计划妊娠二胎孕妇产前抑郁焦虑相关危险因素分析.docVIP

计划妊娠二胎孕妇产前抑郁焦虑相关危险因素分析 　　[摘要] 目的 分析?划妊娠二胎孕妇产前抑郁、焦虑的相关危险因素。 方法 选择我院产科于2015年6月～2016年6月期间收治的470例二次妊娠产妇作为观察组，选择同期在本院进行分娩的初产妇470例作为对照组。采用Beck抑郁量表评估产妇的抑郁状态，同时发放问卷调查表进行基础资料调查，对比分析两组产妇产前抑郁发生率及影响因素。 结果 观察组产前抑郁发生率为62.98%（296/470），高于对照组的56.17%（264/470），差异有统计学意义（P0.05）；观察组轻度抑郁发生率高于对照组，未发生率低于对照组，差异有统计学意义（P35岁、担心孩子及自身安全及胎儿出现异常等比例均高于对照组，差异有统计学意义（P35岁、每月收入3000元、合并妊娠期糖尿病、胎儿出现异常的产妇更容易出现产前抑郁、焦虑症状。第一胎剖宫产的产妇轻度、中度抑郁发生率均高于第一胎顺产的产妇，抑郁未发生率低于第一胎顺产的产妇，差异有统计学意义（P0.05）。 结论 计划妊娠二胎产妇所承受的心理压力较大，抑郁的发生率也显著高于初产妇，尤其是年龄超过35岁、第一胎为剖宫产的产妇，应适当进行心理疏导，选择安全的妊娠时机，尽可能的获得最佳分娩结局，以利于优生优育。 　　[关键词] 计划妊娠；二胎；产前；危险因素 　　[中图分类号] R749.4 [文献标识码] A [文章编号] 2095-0616（2017）10-146-04 　　Analysis on related risk factors for antepartum depression and anxiety of pregnant women with the second planned pregnancy 　　LIANG Piaoling XIE Fengyun 　　Department of Obstetrics and Gynecology， Enping Peoples Hospital， Guangdong， Enping 529400， China 　　[Abstract] Objective To analyze related risk factors for antepartum depression and anxiety of pregnant women with the second planned pregnancy. Methods 470 puerpera with the second pregnancy who were admitted to the Department of Obstetrics and Gynecology in our hospital form June 2015 to June 2016 were selected as the observation group and 470 primipara who delivery in the hospital at the same time were selected as the control group. The depressive state of primipara was assessed by Beck depression inventory and the questionnaire were given to have basic information survey. The incidence of antepartum depression and influencing factors of two groups were compared and analyzed. Results The incidence of antepartum depression of the observation group was 62.98% （296/470）， higher than that of the control group 56.17% （264/470） （P0.05）. The incidence of mild depression of the observation group was higher than that of control group while the incidence of non-occurrence was lower than that of the control group （P 　　[Key words] Planned pregnancy； Second pregnancy； Antepartum； Risk factors 　　随着医