 。 方法 选取2013 年1月至2015年4月我院妇产科接诊的180例据娠糖尿病产妇为研究对象。采用焦虑自评量表( SAS) 和1F郁自评量表 (SDS) 方式对所有接诊的产妇的情绪状况进项评定, SAS评定标准分≥50分或者 SDS评定标准分≥53分的产妇为观察组, SAS评定标准分≤50分或者 SDS评定标准分≤53分的产妇为对照纽, 比较分析两组产妇的分娩方式、 产妇并发症的发生、 围生儿结局情况。 结果 据娘期糖尿病非焦虑却郁产妇的剖宫产率显著低于焦虑却郁产妇剖宫产率 (P<0. 05) , 观察组产妇并发症的发生率明显高于对照组 (f)<0. 05) , 观察组的早产儿、 巨大儿、 新生儿低体重、新生儿室息、 新生儿低血糖的发生率显著高于对照组 (P<0. 05) 。 结论 -iEi-,l辰期擔尿病产妇的焦虑;F郁情绪, 对产妇的分娩方式、 产妇并发症、 新生儿健康有很大影响, 明显增加了剖宫产的发生率; 产妇并发症的发生率明显提高; 新生儿健康指数明显下降。
Abstract
〇bjective To investigate the effect of maternal gestational diabetes anxiety and depression onpregnancy outcome. Methods 180 cases of obstetrics and gynecology patients from January2013 to April 2015 in our hospital were studied. All manner of maternals emotions were evaluated by Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) , evaluation of SAS standard score≥50 points or evaluation of SDS standard score ≥53 points was selecLed as the observaLion group, evaluation of SAS standard score≤50 points or evaluation of SDS standard score≤53 pointswas selected as the contro1 group, comparative analysis of two sets of materna1 mode of delivery, the occurrence of maternal complications and perinatal outcome of children cases. Results Ges- tational diabetes non_maternal anxiety and depression was significantlylower than the cesarean section rates of anxie_ ty and depression(P<0.05) , the incidence of maternal complications in the observation group was significantly higher than that the control group(P<0.05) , the observation group preterm children, great children, low birth weight problem, neonata1 asphyxia, neonata1 hypoglycemia incidence was significantly higher that the contro1 group (P<0.05). Conclusion GesLational diabetes maternal anxiety and depression have a great impact in matemal mode of delivery, materna1 complications, newborn health, and significantly increased the rate of incidence of cesar- ean section; and the incidence of maternal complications was significantly improved; Neonatal Health Index de- cline. Newborn health index was decreased significantly.
关键词
妊娠糖尿病;焦虑抑郁症;妊娠结局
KeyWord
Gestational diabetes; Anxiety depression; Pregnancy outcomes
基金项目
页码 178-182
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童成贤*,刘津,徐德平,孟雪梅,冉约曼. 妊娠期糖尿病产妇焦虑和抑郁情绪对妊娠结局的影响 [J]. 国际精神病学杂志. 2016; 43; (1). 178 - 182.

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