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孕期体育运动与产妇产后抑郁的关系

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目的 探讨孕期体育运动与产妇产后抑郁的相关性。方法 便利整群抽取某三级综合医院2020年6月~12月住院分娩的产妇518例为研究对象,采用一般资料调查表、爱丁堡产后抑郁量表及体育运动评估表对其进行问卷调查,并分析孕期体育运动与产妇产后抑郁的相关性。结果 被调查者产后抑郁检出率高达19。49%(101/518)。孕期参与高强度体育运动者69人,占13。32%(69/518);参与中强度体育运动者129人,占24。90%(129/518);参与低强度体育运动者320人,占61。78%(320/518)。孕期平均运动频率为(3。29±0。48)次/周,平均持续时间为(37。29±7。26)分/次。产妇的年龄、产次及妊娠合并症可对其产后抑郁发生情况产生影响,差异有统计学意义(P<0。001)。孕期参与不同强度运动,产妇产后抑郁得分有差异(P<0。001)。参与中强度运动的孕妇,产后抑郁发生率低于参与高强度及低强度运动的孕妇,差异有统计学意义(P<0。001)。产妇产后抑郁组孕期运动频率及运动时间均低于非产后抑郁组,差异有统计学意义(P<0。001)。孕期参与体育运动的频率及时间与产妇产后抑郁得分呈负相关(P<0。001)。结论 孕期体育运动的强度、频率及时间与产后抑郁的发生现状密切相关,基于此,应合理安排孕期体育运动,以降低产后抑郁的发生率。
Correlation analysis between sports during pregnancy and postpartum depression
Objective To explore the correlation between sports during pregnancy and postpartum depression.Methods We selected 518 parturients in a tertiary general hospital from June to December in 2020 as the research objects by convenient and cluster sampling.The general information questionnaire,Edinburgh Postpartum Depres-sion Scale and sports evaluation scale were used to conduct the questionnaire survey,and the correlation between sports during pregnancy and postpartum depression was analyzed by SPSS 22.0 software.Results The detection rate of postpartum depression was 19.49%(101/518).69 participated in high-intensity sports,accounting for 13.32%(69/518).129 participated in medium intensity sports,accounting for 24.09%(129/518).320 participated in low-intensity sports,accounting for 61.78%(320/518).The average frequency of exercise during pregnancy was(3.29±0.48)times for every week,and the average duration was(37.29±7.26)minutes for every time.Maternal age,parity and pregnancy complications affected the incidence of postpartum depression,the differences were statistically significant(P<0.001).The scores of postpartum depression were significantly different in different intensity exercise during pregnancy(P<0.001).The incidence of postpartum depression in pregnant women who participated in moder-ate intensity exercise was lower than that in pregnant women who participated in high-intensity and low-intensity ex-ercise,and the differences were statistically significant(P<0.001).The frequency and time of exercise in postpartum depression group were lower than those in non-postpartum depression group(P<0.001).The frequency and time of participating in sports during pregnancy were negatively correlated with the score of postpartum depression(P<0.001).Conclusion The intensity,frequency and time of physical exercise during pregnancy were closely related to the oc-currence of postpartum depression.Based on this,reasonable arrangement of physical exercise during pregnancy could reduce the incidence of postpartum depression.

PuerperaSportsPostpartum depressionCorrelation analysis

郑韦、杨荣、赵海艳

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唐山市妇幼保健院妇六科(唐山,063000)

产妇 运动 产后抑郁 相关分析

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)