ABSTRACT
Objective To analyze the prevalence and influencing factors of anxiety and depression among pregnant women in Jianyang City. Methods Convenience sampling method was used to select 322 pregnant women in Jianyang Maternal and Child Health Hospital of Jianyang City. The depression and anxiety of the participants were measured with self-rating anxiety scale(SAS) and self-rating depression scale(SDS)，and the degree of social support was measured with social support rating scale (SSRS). Pearson correlation analysis was used to analyze the relationship between anxiety, depression and social support. The chi square ( 2) test and the non-conditional Logistic regression model were used to analyze the influencing factors of anxiety and depression. Results Anxiety rate and depression rate of pregnant women in Jianyang city were 5.3% and 5.6% respectively. There was a negative correlation between anxiety, depression and social support (P<0.05). Absence of prenatal examination (OR=4.554, 95% CI: 1.063-19.510) was a risk factor for anxiety among pregnant women in Jianyang City. Late pregnancy (OR=5.381, 95% CI: 1.422-20.363) and medium degree of social support (OR=4.150, 95% CI: 1.198-14.375) were risk factors for depression among pregnant women in Jianyang City. Junior high school (OR=0.015, 95% CI: 0.001-0.275), high school or technical secondary school (OR=0.004, 95% CI: 0.001-0.128), junior college or above (OR=0.053, 95% CI: 0.003-0.851) were protective factors for depression. Conclusions The prevelance of anxiety and depression in pregnant women cannot be ignored. It is important to carry out mental health intervention according to the above factors.
ABSTRACT
Objective: To explore the clinical efficacies of transpedicular lumbar wedge resection osteotomy for correction of kyphosis in ankylosing spondylitis. Methods: From January 2005 to March 2010,32 patients with ankylosing spondylitis kyphotic deformity received one stage posterior transpedicular wedge osteotomy and internal fixation, with 27 receiving single-level ones and 5 receiving two-level ones. All patients underwent X-ray examination of the total spine to obtain radiographic parameters and were asked to accomplish simplified Chinese scoliosis research society-22 (SRS-22) questionnaire to assess quality of health before and after operation. Results: The mean operation time was (260±42) mi n and the mean blood loss was (1 360±282) mL in the patients. The patients were followed up for a mean of (31±8) months (range: 24-76 months) and there were no neurological complications and pseudarthrosis. The chin-brow vertical angle (CBVA), global thoraco-lumber kyphosis angle (TLKA), thoracolumbar kyphosis angle (TKA) and lumber lordosis angle (LLA) were (65. 9±11. 6)° (78. 2±15. 9)° (38. 9±10. 3)° and (-14. 6±17. 3)° before operation and (11. 7±4. 7)°, (38. 9±10. 3)°, (1. 3±7. 8)° and (26.2±5. 6)° after operation, respectively; and significant differences were found for each parameter (P<0. 01). The body height and the sagittal imbalance distance were improved from (135. 4±15. 2) cm and (37. 2±11. 3) cm before operation to (166.2±9. 6) cm and (12. 7±7. 7) cm after operation, respectively. The average SRS-22 score increased from (1. 8±0. 4) before operation to (4. 0±0. 6) after operation, showing a satisfactory outcome. Conclusion: Transpedicular lumbar wedge resection osteotomy is a safe and effective method for treatment of the ankylosing spondylitis kyphosis.