高风险怀孕中的焦虑和动脉硬:对前性队列研究的二次分析
Mekayla Forrest1,2, Maria Matossian1, Helena Papacostas Quintanilla1,2
1Vascular Health Unit, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada.
概括
高风险怀孕中的焦虑与剂量依赖的方式增加动脉硬性 (AS) 有关. 虽然不具有统计学意义,但焦虑也可能增加孕前风险,突显了综合心理健康护理的需要.
科学领域:
- 产科和妇科 产科和妇科
- 心血管健康 心血管健康
- 心理医学 心理医学
背景情况:
- 高风险妊娠容易发生各种并发症.
- 动脉硬 (AS) 是心血管健康的标志物.
- 母亲焦虑和不良妊娠结果之间的关系需要进一步调查.
研究的目的:
- 评估高风险怀孕中焦虑和动脉硬 (AS) 之间的关联.
- 为了调查焦虑和预先分娩的发生率之间的联系,在这个人群中.
主要方法:
- 一项前性队列研究 (2012-2016) 的二次分析,涉及高危孕妇.
- 使用贝克焦虑清单和自我报告的情绪障碍史来评估焦虑症状.
- 动脉硬度是通过带 - 关节脉冲波速度测量,每4周进行一次后续评估.
主要成果:
- 焦虑与带-关节脉冲波速的增加显著相关 (B=0.27,p=0.04),并观察到严重程度-反应关系.
- 有情绪障碍的病史与显著增加子宫前风险有关 (OR=3.91,p<0.05).
- 焦虑症状与妊娠前风险之间的关联显示出非显著的趋势 (OR=2.77).
结论:
- 高风险怀孕中的焦虑与严重程度相关的动脉硬度增加有关.
- 将心理健康评估整合到产科护理中,可以改善孕产妇并发症的预测和管理.
- 需要进一步的研究,以充分阐明焦虑和产前之间的联系.
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