孕妇分娩前心理社会因素对甘胆酸水平影响的观察

The Effect of Psychosocial Factors on the Level of Cholyglycine Before Childbirth

探讨分娩前甘胆酸(CG)水平变化是否存在心理社会因素方面的影响。采用围产期孕妇一般情况调查表、A型行为问卷(TABQ)、症状自评量表SCL-90,跟踪69名足月孕妇直至分娩,并进行统计学分析。结果表明(1)A型行为组分娩前CG值高于B型行为组及M型行为组(P<0.05);(2)高CG组分娩并发症的发生率高于低CG组(P<0.01);(3)实际孕周和与公婆关系及SCL-90恐怖是影响CG水平的主要因素。除影响CG值升高的生理原因外,还应当注意心理社会因素对CG的影响。

To observe the effect of psychosocial factors on the level of cholyglycine（CG） before childbirth, 69 gravidas were investigated by using the Gravida General Situation Questionnaire, the A Strait Behavior Questionnaire, and Symptom Checklist-90（SCL-90） in the term of preg nancy till giving birth. The data were subjected to statistical analysis. The result showed that.. （1）The level of CG was significantly higher in the group with A-behavior than that in the group with B-or M-Behavior（P〈0.05）; （2） The incidence of post partum complication in the high CG group （8%） was significantly higher than that in the low CG group （P〈0.01）; （3）The gestational period, the relation with parents of gravidas＇ husband and SCL 90 panic score were main influencing factors on the level of CG . Besides physiological factors＇ effecting on CG, psychosocial factors should also be paid attention to.