深圳市产妇产后抑郁症的流行状况及危险因素分析  

Prevalence and Risk Factors of Maternal Postpartum Depression:A Cross-sectional Study in Shenzhen

作　　者：王月云[1] 张莉娜 王红[1] 袁世新[1] 龚林[1] 刘红蕾[1] 周琳[3] 

机构地区：[1]深圳市妇幼保健院,深圳518000 [2]华中科技大学同济医学院公共卫生学院,武汉430030 [3]深圳市疾病预防控制中心,深圳518000

出　　处：《华中科技大学学报（医学版）》2017年第6期704-708,共5页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：深圳市科创委基础计划项目(No.JCYJ20140414153700881)

摘　　要：目的探讨深圳市产妇产后抑郁症的患病情况及其影响因素,为早期防治产后抑郁提供科学依据。方法采用方便抽样的方法,以在深圳市妇幼保健院生产并于产后60d内回到该院接受产后康复检查的3 610名产妇为调查对象,采用爱丁堡产后抑郁筛查量表对产妇产后抑郁状况进行评估,采用自编调查表对一般情况进行流行病学调查。结果共收回问卷3 610份,有效问卷3 550份,有效率为98.34%。315例(8.87%)产妇筛查出有明显的产后抑郁症状。多因素分析结果显示,有不良孕产史、首次生产及采用混合喂养或人工喂养是产后抑郁发生的相关危险因素,其OR值及95%可信区间(95%CI)分别为:1.623(1.247~2.112)、1.558(1.189~2.040)、1.889(1.460~2.445)和1.996(1.362~2.925)。结论深圳市产后抑郁症检出率相对较低,妇女保健人员应针对有不良孕产史、首次生产以及非母乳喂养的产妇进行早期产后抑郁易患人群的筛查和干预,以降低产后抑郁症的发病及危害。Objective Postpartum depression is one of the common postpartum complications of mothers.It has an adverse effect on the health of mothers and infants.The objective of this study is to explore the prevalence and the related risk factors of postpartum depression in Shenzhen,China.Methods We used the Edinburgh Postpartum Depression Screening Scale(EPDS)to screen the postpartum depression,and a self-designed questionnaire to collect social-psychological characteristics in 3 610 postpartum mothers in Shenzhen,China.We used Chi-square test and logistic regression model to analyze the related factors of postpartum depression.Results Among a total of 3 610 questionnaires,there were 3 550 valid questionnaires.The prevalence rate of postpartum depression for the participants was 8.87%.Having a history of adverse pregnancy outcome,primipara and bottlefeeding were found to be associated with the presence of postpartum depression.Their ORand 95% CI were 1.623(1.247-2.112),1.558(1.189-2.040),1.889(1.460-2.445)and 1.996(1.362-2.925),respectively.Conclusion The prevalence rate of postpartum depression among the study subjects was relatively low.Screening and intervention measures should be targeted to women with high risk factors to reduce the incidence and harmful effect of postpartum depression.

关 键 词：产后抑郁 EPDS量表 危险因素 

分 类 号：R181.37[医药卫生—流行病学]