早期妊娠高血压中的心理困扰和怀孕结果:来自中国的病例对照研究
Xilian Li1, Rongmin Wang1, Xian Xia1
1Obstetrics & Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China.
PeerJ
|June 24, 2025
概括
心理困扰在早期妊娠高血压 (GH) 中更常见,并且与更糟糕的结果有关. 早期对GH患者心理痛苦的查和干预对于改善母亲和新生儿健康至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 孕期高血压 (GH) 是怀孕的一个重要并发症.
- 心理痛苦在GH病理生理学和进展中的作用需要进一步阐明.
- 了解这些关联可以为有针对性的干预提供信息.
研究的目的:
- 调查早期妊娠高血压中心理困扰的流行情况.
- 为了确定与GH患者心理困扰相关的风险因素.
- 检查心理困扰对疾病进展和不良妊娠结果的影响.
主要方法:
- 一项前性病例控制研究,涉及446名早期GH患者和200名对照.
- 使用自评焦虑量表 (SAS) 评估的心理困扰.
- 使用多变量逻辑回归和比较统计分析 (Chi-square,t测试).
主要成果:
- 心理困扰在GH组 (20.9%) 比对照组 (7.0%) 更为普遍.
- 痛苦的独立风险因素包括较低的教育水平,不良怀孕史和GH本身.
- 心理困扰与先兆子的进展增加和不良结果的发病率增加有关.
结论:
- 心理困扰是早期妊娠高血压的重要并发症.
- 建议对GH患者进行例行心理查和早期干预.
- 解决心理困扰可以改善GH怀孕中母亲和新生儿的结果.
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