应用PPM治疗孕期焦虑的临床研究

Clinical Study on PPM Therapy to Anxiety during Pregnancy

目的应用PPM焦虑抑郁干预措施治疗孕期焦虑的效果观察[PPM是干预措施中生理调控（Physiological regulation）、心理调节（Psychological adjustment）、音乐调理（Music conditioning）三个英文单词的首字母]。方法对2015年3月~5月在天津市滨海新区大港妇女儿童保健中心参加产检的初产妇进行孕期焦虑障碍筛查,符合入组标准的孕妇随机分成实验组和对照组各11人,对照组进行传统健康教育干预,实验组在传统健康教育干预基础上应用PPM治疗。结果实验组治疗后HAMA评分与对照组治疗后HAMA评分有显著性差异（P〈0.01）。实验组治疗后自主神经系统功能状态与对照组治疗后自主神经系统功能状态有显著性差异。结论应用PPM能有效改善孕妇自主神经系统功能及孕期的焦虑障碍,疗效显著。

Objective To observe the effect of PPM as interventions in treatment of anxiety during pregnancy [PPM refer to physiological regulation, psychological adjustment, music conditioning]. Methods A screening is made for pregnant women with anxiety during pregnancy who attended the prenatal inspection in the said health center from March to May, 2015. The pregnant women meeting the inclusion criteria are randomly divided into experimental group and control group, 11 persons each group. Control group receives the PPM therapy, and experimental group the PPM therapy on the basis of the traditional health education intervention. Results In the post-therapy HAMA scores, there is a significant difference between these two groups（P〈0.01）; also, in the post-therapy functional status of the autonomic nervous system, there is a significant difference too between these two groups. Conclusion The use of PPM can effectively improve the autonomic nervous system function and the anxiety disorder in the pregnant women, so having a significant effect.