摘要
目的了解超声引导下羊膜腔穿刺术对孕妇的心理影响及相关需求,以便采取针对性的措施。方法选择产科门诊拟行羊膜腔穿刺术、孕周为18～25周的汉族孕妇282例为研究对象(羊膜腔穿刺指征为:血清筛查唐氏综合征高风险110例,单项βhCGMOM值≥2.5有16例,单项AFPMOM值≤0.4有2例,高龄孕妇146例,曾分娩染色体异常、畸形患儿5例,颈部透明带厚1例,夫妇一方染色体异常携带2例)。选择相应孕周的非羊膜腔穿刺术汉族孕妇280例做对照。进行焦虑自评量表(SAS,Zung)测定。结果①穿剌组孕妇的焦虑评分(44.81±8.06)高于对照组孕妇(34.84±5.21),差异有统计学意义(P=0.000)。②穿刺组中高龄孕妇的焦虑评分(36.35±5.01)低于筛查唐氏综合征高风险孕妇的焦虑评分(41.20±7.55),差异有统计学意义(P=0.025);文化程度高的孕妇,其焦虑评分(32.36±2.70)低于文化程度低的孕妇(43.58±7.41),差异有统计学意义(P=0.000)。患者对羊膜腔穿刺术的知识了解不多,希望全面了解有关方面的知识,心理焦虑较严重。结论羊膜腔穿刺术对孕妇可以造成一定程度的焦虑,加重孕妇的心理负担,对拟行羊膜腔穿刺术的孕妇应给于干预措施以缓解、减少患者的焦虑,使羊膜腔穿刺术顺利实施。
Objective To study the effect of amniocentesis on the anxiety psychologic status of pregnant women.Methods 282 Han nationality pregnant women preparing to undergo amniocentesis（amniocentesis group） and 280 Han nationality pregnant women with routine antenatal care but not with amniocentesis（control group） were included.Self-Rating Scale（SAS） questionnaires were used in the study.The indications for amniocentesis were abnormal maternal serum for Down syndrome（110 cases）,women who had previously given birth with a chromosomal disorder（5cases） and advanced maternal age（146cases）.Individual event βhCGMOM level ≥2.5（16cases）,Individual event AFPMOM level≤0.4 level（2cases）,Nuchal translucency 1 case,chromosomally abnormal carriers in either of the parents（2cases）.Results The mean anxiety scores in the amniocentsis group（44.81±8.06） was higher than that in the control group（34.84±5.21,P=0.000）.In the amniocentsis group,with abnormal maternal serium screene for Down syndrome women had higher anxiety scores than those with advanced maternal age（41.20±7.55 vs 34.84±5.21,P=0.000）.Conclusion Genetic amniocentesis might cause psychological stress and increase psychological burden.It is necessary to provide medical suggestion for these pregnant women.
出处
《西部医学》
2012年第9期1755-1757,共3页
Medical Journal of West China
