广州市产褥期抑郁症的发生率及其影响因素  

An investigation on the incidence and the related factors of postpartum depression in Guangzhou

作　　者：何萍[1] 赵静波[2] 白雅贤[1] 陈步云[1] 王玲[3] 潘继红[1] 郑惠[1] 赵庆国[1] 万国斌[4] 潘燕华[1] 

机构地区：[1]广东省妇幼保健院广州医学院附属广东省妇儿医院妇产科,510010 [2]南方医科大学心理教研室 [3]中山大学附属第三医院精神心理科 [4]广东省深圳市妇幼保健院

出　　处：《中国妇幼保健》2008年第1期27-30,共4页Maternal and Child Health Care of China

基　　金：广东省广州市科技攻关计划资助(项目编号:2007Z3-E0271)

摘　　要：目的:了解广州市产褥期抑郁症的发生率及其影响因素。方法:采用流行病学调查使用的抑郁自评量表(CES-D)和专门设计的社会人口学调查表,对广州市5个老城区32个街道的2000名产后3个月内的产妇进行调查。筛查标准采用筛查量表国内常模。结果:①广州市产褥期抑郁症的筛查率为17.56%(225/1281);②产后2周是产褥期抑郁症高发病期(χ2=28.401,P=0.000);③居住在近郊区、低收入、居住条件困难、二人以上家庭结构、多孕次、有流引产史、不良生育史、本次剖宫产、过去一年经历的生活事件总数是产褥期抑郁症发生的危险因素;B型血、社会支持、产后居住条件优越、二人居住结构是产褥期抑郁症的保护因素。结论:产褥期抑郁症发病率较高,发病原因复杂,其中心理社会因素不容忽视。Objective： To explore the incidence and the related factors of postpartum depression of Guangzhou. Methods： 1 285 women were investigated by CES - D and self - made inventory in three months after giving birth. The data were screened with Chinese nora. Results： ①The incidence of postpartum depression was 17. 52% （225/1 281 ） ; ②Two weeks after giving birth was high risk period of postpartum depression （X^2 = 28. 401, P = 0. 000） ; ③The high risk factors of postpartum depression were living in the suburb, low income, dissatisfactory housing condition, and so on. There were four protective factors that were blood type B, social support, good housing condition after giving birth and a couple living in house. Conclusion： The incidence of postpartum depression is high. Its causes are complicated, in which the social and mental factors should be paid attention to.

关 键 词：产褥期抑郁症 发生率 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]