论文部分内容阅读
[目的]了解羊膜腔穿刺术对孕妇心理状况的影响。[方法]采用病例对照研究方法,选择产科门诊拟行羊膜腔穿刺术、孕周为18～24周的汉族孕妇为研究对象(羊膜腔穿刺指征为:唐氏综合征筛查高风险80例,曾分娩染色体异常患儿5例,高龄孕妇19例),选择相应孕周的非羊膜腔穿刺术汉族孕妇为对照。进行焦虑自评量表(SAS,Zung)测定。[结果](1)穿刺组孕妇的焦虑评分(40.13±4.56)高于对照组孕妇(37.96±3.62),差异有统计学意义(P=0.001)。其中,穿刺组有46例孕妇(44.2%)的焦虑评分高于正常参考值上限,而对照组中仅26例(25.0%),两者间差异有统计学意义(P﹤0.005)。(2)穿刺组中高龄孕妇的焦虑评分(37.16±1.74)低于唐氏综合征筛查高风险孕妇的焦虑评分(40.80±4.73),差异有统计学意义(P=0.000);文化程度高的孕妇,其焦虑评分(37.54±4.87)低于文化程度低的孕妇(44.63±3.08),差异有统计学意义(P=0.000)。[结论]羊膜腔穿刺术对孕妇可以造成一定程度的焦虑,加重孕妇的心理负担。对羊膜腔穿刺术的孕妇应给予干预措施以缓解其焦虑情绪。
[Objective] To understand the effect of amniocentesis on pregnant women’s psychological status. [Methods] A case-control study was conducted to select the pregnant women who were enrolled in the obstetric clinic for amniocentesis and whose gestational weeks were 18-24 weeks. The indications for amniocentesis were as follows: Down’s syndrome screening high risk 80 cases , 5 cases of chromosomal abnormalities in childbirth, and 19 cases of advanced pregnant women). The pregnant women of non-amniocentesis were selected as the control group. The anxiety self-rating scale (SAS, Zung) determination. [Results] (1) The anxiety score of pregnant women in puncture group (40.13 ± 4.56) was higher than that of pregnant women in control group (37.96 ± 3.62), the difference was statistically significant (P = 0.001). Among them, 46 cases of pregnant women (44.2%) in the puncture group had an anxiety score higher than the upper limit of normal reference value, while only 26 cases (25.0%) in the control group had statistically significant differences (P <0.005). (2) The anxiety score of aged pregnant women in the puncture group (37.16 ± 1.74) was lower than that of the high risk pregnant women with Down’s syndrome (40.80 ± 4.73), the difference was statistically significant (P = 0.000); (37.54 ± 4.87) were lower than those with low education (44.63 ± 3.08), the difference was statistically significant (P = 0.000). [Conclusion] Amniocentesis can cause some anxiety to pregnant women and aggravate the psychological burden of pregnant women. Pregnancy women who are undergoing amniocentesis should be given interventions to relieve their anxiety.