摘要
目的探讨合并抑郁对妊娠期糖尿病(gestational diabetes mellitus,GDM)分娩结局的影响。方法选择驻马店市中医院2020年2月~2023年4月82例GDM孕产妇为观察对象,采用汉密尔顿抑郁量表进行产前抑郁评估,根据是否抑郁设为观察组以及对照组。比较两组孕产妇围产期不良事件以及新生儿不良分娩结局。结果82例GDM孕产妇合并抑郁28例;观察组胎膜早破、剖宫产率显著高于对照组(P<0.05),产后出血、羊水过多发生率差异无统计学意义(P>0.05);观察组早产、巨大儿、窒息发生率显著高于对照组(P<0.05),两组低体重、低血糖发生率差异无统计学意义(P>0.05)。结论GDM孕产妇抑郁检查率较高,合并抑郁会增加剖宫产率以及孕产妇围产期不良事件以及新生儿不良分娩结局发生率。
Objective To investigate the effect of comorbid depression on labor outcomes in gestational diabetes mellitus(GDM).Methods Eighty-two cases of GDM pregnant women in Zhumadian Hospital of Traditional Chinese Medicine from February 2020 to April 2023 were selected as observation subjects.The Hamilton Depression Assessment Scale was used to assess prenatal depression,and the observation group and control group were set up according to whether they were depressed or not.Maternal perinatal adverse events and neonatal adverse birth outcomes were compared between the two groups.Results 82 cases of GDM maternal combined depression 28 cases.The rates of premature rupture of membranes and cesarean section in the observation group were significantly higher than those in the control group(P<0.05).The difference in the incidence of postpartum hemorrhage and amniotic fluid excess was not statistically significant(P>0.05).The incidence of preterm labor,macrosomia,and asphyxia in the observation group was significantly higher than that in the control group(P<0.05).The dfference in the incidence of low weight and hypoglycemia between the two groups was not statistically significant(P>0.05).Conclusion Maternal depression screening is higher in GDM,and comorbid depression increases cesarean section rates as well as the incidence of adverse maternal perinatal events and adverse neonatal birth outcomes.
作者
寇国桢
代文华
KOU Guozhen;DAI Wenhua(Zhumadian Traditional Chinese Medicine Hospital,Zhumadian 463000,China)
出处
《国际精神病学杂志》
2024年第2期557-559,共3页
Journal Of International Psychiatry
基金
河南省中医药科学研究专项课题(编号:2022ZY2077)。
关键词
抑郁
妊娠期糖尿病
分娩结局
Depression
Gestational diabetes
Labor outcomes
