摘要
目的 观察产妇精神状态（ 焦虑与抑郁） 与分娩方式、产后出血间的关系。方法 １２０ 例健康初产妇以汉密顿焦虑量表（ＨＡＳ） 和抑郁量表（ＨＤＳ） 评定精神状态，所有产妇以产科常规进行分娩而不进行干预，观察其分娩方式及产后出血状况；按分娩方式不同分为剖宫产组、钳产组及顺产组；按产后出血不同分产后出血组及无产后出血组。结果 １２０ 例产妇焦虑发生率３５ ％ ，抑郁发生率２８．３ ％ ，焦虑并抑郁发生率１６．７ ％ 。剖宫产组、钳产组的焦虑评分及抑郁评分明显高于顺产组，而剖宫产组、钳产组间则无显著差异；产后出血组焦虑及抑郁评分亦明显高于无产后出血组。
Objective To observe the relationship between the psychic factor(anxiety and depression) and delivery mode and postpartum hemorrhage.Methods 120 healthy nulliparas were involved in our study.Their psychosis were evaluated according to Hamilton anxiety scale(HAS) and Hamilton depression scale(HDS).The delivery course of all women were processed routinely without interference.Delivery mode and postpartum hemorrhage were observed.Women were divided into three groups(caesarean section group,forceps group and spontaneous group) according to different mode of delivery,as well as hemorrhage group and no-hemorrhage group according to hemorrhage or not after labor.Results Among the whole nulliparas observed,the anxious rate was 35%,the depress rate was 28 3%,while 16 7% were both anxious and depress.The anxious scores and depress scores in caesarean and forceps groups were higher than that in spontaneous group while no difference existed between themselves.The two scores were higher in hemorrhage group than that of no-hemorrhage group.Conclusion Anxious and depress statue may be one of the factors causing high assis-labor and postpartum hemorrhage.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
1999年第10期615-616,共2页
Chinese Journal of Practical Gynecology and Obstetrics
