全国多中心31782例孕妇孕产期心身障碍发病率调查研究  

Prevalence of Psychosomatic Disorders in 31,782 Pregnant Women During Pregnancy and Childbirth in China

作　　者：张立新 李丽娟[2] 董静 江敏 刘娟波 黄燕琴 陈坤 郭梦雪 肖莲 王兴利 黄维维 胡娟 张海虹 赵优珍 林飞飞 徐学 孙香玲 林俐 刘婷 孙静 邬萍 张雅静 王盈力 陈静[13] 岳娟 徐文莉 赵斌 李小莉 丁武华[16] 蔡红霞[16] 韩艳菲 付迎春 米丽邦 张艳珍 覃玉霞 王月华 张燕英 李凤贤 孙佳宁 刘艳华 赵丽红 秦峰 ZHANG Lixin;LI Lijuan;DONG Jing;JIANG Min;LIU Juanbo;HUANG Yanqin;CHEN Kun;GUO Mengxue;XIAO Lian;WANG Xingli;HUANG Weiwei;HU Juan;ZHANG Haihong;ZHAO Youzhen;LINFeifei;XU Xue;SUN Xiangling;LIN Li;LIU Ting;SUN Jing;WUPing;ZHANG Yajing;WANG Yingli;CHEN Jing;YUE Juan;XUWenli;ZHAO Bin;LI Xiaoli;DING Wuhua;CAI Hongxia;HANYanfei;FU Yingchun;MI Libang;ZHANG Yanzhen;QIN Yuxia;WANG Yuehua;ZHANG Yanying;LI Fengxian;SUN Jianing;LIUYanhua;ZHAO Lihong;QIN Feng(National Research Group onMaternal Physical and Mental Health Clinics,Beijing 100161,China;Maternal and Child Health Center,Chinese Center for Disease Control andPrevention,Beijing 100098,China;Study Base of Psychosomatic HealthOutpatient for Pregnant Women,Maternal and Child Health Hospital ofYuexiu District,Guangzhou Guangdong 510055,China;Study Baseof Psychosomatic Health Outpatient for Pregnant Women,ZhongshanBanfu Hospital,Zhongshan Guangdong 528459,China;Study Baseof Psychosomatic Health Outpatient for Pregnant Women,Maternaland Child Health and Family Planning Service Center of ShapingbaDistrict,Chongqing 400000,China;Study Base of PsychosomaticHealth Outpatient for Pregnant Women,Maternal and Child Health andFamily Planning Service Center of Tongnan District,Chongqing 402660,China;Study Base of Psychosomatic Health Outpatient for PregnantWomen,Maternal and Child Health and Family Planning Service Centerof Lin＇an District,Hangzhou Zhejiang 311300,China;Study Base ofPsychosomatic Health Outpatient for Pregnant Women,Maternal andChild Health and Family Planning Service Center of Jiangbei District,Ningbo Zhejiang 315020,China;Study Base of PsychosomaticHealth Outpatient for Pregnant Women,Wenzhou Maternal and ChildHealth Service,Wenzhou Zhejiang 325000,China;Study Base ofPsychosomatic Health Outpatient for Pregnant Women,Yongkang Maternaland Child Health Hospital,Yongkang Zhejiang 321300,China;StudyBase of Psychosomatic Health Outpatient for Pregnant Women,DagangMaternal and Child Health Center of Binhai New Area,Tianjin 300270,China;Study Base of Psychosomatic Hea

机构地区：[1]全国孕产妇心身健康门诊总课题组,北京100161 [2]中国疾病预防控制中心妇幼保健中心,北京100098 [3]广州市越秀区妇幼保健院孕产妇心身健康门诊研究基地,广东广州510055 [4]中山市板芙医院孕产妇心身健康门诊研究基地,广东中山528459 [5]重庆市沙坪坝区妇幼保健计划生育服务中心孕产妇心身健康门诊研究基地,重庆400000 [6]重庆市潼南区妇幼保健计划生育服务中心孕产妇心身健康门诊研究基地,重庆402660 [7]杭州市临安区妇幼保健计划生育服务中心孕产妇心身健康门诊研究基地,浙江杭州311300 [8]宁波市江北区妇幼保健计划生育服务中心孕产妇心身健康门诊研究基地,浙江宁波315020 [9]温州市妇幼保健所孕产妇心身健康门诊研究基地,浙江温州325000 [10]永康市妇幼保健院孕产妇心身健康门诊研究基地,浙江永康321300 [11]天津市滨海新区大港妇女儿童保健中心孕产妇心身健康门诊研究基地,天津300270 [12]天津市河北区妇女儿童保健和计划生育服务中心孕产妇心身健康门诊研究基地,天津300150 [13]烟台市烟台山医院孕产妇心身健康门诊研究基地,山东烟台264000 [14]成都市郫都区妇幼保健院孕产妇心身健康门诊研究基地,四川成都611730 [15]成都市双流区妇幼保健院孕产妇心身健康门诊研究基地,四川成都610200 [16]十堰市太和医院孕产妇心身健康门诊研究基地,湖北十堰442000 [17]焦作市妇幼保健院孕产妇心身健康门诊研究基地,河南焦作454001 [18]乌鲁木齐市妇幼保健院孕产妇心身健康门诊研究基地,新疆乌鲁木齐830001 [19]德保县妇幼保健院孕产妇心身健康门诊研究基地,广西德保533700 [20]合浦县妇幼保健院孕产妇心身健康门诊研究基地,广西合浦536100 [21]梅河口市妇幼保健院孕产妇心身健康门诊研究基地,吉林梅河口135000 [22]东宁市妇幼保健院孕产妇心身健康门诊研究基地,黑

出　　处：《中国卫生标准管理》2018年第19期1-4,共4页China Health Standard Management

摘　　要：目的调查孕产期心身障碍(孕产妇心理问题诱发的躯体化功能性障碍)发病情况。方法对2016年1月—2018年6月在重庆市沙坪坝区妇幼保健计划生育服务中心等20家医疗机构的孕产妇心身健康门诊研究基地,参加孕产期心身障碍检查的孕妇进行调查,计算发病率。结果共调查参加孕产期心身障碍检查的孕妇31782例,罹患孕产期心身障碍的孕妇8965例,发病率28.21%(8965/31782)。结论孕产期心身障碍发生率高且危害大,不仅影响胎儿的正常发育,还是孕期疾病、早产及自然流产的主要诱因之一,对分娩方式、产程、产后并发症亦产生影响,还会增加问题新生儿发生几率。因此应积极采取预防措施以减少该病的发生率,同时应及时开展筛检与治疗,从而提高围产保健水平和产科质量以及出生人口素质。Objective To investigate the incidence of psychosomaticdisorders （somatization functional disorders induced by maternalpsychological problems） during pregnancy and childbirth. Methods FromJanuary 2016 to June 2018, pregnant women who underwent examination ofpsychosomatic disorders during pregnancy and childbirth were selected asthe object of study to investigate the incidence of psychosomatic disordersfrom the Physical and Mental Health Clinic of the Pregnant and Maternalin 20 medical institutions, such as in Maternal and Child Health FamilyPlanning Service Center, Shapingba District, Chongqing City. ResultsThe current investigation included a total of 31,782 pregnant women forscreening psychosomatic disorders during pregnancy and childbirth. Amongthem, 8,965 pregnant women were confirmed to have psychosomaticdisorders during pregnancy and childbirth, with the estimated incidence rateof 28.21% （8 965/31 782）. Conclusion With high incidence, psychosomaticdisorders pose a major threat to health. In addition to affecting the normaldevelopment of the fetus, they are one of the primary causes of gestationaldiseases, premature birth and spontaneous abortion, and also affect themode of delivery, labor process and postpartum complications, and increasethe incidence of neonatal diseases. Therefore, active preventive measuresshould be taken to reduce the incidence of these disorders; timely screeningand treatment are also warranted to improve the quality of perinatal andobstetrics care and the health of neonates.

关 键 词：孕妇 孕产妇 焦虑 抑郁 心身障碍 心理生理性障碍 躯体型障碍 发病率 

分 类 号：R741[医药卫生—神经病学与精神病学]