妊娠期高血压孕产妇产后抑郁发生的危险因素

The risk factors of postpartum depression in pregnant women with hypertension during pregnancy

目的探讨妊娠期高血压的孕产妇出现产后抑郁的危险因素。方法选择2014年12月~2020年1月100例有妊娠期高血压的孕产妇为研究对象,评估产后抑郁发生情况,设为抑郁组与正常组,比较两组患者的临床治疗,调查产后抑郁的危险因素。结果100例妊娠期高血压疾病孕产妇发生产后抑郁21例,发生率21.00%;抑郁组与正常组在发病孕周、合并产前并发症或妊娠合并症、不良分娩结局、产后遗留高血压、血压控制效果、高血压家族史方面存在差异(P<0.05);两组患者在分娩方式、年龄方面无明显差异(P>0.05);多因素分析显示,发病孕周<28周、不良分娩结局、产后遗留高血压、血压控制效果差、合并产前并发症或妊娠合并症是出现产后抑郁的独立危险因素。结论妊娠期高血压疾病孕产妇产后抑郁发生率较高,且受到发病孕周、血压控制效果等因素的影响,需要关注。

Objective To explore the risk factors of postpartum depression in pregnant women with hypertension during pregnancy.Methods A total of 100 pregnant women with hypertension during pregnancy from December 2014 to January 2020 were selected as the study subjects.The occurrence situation of postpartum depression were evaluated,and set them as the depression group and the normal group.The medical records of perinatal pregnancy-related hypertension in the two groups were compared.The risk factors for postpartum depression were investigated.Results There were 21 cases had postpartum depression in pregnant women,the incidence rate was 21.00%.There were statistically significant differences in attack gestational weeks,combined prenatal complications,adverse labor outcomes,postpartum hypertension,blood pressure control effect,and family history of hypertension between the depression group and the normal group(P<0.05).There was no significant difference in delivery methods,and ages between the two groups(P>0.05).Multivariate analysis showed that the gestational age was less than 28 weeks,adverse birth outcomes,postpartum hypertension,poor blood pressure control effect,and combined prenatal complications were independent risk factors for postpartum depression.Conclusion Maternal postpartum depression has a higher incidence of hypertension during pregnancy,and affected by factors such as attack pregnancy week and blood pressure control effects,it should focus on high-risk groups and take targeted measures as early as possible to prevent postpartum depression.