【摘要】目的:探讨安全-行为双维度管理模式在儿童全麻舒适化口腔治疗中的应用效果。方法:选取2025年4月至2025年12月在本院接受全麻舒适化口腔治疗的80例患儿作为研究对象,根据围术期不同管理方式分为观察组和对照组,每组40例。对照组实施常规围术期管理,观察组实施安全-行为双维度管理模式。对比两组患儿牙科恐惧程度、治疗依从性、苏醒期躁动发生率及家属满意度。结果:术前检查、麻醉诱导、出院时观察组CFSS-DS评分均比对照组低(P<0.05),FCS评分均比对照组高(P<0.05)。与对照组苏醒期躁动发生率20.00%对比,观察组5.00%显著降低(P<0.05)。与对照组家属满意度75.00%对比,观察组95.00%显著升高(P<0.05)。结论:在儿童全麻舒适化口腔治疗中应用安全-行为双维度管理模式干预,可有效减轻患儿牙科恐惧程度,提高治疗依从性,减少苏醒期躁动发生,提升家属满意度,值得临床推广应用。
目的 探讨动态社交行为技巧练习联合生物反馈对学龄注意缺陷多动障碍(ADHD)患儿临床症状和社会功能的影响。方法 回顾性选取我院2021年1月~2024年3月收治的81例学龄ADHD患儿作为研究对象,按照治疗方法不同分为对照组(40例)、观察组(41例),对照组接受生物反馈治疗,观察组接受动态社交行为技巧练习联合生物反馈治疗。比较两组临床疗效、临床症状、社会功能、脑电波频率[β波、θ波、感觉运动节律(SMR)波]。结果 观察组总有效率90.24%较对照组的72.50%高(P<0.05);治疗后观察组对抗性行为、多动-冲动、注意力不集中评分均低于对照组(P<0.05);治疗后观察组家庭、学习与学校、生活技能、自我管理、社交活动及风险活动评分均低于对照组(P<0.05);治疗后观察组β波、SMR波均高于对照组,θ波低于对照组(P<0.05)。结论 动态社交行为技巧练习联合生物反馈对学龄ADHD患儿临床疗效确切,可进一步改善患儿临床症状、社会功能。
Objective To explore the effect of dynamic social behavior skills training combined with biofeedback on clinical symptoms and social function in school-age children with attention deficit hyperactivity disorder (ADHD). Methods A total of 81 school-age children with ADHD admitted to our hospital from January 2021 to March 2024 were retrospectively selected as the research objects. According to different treatment methods, they were divided into control group (40 cases) and observation group (41 cases). The control group received biofeedback therapy, and the observation group received dynamic social behavior skills training combined with biofeedback therapy. The clinical efficacy, clinical symptoms, social function, brain wave frequency [β wave, θ wave, sensorimotor rhythm ( SMR ) wave] were compared between the two groups. Results The total effective rate of the observation group was 90.24% higher than that of the control group (72.50%) (P<0.05). After treatment, the scores of antagonistic behavior, hyperactivity-impulsion and inattention in the observation group were lower than those in the control group (P<0.05). After treatment, the scores of family, learning and school, life skills, self-management, social activities and risk activities in the observation group were lower than those in the control group (P<0.05). After treatment, the β wave and SMR wave in the observation group were higher than those in the control group, and the θ wave was lower than that in the control group (P<0.05). Conclusion Dynamic social behavior skill training combined with biofeedback has definite clinical efficacy in school-age children with ADHD, which can further improve their clinical symptoms and social functioning.
目的:探讨年轻冠心病经皮冠状动脉介入治疗(PCI)术后患者康复管理行为的发展轨迹及其异质性亚组,并分析基线心理社会因素及临床特征对轨迹归属的影响,为制定精准化心脏康复管理策略提供依据。方法:采用回顾性研究设计,选取2022年1月至2025年3月在郑州大学第五附属医院心血管内科行首次PCI治疗的265例年轻冠心病患者(年龄22~45岁)为研究对象。于术后1个月(基线)、3个月、6个月、12个月采用冠心病PCI术后康复管理行为问卷进行纵向随访评估;基线时同时完成一般自我效能感量表、社会支持评定量表及医院焦虑抑郁量表测评。应用潜类别增长模型识别康复管理行为的发展轨迹,采用多元Logistic回归分析影响轨迹归属的因素。结果:年轻冠心病PCI术后患者术后1个月康复管理行为总分为(68.5±14.2)分,3个月升至(70.3±13.8)分,之后持续下降,12个月降至(63.2±18.1)分,各时间点差异有统计学意义(P<0.001)。潜类别增长模型识别出3种行为发展轨迹:持续高行为组(75例,28.3%),行为始终维持高水平且无显著下降;中度下降组(120例,45.3%),行为早期尚可但逐渐下降;持续低行为组(70例,26.4%),行为起点低且下降速度最快。Pearson相关分析显示,基线康复管理行为总分与自我效能、社会支持呈正相关(r=0.523,0.452,均P<0.01),与焦虑、抑郁呈负相关(r=-0.381,-0.346,均P<0.01)。多因素Logistic回归分析表明,文化程度高中及以下(OR=2.15,95%CI 1.12~4.13)、合并糖尿病(OR=2.33,95%CI 1.10~4.95)、左心室射血分数<50%(OR=2.80,95%CI 1.15~6.82)及焦虑得分升高(OR=1.12,95%CI 1.01~1.24)是未维持高水平康复行为的独立危险因素(均P<0.05);自我效能得分高(OR=0.92,95%CI 0.88~0.96)及社会支持得分高(OR=0.95,95%CI 0.91~0.99)为独立保护因素(均P<0.05)。结论:年轻冠心病PCI术后患者康复管理行为整体呈先升后降趋势,且存在3种异质性发展轨迹,仅不足三成患者可长期维持高水平依从。低文化程度、合并糖尿病、心功能不全及高焦虑水平者更易归属行为低下或下降轨迹,而高自我效能、高社会支持则有助于行为维持。临床应建立基于轨迹分层的随访管理体系,对持续低行为组及中度下降组早期识别并实施针对性强化干预。
目的 探究认知行为疗法联合治疗性沟通在对内镜黏膜下剥离(ESD)术患者心理及治疗依从性的效果。方法 前瞻性选取2023年3月至2025年3月鹰潭市一八四医院收治的122例行ESD术的患者作为研究对象,采用随机数字表法将患者分为A、B组,B组56例患者采取治疗性沟通干预,A组66例患者采用认知行为疗法联合治疗性沟通干预,两组均连续干预2个月。比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、心理弹性量表(CD-RISC)评分、Herth希望指数量表(HHI)评分差异,对比两组干预依从性。结果 干预后,两组SAS、SDS评分均下降且A组低于B组(t分别为12.096、10.326,P<0.05);干预后,两组CD-RISC量表各项评分均提高且A组高于B组(t分别为18.483、12.060、13.622,P<0.05);干预后,两组HHI量表各项评分均上升且A组高于B组(t分别为1.289、11.568、12.527、13.794,P<0.05);A组患者总依从率96.97%(64/66)高于B组80.36%(45/56)(χ 2 =8.782,P<0.05)。结论 认知行为疗法联合治疗性沟通在ESD术患者中干预效果理想,能够明显改善患者负性情绪,提高心理弹性及对疾病康复的希望水平,有效提升依从性。
Objective To explore the effect of cognitive behavioral therapy combined with therapeutic communication on psychological health and therapy compliance of patients undergoing endoscopic submucosal dissection(ESD).Methods Prospectively,122 patients who underwent ESD at Yingtan 184 Hospital from March 2023 to March 2025 were selected as the research subjects.These patients were randomly divided into Group A and Group B using the random number table method,and 56 patients in group B were treated with therapeutic communication,66 patients in group A were treated with cognitive behavioral therapy combined with therapeutic communication,and both groups were continuously intervened for 2 months.The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Connor-Davidson Resilience Scale(CD-RISC)and Herth Hope Index(HHI)were compared between the two groups before and after treatment.Therapy compliance between the two groups was compared.Results After treatment,the SAS and SDS scores of the two groups were decreased,and the scores of group A was lower than that of group B(t=12.096,10.326,P<0.05)after the intervention,the scores of the CD-RISC scale of the two groups were improved,and the score of group A was higher than that of group B(t=18.483,12.060,13.622,P<0.05).After intervention,the scores of HHI scale in both groups increased and score of group A was higher than that ofgroup B(t=11.289,11.568,12.527,13.794,P<0.05).The total compliance rate of patients in group A was 96.97%(64/66),which was significantly higher than 80.36%(45/56)in group B(χ 2 =8.782,P<0.05).Conclusions Cognitive-behavioral therapy combined with therapeutic communication has an ideal effect in ESD patients,which can significantly improve patients’ negative emotions,psychological resilience and hope for disease recovery,and also therapy compliance.
非自杀性自伤行为(NSSI)是指个体在没有自杀意图的情况下,故意对自己身体进行伤害的行为。近年来,NSSI在全球范围内整体呈上升趋势,尤其在青少年群体中日益普遍,这与青少年的年龄特点、心理及生物学特征、社会压力等因素密切相关。有研究表明,NSSI是自杀行为的独立危险因素,不仅对青少年健康造成严重影响,也给家庭和社会带来了沉重的负担。因此,本文通过系统回顾NSSI相关文献,阐述其流行病学现况、影响因素和干预措施,旨在为早期识别高危人群、预防青少年NSSI行为的发生以及制定相应的干预策略提供科学依据。
Non-suicidal self-injury(NSSI)is the behavior in which an individual intentionally inflicts harm on his or her own body without suicidal intent.In recent years,NSSI has been on the rise globally,especially among adolescents,which is closely related to the age characteristics,psychological and biological characteristics,and social pressure.Some studies have shown that NSSI is an independent risk factor for suicidal behavior,which not only poses a serious impact on the health of adolescents,but also imposes a heavy burden on families and society.Therefore,this article systematically reviews relevant literatures on NSSI,mainly elaborating the epidemiological status,influencing factors and interventions.We aim to provide a scientific basis for the early identification of high-risk populations,the prevention of NSSI in adolescents and the development of corresponding intervention strategies
目的 探讨早产儿语言-社会行为情况及其影响因素,研究语言-社会行为发育与智能发育之间的关系,为早产儿保健提供指导。方法 采用自制的一般情况问卷对125例早产儿开展随访、追踪,直至2岁时,采用盖泽尔发展量表(GDS)进行语言-社会行为及智能发育评估。结果 早产儿语言发育正常43例(34.4%),社会行为发育正常40例(32%)。早产儿语言发育商平均为(67.99±25.75),社会行为发育商平均为(67.75±23.98),处于发育低下水平。性别、脑出血病史、定期随访史、康复干预史、家庭干预史在语言、社会行为方面比较差异均无统计学意义(P>0.05)。不同胎儿期安胎史、胎龄、出生体质量在语言、社会行为方面比较差异有统计学意义(P<0.05);且胎儿期反复安胎,胎龄小,出生体质量低,语言及社会行为发育较差。与出生时无中-重度窒息史的患儿相比,出生时有中-重度窒息的患儿存在更多的语言发育异常,比较差异有统计学意义(P<0.05);但在社会行为发育方面比较差异无统计学意义(P>0.05)。语言-社交行为发育落后的同时,早产儿的大运动、精细动作、适应性行为也存在落后,五大能区比较差异并均有统计学意义(P<0.05)。结论 多数早产儿存在语言-社会行为发育落后,其同时可能伴有更多的运动和适应行为发育问题;语言-社交行为发育落后的患儿在胎儿期存在反复安胎且胎龄较小、出生体质量更低或有中-重度窒息史。对早产儿的语言-社会行为要及时给予关注,早期发现并早期干预,改善预后。
Objective To explore the language-social behavior of preterm infants and its influencing factors,to study the relationship between language-social behavior development and intellectual development,and to provide guidance for preterm infants' health care.Methods A self-administered general questionnaire was used to follow up 125 preterm infants until the age of 2 years,and Gesell development scale(GDS)was used to assess their language-social behavior and intellectual development.Results Preterm infants had normal language development in 43 cases(34.4%)and normal social behavioral development in 40 cases(32%).The mean language development quotient of preterm infants was(67.99±25.75)and the mean social behavioral development quotient was(67.75±23.98),which was at the low developmental level.There were no significant differences in gender,history of cerebral hemorrhage,regular follow-up,rehabilitation intervention,family intervention and language or social behavior(P>0.05).Infants with different fetal age history,gestational age,and birth weight varied significantly in language and social behavior(P<0.05);and with repeated miscarriage,small gestational age,low birth weight,showed poor language and social behavior development.Compared the children with and without moderate to severe asphyxia at birth,there was statistically significant differences in language development(P<0.05),but in social behavior there was no significant difference(P>0.05).The backward development of language-social behavior was accompanied by backwardness in gross motor,fine motor,and adaptive behavior in preterm infants,and the differences in the five major domains were all present and statistically significant(P<0.05).Conclusions A major of preterm infants have poor language-social behavior development,which may be accompanied by more motor and adaptive behavior development problems;children with poor language-social behavior development have repeated miscarriage prevention at younger gestational ages,lower birth weights,or a history of moderate-to-severe asphyxia during the fetal period.It is important to give timely attention to language-social behavior in preterm infants for early detection and early intervention to improve prognosis.
目的 探讨与分析基于信息-动机-行为(IMB)模型的护理干预对造口患者并发症及生活质量的影响。方法 选择2021年5月—2023年4月本院进行结直肠癌行肠造口患者84例作为研究对象,根据1∶1随机电脑抽签分配原则把患者分为IMB组42例与常规组42例。常规组给予常规护理干预,IMB组在常规组护理的基础上给予基于IMB模型的护理干预,IMB组与常规组护理观察时间为3个月,观察与记录IMB组与常规组患者并发症、生活质量、心理状况、自我管理能力评分变化情况。结果 IMB组护理3个月期间的腹腔脓肿、肠梗阻、肺部感染、造口感染等并发症发生率为4.8%,与常规组的19.0%相比降低更多(P<0.05)。IMB组护理3个月期间的遵医依从性为100.0%,与常规组的90.5%相比提高更多(P<0.05)。护理3个月后IMB组的症状识别、症状处理、处理后评价等自我管理能力评分与常规组相比提高更多(P<0.05)。IMB组与常规组护理3个月后的焦虑评分与抑郁评分与护理前相比都有统计学意义的降低(P<0.05),护理3个月后IMB组的焦虑评分、抑郁评分与常规组对比降低(P<0.05)。护理3个月后IMB组的总生活质量量表、症状子量表、症状量表、功能量表评分都与常规组相比提高(P<0.05)。结论 基于IMB模型的护理干预在造口患者的应用能提高遵医依从性,缓解焦虑与抑郁情绪,提高患者自我管理能力,从而可有效减少患者并发症的发生,促进提高患者的预后生活质量。
Objective To explore and analysis the effects of nursing intervention based on Information-Motivation-Behavioral(IMB)model on complications and quality of life of patients with stoma. Methods Eighty-four cases of patients with colorectal cancer undergoing enterostomy in our hospital from May 2021 to Aprilt 2023 were selected as the study subjects.According to the principle of 1∶1 random computer lottery,the patients were divided into IMB group(42 cases)and traditional group(42 cases).The traditional group were given routine nursing intervention,and the IMB group were given nursing intervention based on the IMB model on the basis of the traditional group.The nursing observation time of the traditional group and IMB group were 3 months,the changes in complications,quality of life,psychological status,and self-management ability scores of patients were observed and recorded. Results The incidence of complications such as abdominal abscess,intestinal obstruction,pulmonary infection and stoma infection in IMB group during nursing were 4.8%,which were significantly lower than 19.0% in the traditional group(P<0.05).The compliance of IMB group during nursing were 100.0%,which were significantly higher than 90.5% in the traditional group(P<0.05).After nursing of 3 months,the scores of self-management ability such as symptom recognition,symptom treatment and post-treatment evaluation in IMB group were significantly higher than those in the traditional group(P<0.05).The scores of anxiety and depression in the traditional group and IMB group after nursing of 3 months were significantly lower than those before nursing(P<0.05),and the scores of anxiety and depression in the IMB group after nursing of 3 months were also significantly lower than those in the traditional group(P<0.05).After nursing of 3 months,the scores of IMB group on function scale,symptom scale,symptom subscale and total quality of life scale were significantly higher than those of the traditional group(P<0.05). Conclusions The application of nursing intervention based on the IMB model in patients with stoma can improve the compliance with medical treatment,reduce the occurrence of complications,improve the self-management ability of patients,relieve anxiety and depression,and continue to improve the prognosis and quality of life of patients.
目的 基于计划行为理论探讨妊娠期糖尿病(GDM)孕妇自我管理行为意向,为促进其孕期良好的自我管理提供依据。方法 运用质性研究中的现象学研究方法,对12例GDM孕妇进行深度半结构式访谈,并用Colaizzi七步内容分析法对主题进行归纳。结果 根据计划行为理论对主题进行归纳,共提炼出3种类别:①行为态度:认知不足,积极态度,消极态度;②主观规范:家庭影响,医护压力,人际压力;③知觉行为控制:知识技能获取受限,客观条件束缚共8个主题。结论 GDM患者在自我管理过程中存在对疾病认知不足的问题GDM,自我管理行为受到家庭、医护人员、人际关系等外界压力对自我管理态度的影响,且存在知识技能欠缺,客观条件制约多方面阻碍。医护人员应加强对GDM孕妇的自我管理教育,适时提供支持,提高其自我管理效率。
Objective To explore the self-management behavior intention of pregnant women with gestational diabetes mellitus(GDM)based on the theory of planned behavior,and to provide a basis for promoting good self-management during pregnancy. Methods Using the phenomenological research method in qualitative research,12 pregnant women with GDM were interviewed in an in-depth semi-structured interview,and then the themes were summarized by Colaizzi's seven-step content analysis. Results According to the theory of planned behavior,the themes were summarized into three categories and eight themes including(1)Behavioral Attitudes:cognition deficiency,positive attitude,and negative attitude,(2)Subjective norms:family influence,medical pressure,interpersonal pressure,and(3)Perceptual behavior control:self-management knowledge acquisition limitations,self-management Objective conditions constraint. Conclusions Most of the respondents have insufficient awareness of self-management of gestational diabetes,different patients have different attitudes towards self-management,and self-management behavior is affected by external pressures such as family,medical staff,and interpersonal relationships,and there are many obstacles due to a lack of knowledge and skills,Objective conditions.Medical staff should strengthen the self-management education of pregnant women with gestational diabetes,provide timely support,and improve their self-management efficiency.
目的 探索干预因素对4~12岁孤独症谱系障碍(ASD)患儿社交反应的影响,为开展ASD患儿的早期干预提供参考。方法 选取于2020年1月—2023年3月在清远市妇幼保健院儿童神经与发育中心康复干预的ASD患儿,采用社交反应量表(SRS)对患儿进行社交行为评估,采用自编一般情况问卷对家长进行问卷调查,调查内容包括患儿的基本情况(性别、共患病情况、干预时长、上学情况等)。结果 202例ASD患儿中,男性患儿162例(80.2%),女性40例(19.8%),性别对社交反应的影响比较差异无统计学意义(t=2.969,P>0.05)。共患病方面,无共患病的ASD患儿与共患智力发育障碍及注意缺陷多动障碍的患儿相比,其SRS得分差异有统计学意义(F=6.920,P<0.05)。在上学情况方面,普通学校就读的患儿与特殊学校及未上学的患儿相比,其SRS得分差异有统计学意义(F=3.823,P<0.05),但在特殊学校就读的患儿与未上学的患儿相比,差异无统计学意义(P>0.05)。在干预时长方面,干预≥1年与干预<1年及未干预的患儿比较,其SRS得分更低,差异有统计学意义(F=4.477,P<0.05),但干预<1年与未干预患儿相比,两者差异无统计学意义(P>0.05)。结论 ASD患儿中,是否患有其他无共患病、上学情况、干预时长会影响其社交反应;存在共患疾病的ASD患儿社交反应表现更差;相较于就读特殊教育机构和未上学的患儿,就读于普通学校的ASD患儿社交障碍程度更轻;干预时间越长,其社交障碍程度也越轻。
Objective To explore the impact of intervention factors on social response in children with autism spectrum disorder(ASD)aged 4—12,and to provide reference for early intervention in children with ASD. Methods Children with ASD who underwent rehabilitation intervention at the Children's Neurology and Development Center of Qingyuan Maternal and Child Health Hospital from January 2020 to March 2023 were selected.The social behavior of the children was evaluated using the Social Response Scale(SRS),and the parents were surveyed using a self-made general situation questionnaire.The survey content included the basic information of the children(gender,comorbidity,intervention duration,and school attendance,etc.). Results Among the 202 cases of ASD,162 were male(80.2%)and 40 were female(19.8%).There was no statistically significant difference in the impact of gender on social response(t=2.969,P>0.05).In terms of comorbidities,there was a statistically significant difference in SRS scores between ASD children without comorbidities and those with comorbidities such as intellectual development disorder and attention deficit hyperactivity disorder(F=6.920,P<0.05).In terms of school attendance,there was a statistically significant difference in SRS scores between children enrolled in regular schools and those who attended special schools and those who did not attend school(F=3.823,P<0.05),but there was no statistically significant difference between children enrolled in special schools and those who did not attend school(P>0.05).In terms of intervention duration,compared with children with intervention≥1 year and those with intervention<1 year and no intervention,the SRS score was lower and the difference was statistically significant(F=4.477,P<0.05).However,compared with children with intervention<1 year and those without intervention,the difference was not statistically significant(P>0.05). Conclusions No comorbidities,attending regular schools,and intervention duration≥1 year are positive factors that affect social response.Children with ASD who have comorbidities have poorer social response performance;compared to children who attend special education institutions and those who do not attend school,children with ASD who attend regular schools have lower levels of social impairment;the longer the intervention time,the lighter the degree of social impairment.
目的 研究母代不同孕期巨细胞病毒(CMV)感染对自身精神及行为的影响。方法 72只BALB/c雌鼠随机分为12组(A1、A2、A3、B1、B2、B3、C1、C2、C3、D1、D2、D3,每组6只),A为孕期再感染、B为既往感染、C为孕期原发感染、D为空白对照,1为孕早期、2为孕中期、3为孕晚期。母鼠腹腔注射小鼠CMV(murine CMV,MCMV)Smith株建立播散性感染模型,或注射无菌生理盐水建立对照模型。母鼠产仔后同笼合养,产后22 d分笼;母鼠做行为学试验。试验结束,每组随机处死3只母鼠;测量子宫、肝、脑脏器重量系数及唾液腺中MCMV含量。结果 A、B、C组母鼠产后次日体质量均低于D组(均P<0.05),其中C2、C3组母鼠低体质量情况持续至产后22日(均P<0.05)。A、B、C组母鼠唾液腺组织均测出MCMV。与D组母鼠相比,A1、C1组母鼠活胎率降低(均P<0.05),A、C组母鼠的子宫、肝、脑脏器系数升高(均P<0.05)且脑组织有病损表现。产后6天时,A3、B3、C组母鼠水平运动总距离和直立次数减少(均P<0.05),糖水偏好量降低(均P<0.05),悬尾不动时间延长(P<0.05);其中,C2、C3组母鼠以上行为退缩情况至产后22天仍存在,且有逃避潜伏时间延长(均P<0.01),穿越原平台位置次数减少(均P<0.01)情况。结论 孕期CMV感染损害母代身心健康,有可能增加子代不良抚养的风险。
Objective To investigate the effects of cytomegalovirus(CMV)infection in different stages of maternal pregnancy on its own spirit and behavior.Methods A total of 72 female BALB/c mice were randomly divided into 12 groups(each group had 6 mice):A1-A3,B1-B3,C1-C3,D1-D3(group A had re-infection,group B had previous infection,group C had primary infection,group D was blank control,group 1 was in early pregnancy,group 2 was in middle pregnancy,group 3 was in late pregnancy).The disseminative infection model was established by intraperitoneal inoculation of murine CMV(MCMV)Smith strain,and the blank control model was established by intraperitoneal inoculation of 0.9% sterile saline(NaCl).After 21 days of parturition,the mothers and offspring were reared in separate cages,mothers were selected for the behavior experiments.At the end of all the behavior tests,3 mothers in each group were killed randomly.Weighed and calculated the organ coefficients of the uteri,livers and brains,and detected the expression levels of MCMV in salivary gland.Results On the first day after delivery,the weights of mothers in groups A,B and C were lower than those in group D(all P<0.05),the low body weight of mice in C2 and C3 groups lasted to the 22th day(all P<0.05).The MCMV in salivary gland tissue were found in groups A,B and C,but not in group D.The live fetus rates of groups A1 and C1 were significantly lower than that of group D.The organ coefficients of uteri,livers and brains in groups A and C were higher than those in group D(all P<0.05).And the lesions of brain tissues in groups A and C were more serious than in the other groups.On the 6th day,compared with the other groups,the mothers of groups A3,B3 and C were significantly abnormal in the open field test,the tail suspension test and the sugar preference test(all P<0.05).But on 22th day,only the mothers of groups C2 and C3 were significantly abnormal in those tests(all P<0.01),and even in the water maze test(all P<0.01).Conclusions Maternal CMV infection in different stages pregnancy have impacts on mother mice's physical and mental health.Those bad situations may bring poor parenting to the offspring.