更年期抑郁症的临床特征分析及护理对策探讨  

Discussion on clinical characteristics analysis and nursing care of menopause depression

作　　者：齐久梅[1] 卢永军[2] 阮祥燕[2] 

机构地区：[1]首都医科大学附属北京妇产医院乳腺科,北京100006 [2]首都医科大学附属北京妇产医院内分泌治疗中心,北京100026

出　　处：《中国医学装备》2013年第10期13-15,共3页China Medical Equipment

基　　金：北京市自然科学基金(3082011)"绝经妇女代谢综合征相关因素分析及早期预测系统的研究";首都医学发展基金(2007-2045)"绝经妇女代谢综合征相关因素及干预措施的研究"

摘　　要：目的:分析围绝经期及绝经后妇女的抑郁症发病率,并根据更年期妇女抑郁症的发病特点,找出指导患者控制或消除抑郁症的对策。方法:随机将围绝经期妇女分为绝经组和绝经前组,采用Zung抑郁量表对724例患者进行评定和静脉血内分泌激素FSH、LH、E2测定。Zung量表总分为80分,评分≥40分可诊断为抑郁。结果:绝经前组更年期抑郁症的发病率为13.3%,绝经组抑郁症的发病率为5.6%。绝经前组更年期抑郁症的发病率明显高于绝经后(x2=12.797,P<0.05)。结论:更年期抑郁症患者常有某些躯体或精神因素作为诱因而发生精神、躯体疾病;患者常常伴有生理和心理改变。对更年期抑郁症患者需从生物、心理及社会诸方面进行综合护理。Objective： To analyze the depression incidence in premenopausal or postmenopausal women, find out the countermeasures to control or eliminate depression. Methods： Randomly divided the menopause group and premenopausal group in 724 patients who were assessed using Zung depression scale and venous blood determination of endocrine hormone FSH, LH, E2. Zung score _ 40 points can diagnose depression. Results： The incidence in premenopausal group of climacteric depression was 13.3%, and postmenopausal group was 5.6%. The incidence of climacteric depression premenopausal group was obviously higher than that after menopause （x2=12.797, P〈 0.05）. Conclusion： Menopause depression patients often have some physical or mental factors as incentive, spirit and body disease, etc.; Patients often change in physical and psychological. So the comprehensive care in the biological, psychological and social are necessary.

关 键 词：围绝经期 抑郁症 更年期 护理对策 

分 类 号：R749.16[医药卫生—神经病学与精神病学]