【摘要】 本文对303名孕产妇进行了 A 型行为问卷测验并调查了孕产妇分娩时顺产、难产及分娩期并发症等有关情况。对 A 型行为孕产妇和 B 型孕产妇的分娩情况进行比较以探讨心理因素对分娩的影响。结果表明:A 型组难产和分娩期并发症明显多于 B 型组,两组间有显著性差异 P<0.05);另外产后平均出血量也明显多于 B 型组,差异显著(P<0.05)。其机理可能是由于应激产生精神过度紧张通过下丘脑—交感肾上腺轴和下丘脑—垂体—肾上腺轴的过度兴奋导致激素、儿茶酚胺分泌异常所致。更多还原

【Abstract】 In this study,the 303 puperperas were tested by Type A Behavior questionnaire and their conditions of child- birth were investigated,we compared the puperperas Type A Behavior with Type B in order to expolre the effects of psychosocial factors on the parturition.The results that puperperas in Type A group have more deflicilis,com- plications of parturition and capacity for postpartum hemorrhage than in Type B indicate the childbirth is influenced by the psychosocial factors.The mechanism may be that the stree results in abnomally secreting hormone and cate- cholamine(CA)through giving rise to exaltation of sympathitico-adrenal and hypothalamus-ptuitary-adrenal cortex system(HPA).更多还原