孕妇牙科焦虑症对新生儿健康状况影响.docVIP

孕妇牙科焦虑症对新生儿健康状况影响 　　[摘要] 目的 探讨孕妇牙科焦虑症对新生儿出生健康状况的影响。 方法 采用改良的牙科焦虑量表对我院妇产科住院生产的542例孕妇牙科焦虑程度进行评分，调查其分娩后新生儿出生健康状况，包括孕周、出生体重及1分钟Apgar评分，分析孕期牙科焦虑程度与新生儿健康状况的关系。 结果 牙科焦虑程度较高组（MDAS≥15分）孕妇出生早产儿、低出生体重儿、1分钟Apgar评分≤7分的发生率均高于牙科焦虑程度较低组（MDAS15），组间差异均有统计学意义（P0.05）。 结论 孕妇患有牙科焦虑症可能对新生儿出生健康产生不利影响。 　　[关键词] 孕妇;牙科焦虑症;改良的牙科焦虑量表;Apgar评分 　　[中图分类号]R781.05 [文献标识码] A [文章编号] 2095-0616（2015）02-13-03 　　Influence of dental anxiety during pregnancy on neonatal health status 　　WEN Yanli1 LIU Lei1 WEI Zhijun1 LIU Xiaojun2 YAO Lili1 XU Bo1 XUE Sini1 　　1.Stomatological Hospital of Hefei，Hefei 230001，China;2.The 1st Affiliated Hospital of Anhui Medical University，Hefei 230022，China 　　[Abstract] Objective To investigate the influence of dental anxiety during pregnancy on the health status of newborns. Methods The Modified Dental Anxiety Scale was used to assess the dental anxiety level of 542 pregnant hospitalized in Department of Gynecology and Obstetrics，The health status of the newborns was surveyed after delivery，including fetus age，birth weight and one-minute Apgar score.The correlation of dental anxiety level during pregnancy with neonatal health status was analyzed. Results The group of MDAS≥15 had higher incidences of preterm birth，low birth weight and one-minute Apgar score≤7 than the group of MDAS15.The differences between two groups were all statistically significant（P0.05）. Conclusion The dental anxiety during pregnancy maybe exerts an adverse impact on neonatal health status. 　　[Key words] Pregnant women;Dental anxiety;Modified dental anxiety scale;Apgar score 　　牙科焦虑症（dental anxiety，DA）已成为世界上大众人群中妨碍口腔保健服务的主要问题之一[1]。部分牙病患者因患有严重的DA而错过最佳治疗时机，导致其口腔健康状况不断恶化，甚至影响到全身健康[2-3]。本课题组前期研究提示孕妇群体中DA的流行情况较为严重[4]。一些孕妇牙病患者由于DA而不愿就诊或定期检查，这种避医行为又进一步加重患者口腔疾病的严重程度。而妊娠期的某些口腔疾病可引起不良妊娠结局，例如，有研究表明牙周炎是引起早产、低出生体重儿（preterm and low birth weight，PLBW）的重要危险因素[5]。本研究对我院妇产科住院生产的542例孕妇的牙科焦虑程度和出生新生儿的健康状况进行调查，旨在探讨DA对不良妊娠结局的影响。 　　1 资料与方法 　　1.1 一般资料 　　选择2011年1～12月在我院妇产科住 　　院生产的孕妇作为研究对象。纳入标准：（1）年龄20～35岁、汉族、单胎妊娠;（2）全身