焦虑产妇分娩疼痛与分娩结局的临床对比分析

摘要

Objective To investigate the effect of anxiety on labour pain and delivery mode.Methods 191 puerperants were identified by HAS anxiety table.They were divided into two groups: the Control Group with anxiety score lower than 8 and the Anxiety Group with anxiety score eqal to or over 8.The labour pain were scored by the visual-analogue-scale.The labour pain,delivery mode,postpartum hemorrhage,the concentration of epinephrine and norepinephrine were compared between the two groups.Results In contrast with the Control Group,the anxiety group had much higher cesarean section rate,much severe labour pain and prolonged latent phase,and,the concentration of epinephrine and norepinephrine increased with the rise of anxiety score(P<0.05).Conclusion Relieving and treating the anxiety of puerperants as well as decreasing the harmful complications should be done to improve the quality of obstetric treatments.%目的 观察产妇焦虑程度对分娩疼痛、产程及分娩方式的影响.方法 选择健康初产妇191例,以汉蜜顿焦虑表评定产妇的焦虑程度,焦虑评分<8分者为无焦虑组,共123例,≥8分者为焦虑组,共68例;以视角模拟评分作为测量分娩疼痛指标,比较两组产妇的产痛、产程、分娩方式及第一产程末血浆肾上腺素(E)和去甲肾上腺素(NE)的浓度.结果 焦虑组产妇血浆NE、E水平增高,产痛剧烈,潜伏期、活跃期延长,剖宫产率高,产后出血率高,两组比较有显著性差异(P<0.05).结论 对产妇及时进行心理疏导,缓解和预防产妇的焦虑状态,实施适当的医疗干预,能降低因产妇情绪异常而产生的产科不良结局,提高产科质量.