应用PPM多学科合作诊疗系统治疗孕产期心身障碍对孕妇焦虑抑郁高危因素影响的调查研究  

Investigation on the Effect of Treating Pregnancy Psychosomatic Disorders Using PPM Multidisciplinary Cooperative Diagnosis and Treatment System on the Risk Factors of Anxiety and Depression in Pregnant Women

作　　者：蓝海英 曾妍芳 丁颖 邹雨霞 张立新 孙静 刘婷 薛伟 郜正美 黄维维 胡娟 邬萍 吕翠[5] 陈静[5] 秦峰 

机构地区：[1]广州市越秀区妇幼保健院,广东广州510055 [2]天津市滨海新区大港妇女儿童保健中心,天津300270 [3]临安市妇幼保健计划生育服务中心,浙江临安311300 [4]天津市河北区妇女儿童保健和计划生育服务中心,天津300150 [5]烟台市烟台山医院,山东烟台264000 [6]全国孕产妇心身健康门诊总课题组,北京100161

出　　处：《中国卫生标准管理》2017年第19期29-31,共3页China Health Standard Management

摘　　要：目的调查应用PPM(生理调控、心理调节、音乐调理)干预措施(基于围产保健和产科)多学科合作诊疗系统治疗孕产期心身障碍(PSD)对孕妇焦虑抑郁高危因素的影响。方法回顾性分析2016年1月—2017年6月,对在广州市越秀区妇幼保健院、天津市滨海新区大港妇幼儿童保健中心、临安市妇幼保健计划生育服务中心、天津市河北区妇女儿童保健和计划生育服务中心、烟台市烟台山医院孕产妇心身健康门诊研究基地应用PPM治疗罹患孕产期PSD的孕妇进行调查,初诊汉密顿焦虑量表(HAMA)均为7~13分,观察治疗后HAMA评估分值变化。结果共调查应用PPM治疗罹患孕产期PSD的孕妇387例,HAMA评估分值降到6分以下385例,分值下降例数比99.48%(385/387),治疗后HAMA评估总分较治疗前HAMA评估总分降低,差异有统计学意义(P<0.01)。结论应用PPM治疗孕产期PSD疗效显著,同时对孕妇焦虑抑郁亦起到治疗作用,孕妇从焦虑抑郁高危人群转为正常人群。Objective To investigate the effect of treating pregnancy psychosomatic disorders （PSD） using PPM （physiological regulation, psychological regulation and music adjustment） intervening multidisciplinary cooperative diagnosis and treatment system on the risk factors of anxiety and depression in pregnant women. Methods Pregnant women with pregnancy PSD who were treated with PPM in the physical and mental health clinic of the pregnant and maternal research bases of Guangzhou Yuexiu District Maternal and Child Health Care Center, Tianjin Binhai New Area Dagang Women and Children Health Care Center, Lin’an Maternal and Child Health Care and Family Planning Service Center, Tianjin Hebei District Women and Children Health Care and Family Planning Service Center and Yantai City Yantai Mountain Hospital from January 2016 to June 2017 were retrospectively analyzed. The preliminary Hamilton Anxiety Scale （HAMA） was 7 to 13 points, and the changes of HAMA scores after treatment were observed. Results A total of 387 pregnant women with pregnancy PSD who were treated with PPM were investigated. Among them, the HAMA scores of 385 cases decreased to lower than 6 points, and the decreased case ratio was 99.48% （385/387）.After treatment, the total HAMA score was significantly lower than that before treatment, and the difference was statistically significant （P 〈0.01）. Conclusion The effcacy of treating pregnancy PSD using PPM is signifcant, and it also plays a therapeutic role for the anxiety and depression of pregnant women, restoring them from high-risk anxiety and depression population to normal population.

关 键 词：孕妇 焦虑 抑郁 心身障碍 PSD HAMA 

分 类 号：R749[医药卫生—神经病学与精神病学]