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母亲焦虑对无应激试验参数的影响。

Impacts of maternal anxiety on non-stress test parameters.

作者信息

Nergiz Avcioğlu S, Altinkaya S Ö, Kurt Ömürlü I, Küçük M, Demircan-Sezer S, Yüksel H

出版信息

Clin Exp Obstet Gynecol. 2016;43(6):830-835.

PMID:29944232
Abstract

OBJECTIVE

To determine the association between antenatal maternal anxiety with non-stress test (NST) parameters, which is an indi- cator test of fetal well-being in the third trimester.

MATERIALS AND METHODS

Between January and December of 2013, 212 pregnant women, with 36-41 weeks of gestation were assessed with measures of distress and anxiety with Beck Anxiety Inventory (BAI) and with NST. The new National Institute Child Health and Human Development (NICHD) 2008 guideline criteria were used for interpretation of NST. Anxiety scores were grouped as minimal, mild, moderate, and severe. The impact of anxiety on NST parameters were investigated.

RESULT

Anxiety scores were inversely correlated with fetal heart rate (FHR) accelerations (r = -0.631, and r = -0.855), number of fetal movements (r = -0.633, r = -0.860), FHR variability scores (r = -0.650, r = -0.877). and NST scores (r = -0.505, r = 0.729), (for all p < 0.001). NST scores were lower in severe anxiety group than the others.

CONCLUSION

The study showed that severe form of anxiety significantly affects NST parameters in near-term pregnancies.

摘要

目的

确定产前母亲焦虑与无应激试验(NST)参数之间的关联,NST是孕晚期胎儿健康状况的一项指标性检查。

材料与方法

在2013年1月至12月期间,对212名妊娠36 - 41周的孕妇进行了评估,采用贝克焦虑量表(BAI)测量其痛苦和焦虑程度,并进行NST检查。采用美国国立儿童健康与人类发展研究所(NICHD)2008年的新指南标准对NST结果进行解读。焦虑评分分为极小、轻度、中度和重度。研究焦虑对NST参数的影响。

结果

焦虑评分与胎心率(FHR)加速(r = -0.631,r = -0.855)、胎动次数(r = -0.633,r = -0.860)、FHR变异性评分(r = -0.650,r = -0.877)以及NST评分(r = -0.505,r = 0.729)呈负相关(所有p < 0.001)。重度焦虑组的NST评分低于其他组。

结论

该研究表明,重度焦虑会显著影响近期妊娠的NST参数。

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