高龄产妇产后抑郁状况及影响因素分析.docx

高龄产妇产后抑郁状况及影响原因分析 【摘要】 目的 ：结合高龄产妇的抑郁状况，探究高龄产妇产后抑郁的影响原因。措施：选择2023年1月至2023年12月的高龄产妇作为研究对象，分为抑郁组和对照组。回忆性搜集患者的个人以及家庭信息进行组间的差异性对比分析；搜集患者雌激素、孕激素、催乳素、促肾上腺皮质激素释放激素、甲状腺激素指标变化发生人数，进行组间差异比较；筛选变量进行高龄产妇抑郁症患者危险原因的Logistic回归分析，制作ROC工作曲线检查模型的拟合效果。成果：抑郁组与对照组高龄产妇在项目平均孕周期、夫妻关系、疼痛恐惊、产时并发症项目上差异有记录学意义（P＜0.05）；抑郁组高龄产妇雌激素减少、孕激素减少、促肾上腺皮质激素释放激素升高、甲状腺激素减少项目发生状况与对照组差异均有记录学意义（P＜0.05），抑郁组的发生状况多出对照组；高龄产妇抑郁症患者危险原因的Logistic回归分析显示：平均孕周期、夫妻关系、产时并发症、雌激素减少、甲状腺激素减少为其危险原因，受试者工作曲线ROC曲线下面积为0.93，回归模型拟合效果很好。结论 ：高龄产妇雌激素减少、孕激素减少、促肾上腺皮质激素释放激素升高、甲状腺激素减少为产后抑郁的危险原因，平均孕周期、夫妻关系、产时并发症、雌激素减少、甲状腺激素减少可以增长抑郁的患病率。 【关键词】高龄产妇；产后抑郁；影响原因； logistic Analysis of postpartum depression and its influencing factors in elderly women. Abstract [Objective]: To explore the influencing factors of postpartum depression of the older women, combined with the depression of older women. To explore the influencing factors of postpartum depression in elderly women. [Methods]: The elderly women from January 2023 to December 2023 were selected as the research subjects and divided into the depression group and the control group. A retrospective analysis of the differences between the individual and the family information of the patients; The number of estrogen, progesterone, prolactin, corticotropin releasing hormone and thyroid hormone in patients were collected, and the difference between groups was compared. The Logistic regression analysis of the risk factors of the elderly women with depression was screened by screening variables, and the fitting effect of the ROC work curve test model was made. [Results]: There was significant difference between the depression group and the control group in the average gestational period, marital relationship, pain fear and intrapartum complication items (P 0.05). The incidence of estrogen lowering, progesterone lowering, corticotropin releasing hormone increasing and thyroid hormone lowering in the elderly group were significantly different from those in the control group (P 0.05). The occurrence of depr