International Journal of Medicine and Data
International Journal of Medicine and Data. 2017; 1: (1) 1; 10.12208/j.ijmd.20170001 .
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西安医学院第二附属医院妇产科
*通讯作者： 赵欣媛,单位：西安医学院第二附属医院妇产科；
【摘要】 目的 分析患有精神分裂症或情感性精神障碍的孕产妇围产期保健的应用策略的实际应用价值、可行性及可靠性。方法 选取2012年1月-2015年1月我院收治的确诊为精神分裂症或情感性精神障碍的围产期孕产妇60例为研究对象，在孕前、孕期及产后哺乳及恢复等时期定期接受咨询及指导的孕产妇患者为治疗组（23例）；只在孕前、孕期或产后哺乳及恢复某一时期接受咨询及指导的患者为观察组（37例）；其中精神分裂症患者44例，治疗组17例，观察组27例；情感性精神障碍患者16例，治疗组6例，观察组10例。对两组患者在孕产期的病情稳定情况、病情痊愈情况、产后复发、新生儿畸形率等方面进行对比研究。 结果 （1）孕前观察组痊愈率为56.76%，其中巩固治疗＜2年比率为81.50%；治疗组病情稳定率为100%，痊愈率为91.30%，巩固治疗＜2年仅占8.70%。（2）观察组21例孕前痊愈患者，在产后有20例复发，占95.2%；有10例改善，4例产后病情仍然较前加重。治疗组23例患者无病情复发情况。（3）观察组中37位新生儿中畸形率占13.88%，治疗组中23位新生儿均无畸形。 讨论 精神分裂症、情感性精神障碍孕产妇围产期保健的应用策略的实际应用价值较大，可行性高、可靠性强。
[Abstract] Objective To study the strategy of perinatal health care for schizophrenia or affective disorders patients during Perinatal period, and to evaluate the feasibility and reliability of this strategy. Methods Sixty patients from our hospital diagnosed with schizophrenia, affective disorders were selected during January 2012 to January 2015 as the research object. During pregnancy or postpartum period or before pregnancy, schizophrenia or affective disorders patients who regularly received counseling and guidance were selected into treatment group (23 cases) and who only received counseling and guidance in a certain period considered as observation group(37 cases). Among them, 44 patients with schizophrenia, with 17 cases in the treatment group and 27 cases in the observation group; 16 patients with affective disorders, with 6 cases in the treatment group and 10 cases in the observation group. The stable condition in maternal, the wellbeing situation, the recurrence of postpartum and neonatal malformation rate were compared between these two groups. Results (1) In pregnancy control group, the cure rate was 56.76%, the consolidation treatment < 2 years ratio was 81.50%. In the treatment group, the stability factor was 100%, recovery rate was 91.30%, the consolidation treatment < 2 years was only 8.70%. (2) In the observation group, 21 cases of pregnancy patients was cured, 20 cases in postpartum had relapse, accounted for 95.2%; Improved cases were 10. There were 4 cases in postpartum remains the previous condition worsen. There were 23 patients in the treatment group did not relapse. (3) In the observation group, pregnancy patients were cured, 20 cases in postpartum had relapse, accounted for 95.2%. In the treatment group, there were no neonatal malformations in those 23 patients. Conclusion The strategy of perinatal health care for schizophrenia or affective disorders patients during Perinatal period has great value in practical application, and has feasibility with high reliability.
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