晚期先兆流产孕妇的妊娠期压力现状及其对保胎治疗效果的影响

Present situation of prenatal maternal stress in women with advanced threatened abortion and its effect on fetal protection

目的分析晚期先兆流产孕妇的妊娠期压力现状,并初步探讨其对保胎治疗效果的影响。方法选取2018年1~12月我院妇产科门诊收治的166例先兆流产孕妇作为研究组,选取同期正常妊娠12~28周的100例孕妇作为对照组。本研究采用问卷调查法比较两组的一般资料、中文版知觉压力量表(CPSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及妊娠期生活事件问卷(PLQ)评分;采用多因素Logistic分析妊娠期健康危险性压力(HRS)对晚期先兆流产治疗结局的影响。结果两组的年龄、孕龄、家庭年收入、受教育程度、工作状态、SDS评分比较,差异无统计学意义(P>0.05);研究组的CPSS评分、HRS发生率、SAS评分高于对照组,差异均有统计学意义(P<0.05)。Logistic回归分析显示,HRS(β=2.506,OR=12.254,95%CI:1.762~85.226)为晚期流产治疗失败的独立危险因素(P<0.05)。研究组的人际关系、工作压力、丈夫工作评分及PLQ总分高于对照组,差异均有统计学意义(P<0.05)。结论晚期先兆流产孕妇的妊娠期压力较同阶段的妊娠期妇女明显升高,且HRS孕妇更容易发生晚期先兆流产。

Objective To analyze the present situation of prenatal maternal stress in women with advanced threatened abortion,and to explore its effect on fetal protection.Methods A total of 166 pregnant women with threatened abortion outpatient department of gynecology and obstetrics in our hospital from January to December 2018 were selected as the study group,100 pregnant women with normal pregnancy of 12-28 weeks were selected as the control group.In this study,the scores of general data,Chinese version of perceived stress scale(CPSS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and life events during pregnancy questionnaire(PLQ)were compared between the two groups.Multivariate Logistic analysis was used to analyze the effect of health risk stress(HRS)on the outcome of threatened abortion.Results There were no significant differences between the two groups in age,gestational age,family income,education level,working status and SDS scores(P>0.05).The scores of CPSS,HRS and SAS in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Logistic regression analysis showed that HRS(β=2.506,OR=12.254,95%CI:1.762-85.226)was an independent risk factor of late abortion failure(P<0.05).The study groups′interpersonal relationship,work pressure,husbands′work score and PLQ total score were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The prenatal maternal stress of the pregnant women with advanced threatened abortion is significantly higher than that of the pregnant women at the same stage,and the pregnant women with HRS are more likely to have advanced threatened abortion.