摘要
目的探讨高龄孕产妇心身障碍与不良妊娠结局的关系,为改善高龄孕产妇妊娠结局提供依据。方法收集2016年6月至2018年月12月扬州市妇幼保健院进行孕期心身健康筛查的354例高龄产妇临床及妊娠结局资料,对比分析心身障碍组(n=32)与非心身障碍组(n=322)孕产妇在妊娠合并症及并发症、不良妊娠结局的差异,同时对影响高龄产妇不良妊娠结局的危险因素进行多因素Logistic回归分析。结果心身障碍组妊娠期高血压疾病、妊娠期甲状腺疾病、胎膜早破检出率显著高于非心身障碍组,差异有统计学意义(P<0.05);早产、胎儿窘迫、胎儿生长受限及剖宫产发生率心身障碍组亦高于非心身障碍组,差异有统计学意义(P<0.05)。采用多因素非条件Logistic回归分析将干扰因素剔除后,妊娠期梅毒、孕期心身障碍、胎膜早破、子宫收缩乏力均为不良妊娠结局的危险因素。结论高龄孕产妇妊娠期心身障碍与不良妊娠结局密切相关,应重视高龄孕产妇心身健康状况,提升孕产妇保健内涵,全方位保障母婴安全。
Objective To explore the the relationship between psychosomatic disorders and adverse pregnancy outcome in elderly pregnant women,and provide basis for improving the pregnancy outcome of elderly pregnant women.Methods Clinical and pregnancy outcome data of 354 elderly parturient women who underwent psychosomatic health screening during pregnancy were collected.The differences between psychosomatic disorder group(n=32)and non-psychosomatic disorder group(n=322)in pregnancy complications,complications and adverse pregnancy outcomes were compared and analyzed.The risk factors of adverse pregnancy outcomes in elderly parturient women were analyzed by multifactor Logistic re-gression analysis.Results The incidence rates of hypertensive disorders of pregnancy,thyroid disease and premature rupture of membranes in psychosomatic disorder group were significantly higher than those in non-psychosomatic disorder group(P<0.05).The incidence rates of preterm birth,fetal distress,fetal growth restriction and cesarean section in psychosomatic disorder group were higher than those in non-psychosomatic disorder group(P<0.05).The high risk factor that impacted adverse outcome in elderly pregnant women was syphilis during pregnancy,psychosomatic disorders during pregnancy,premature rupture of membranes and uterine contraction.Conclusion Psychosomatic disorders during pregnancy were closely related to adverse pregnancy outcome.Attention should be paid to the mental and physical health of senior pregnant women;connotation of maternal health care should be improved to ensure the safety of mothers and babies in all aspects.
作者
王红
王静
任佳
吴万粉
顾雪兰
WANG Hong;WANG Jing;REN Jia;WU Wan-fen;GU Xue-Ian(Yangzhou Maternal and Child Health Care Hospital,Yangzhou,Jangsu 225002,China)
出处
《热带医学杂志》
CAS
2020年第10期1330-1332,1362,共4页
Journal of Tropical Medicine
基金
中国性病艾滋病防治协会·艾伯维妇幼关爱及预防母婴传播基金项目(PMTCT2018-002)。
关键词
高龄孕产妇
心身障碍
不良妊娠结局
Elderly pregnant women
Psychosomatic disorders
Adverse pregnancy outcome
