产后抑郁的发生率及其影响因素分析  

Study on Incidence and Risk Factors Associated with Postpartum Depression

作　　者：彭可[1] 林静吟[1] 唐建群[2] 

机构地区：[1]惠州市中心人民医院妇产科,广东惠州516001 [2]惠州市第二人民医院精神科

出　　处：《中华综合临床医学杂志（北京）》2005年第9期16-18,共3页chinese journal of composite clinical medicine

摘　　要：目的：分析产生抑郁的发生率及与其相关的因素，为早期发现、早期干预产后抑郁提供依据。方法：以2002年10月1日-2003年9月30日在我院分娩并知情、同意参加本研究的307名孕妇作为研究对象。孕期采用综合医院焦虑抑郁量素（HADS）．产后采用爱丁堡产后抑郁量表（EPDS），EPDS总分≥13分即为产后抑郁。通过非条件Logistic回归分析筛选出与产后抑郁相关的主要危险因素。结果：307名孕妇中，产后抑郁的发生率为7．6％，多因素分析中有8个因素进入多因素回归模型，分别为近3个月夫妻关系、经常担忧产后避孕、产前洁癖、近3个月经济问题、担心分娩安全、产后抢救、丈夫产后探望及产后饮食。结论：良好的医学及社会支持系统应对处于妊娠应激状态中的孕妇及其家人提供全方位的心理支持。Objective ： To investigate the incidence and risk factors of postpartum depression, Methods： Clinical date of 307 deliveries during October2002-September 2003 were analyzed. Both HAD and EPD scales were used in the study. Postpartum depression was defined as the score of EPDS≥ 13.Results： The incidence of postpartum depression was 7.6% among 507 deliveries. There were 17 factors associated with postpartum depression significantly according to single-factor analysis and 8 factors entered last regression model according to multi-factor analysis.Conclusion： It is necessary to give pregnant women both medical and social psychological supports during the course of pregnancy and even after delivery.

关 键 词：产生抑郁 发生率 相关因素 爱丁堡产后抑郁量表 影响因素分析 非条件LOGISTIC回归分析 多因素分析 社会支持系统 早期发现 早期干预 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R153.2[医药卫生—临床医学]