罗荔 彭宁宁 乔丹丽 苏玉芳 刘萍

摘要：目的：针对当前母亲焦虑和抑郁对于早产儿的影响开展深入分析。方法：选取我院2018年12月至2021年6月收治的早产儿135例设为研究对象，根据其母亲情绪是否焦虑和抑郁将其分为两组，其中存在母亲焦虑或（和）抑郁情况为研究组，共有35例，母亲未存在焦虑或（和）抑郁组为参照组，共有100例。对比早产儿满月体检gesell 评分和6月龄gesell 评分情况。结果：参照组满月体检gesell 评分与研究组结果相似，组间差距无统计学意义（P>0.05）;参照组6月体检gesell 评分高于研究组 。组间差异具有统计学意义（P<0.05）。结论：早产儿行母亲焦虑和抑郁对于其智能发育存在负面影响。

关键词：母亲焦虑和抑郁;gesell 评分量表;智能发育;早产儿

【Abstract】Objective： To conduct an in-depth analysis of the impact of current mothers' anxiety and depression on premature infants. Method： 135 premature infants admitted to our hospital from December 2018 to June 2021 were selected as the research objects， and their mothers were divided into two groups according to whether their mothers were anxious and depressed. Among them， there were mothers' anxiety or （and） depression. For the study group， there were 35 cases in total， and the mothers who did not have anxiety or （and） depression were the reference group， with a total of 100 cases. Compare the full-month physical examination gesell score and 6-month-old gesell score of premature infants. Results： The full-month physical examination gesell score of the reference group was similar to that of the study group， and the difference between the groups was not statistically significant （P>0.05）; the June physical examination gesell score of the reference group was higher than that of the study group， and the difference between the groups was statistically significant （P<0.05） ）. Conclusion： Mother anxiety and depression of preterm infants have a negative impact on their intellectual development.

[Keywords] mother anxiety and depression; gesell scale; intellectual development; premature infants

早产儿出生时各个系统功能发育较差，出生后易患各种疾病，发生精神、运动、智力落后的几率较足月儿高[1]。早产儿出生后矫正胎龄40周时，可做第一次新生儿行为神经测定，随后每月可通过Gesell婴儿发育量表等评估可了解早产儿发育情况，做到母亲早期情绪的护理干预，减少早产儿脑损伤后遗症的程度，减轻家庭、社会负担，保证早产儿的健康发育[2]。相关研究分析发现母亲焦虑和抑郁针对早产儿智能发育潜在负面影响[3]。现列举135例早产儿进行分组讨论。具体报告如下：

1.资料及方法

1.1一般资料

我院医学伦理委员会处批准同意，收集2018年12月至2021年6月我院诊治的135例早产儿并将其设置为研究对象，根据满月时其母亲情绪是否焦虑和抑郁将其分为两组，其中母亲焦虑和抑郁组为研究组，共有35例，母亲未焦虑和抑郁组为研究组，共有100例。……