产褥期抑郁症的产科影响因素探讨  

An analysis on obstetrical factors of postpartum depression

作　　者：吴玲玲[1] 侯红瑛[1] 周道友[2] 

机构地区：[1]中山大学附属第三医院,510630 [2]广东省中医院

出　　处：《中国实用医药》2010年第1期5-6,共2页China Practical Medicine

基　　金：广东省科技计划项目资助(项目编号:2007B031501007)

摘　　要：目的探讨产褥期抑郁症的产科影响因素。方法通过爱丁堡产后抑郁量表对542例产妇进行评定,诊断72例产褥期抑郁症患者,对相关产科因素进行分析。结果产褥期抑郁症发生率为13.28%;不良孕产史、妊娠合并症或妊娠特有疾病、早产、剖宫产与产褥期抑郁症的发生有关(P<0.05);孕期参加孕妇学校可以降低产褥期抑郁症的发生(P<0.05)。结论产褥期抑郁症的发生受多种产科因素的影响;对高危孕妇应注意提前干预,降低其不良影响。Objective To investigate obstetrical factors of postpartum depression. Methods 542 post- partum women were surveyed and estimated by Edinburgh postnatal Depression Scale （EPDS） , 72 postpartum women were diagnosed postpartum depression. And an analysis on obstetrical factors were done. Results The incidence of postpartum depression was 13.28% ; incidence in women of bad procreation, pregnancy combined diseases or pregnancy related diseases, premature delivery and caesarean birth were more than that of other women （ P 〈 0. 05 ） ; joining to pregnancy women school can reduce the incidence of postpartum depression （ P 〈 0. 05 ）. Conclusion Postpartnm depression is influenced by many obstetrical factors ; to decrease bad effects of mother and infant , we should take active intervention on risk factors of pregnancy women.

关 键 词：产褥期抑郁症 产科 影响因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]