【摘要】 目的 探讨产妇的焦虑程度对分娩疼痛、产程、分娩方式、产后出血及机体应激反应的影响。 方法 180例初产妇根据汉密顿焦虑量表(HAS)、汉密顿抑郁量表(HDS)标准评定每位产妇的焦虑、抑郁程度，所有产妇以产科常规进行分娩而不进行干预。试验组80例分为轻度焦虑组(Ⅰ组)59例、中重度焦虑组(Ⅱ组)21例;对照组100例为无焦虑组，且每位产妇无抑郁症。观察两组的产痛、产程、分娩方式、产后出血、第一产程末血肾上腺素(E)和去甲肾上腺素(NE)水平等情况。 结果 180例产妇焦虑发生率44%。焦虑程度越重，应激反应越重，产痛越剧烈，潜伏期、活跃期越延长，剖宫产率越高及产后出血越多。 结论 产妇的焦虑程度影响分娩过程;产前应充分估测产妇的焦虑程度，宜采取个体化综合性分娩镇痛，以提高产科质量。

    关键词 焦虑程度 分娩 产后出血 肾上腺素 去甲肾上腺素

    The effects of the degree of primiparous anxiety on the labor

    Wang Jing，Zhang Wenzhen，He Xiaohui，et al.

    Department of Obstetrics and Gynecology，8610Corps Hospital，Armed Police Forces，Panjin124010.

    【Abstract】 Objective To discuss the influences of the degree of primiparous anxiety on the labor pain，the mode of delivery，the labor course，postpartum hemorrhage and emergency reaction.Methods 180primiparae were evaluated their psychosis according to Hamilton Anxiety Scale(HAS)and Hamilton Depression Scale(HDS).Deliv-ery courses were processed routinelywithout interference in the two groups.The study group was composed of80prim-iparae.In the study group ......