中国产后抑郁发生率的系统分析  

Prevalence of postpartum depression in China： a systematic analysis

作　　者：钱耀荣[1] 晏晓颖[2] 

机构地区：[1]广州医学院卫生职业技术学院广州卫生学校,510310 [2]广东药学院

出　　处：《中国实用护理杂志》2013年第12期1-3,共3页Chinese Journal of Practical Nursing

基　　金：广东省科技计划项目（2009B030801349）

摘　　要：目的评价我国产后抑郁的发生率。方法通过搜索我国主要中文数据库及Pubmed中有关产后抑郁发生率的中英文文献，应用MetaAnalyst软件对所得资料进行分析，选用随机效应模型进行合并效应量。结果筛选出84篇文献，提供的总样本量为52776例次，共检出8390例次抑郁症。抑郁发生率为14．7％（13．1％-16．3％），不同类型地区产后抑郁发生率不同，直辖市最低10．9％（8．7％-12．7％），县级地区最高1鲋％（11∞扫之2．2％）；从东部、中部到西部，产后抑郁发生率呈上升趋势。以EPDS≥10分为评价标准所得的发生率高于以EPDS≥13分和SDS≥50分为标准的发生率。结论我国产后抑郁发生率较高，经济落后地区发生率更高，应该更加关注中部、西部，关注城镇、乡村等不发达地区。Objective To analyze the prevalence of postpartum depression in China. Methods CN- KI, Chongqing VIP database, CBMDISK, Pubmed databases were searched for articles about postpar- tum depression prevalence in China published during 1996-2012. The random effects model was em- ployed. Results There were 84 articles which provided 52 776 samples, and 8390 cases of depressive symptoms were detected. The pooled prevalence was 14.7%（13.1%-16.3%）, The prevalence of postpar- tum depression was different in different regions, municipality directly under the central government was the lowest 10.9%（8.7%-12.7%）, county area was the highest 16.4%（11.9%-22.2%）. From the east of China to the central and to the west, the prevalence rate assumed the trend of escalation. The preva-lence which evaluated by standard of EPDS ≥10 was higher than the prevalence evaluated by EPDS ≥ 13 and SDS ≥50. Conclusions The prevalence of postpartum depression is high in China. More atten- tion should be paid to the central, western of China, urban, rural and other underdeveloped areas.

关 键 词：产后抑郁 发生率 META分析 

分 类 号：R473.71[医药卫生—护理学]