孕产妇抑郁中医治疗对策的临床研究  

Clinical Study on TCM Treatment Strategies of Maternal Depression

作　　者：张翔昱 ZHANG Xiangyu(Department of Traditional Chinese Medicine and Gynecology,Weihai Hospital of Traditional Chinese Medicine,Weihai,Shandong Province,264200 China)

机构地区：[1]威海市中医院中医妇科,山东威海264200

出　　处：《中外医疗》2022年第7期187-189,198,共4页China & Foreign Medical Treatment

基　　金：山东省中医药科技发展计划项目(2019-0775)。

摘　　要：目的分析中医心理治疗对有抑郁倾向或者抑郁状态孕产妇的疗效。方法方便选取2019年11月—2020年8月山东省威海市中医院中医妇科孕12周前孕妇共120例为研究对象,分为对照组(予以常规宣教)、研究组(在常规宣教的基础上,再加以中医心理治疗)各60例,用焦虑自评量表、抑郁自评量表、爱丁堡产后抑郁量表测评心理问题,记录其分娩方式及相关症状。结果研究组产妇剖宫产率低于对照组,差异无统计学意义(χ^(2)=0.137,P>0.05)。孕产妇抑郁自评量表评分孕中期研究组评分(46.81±6.77)分低于对照组(48.27±7.80)分,差异无统计学意义(t=-1.094,P>0.05);研究组孕晚期及产褥期评分分别为(47.06±6.08)分、(37.17±8.55)分明显低于对照组(49.39±5.61)分、(45.00±8.32)分,差异有统计学意义(t=-2.185、-5.083,P<0.05)。孕产妇自评焦虑量表研究组孕中期、孕晚期及产褥期评分分别为(42.13±4.18)分、(44.79±4.09)分、(38.67±6.69)分明显低于对照组(45.08±5.04)分、(47.48±2.48)分、(41.21±6.01)分,差异有统计学意义(t=-3.500、-4.354、-2.189,P<0.05)。爱丁堡产后抑郁量表评分研究组(7.15±1.52)分明显低于对照组(9.43±2.15)分,差异有统计学意义(t=-6.706,P<0.05)。结论通过中医心理治疗,可纠正孕产妇抑郁状态及倾向,改善孕产妇生活质量及妊娠结局,改善母婴结局。Objective To analyze the effect of traditional Chinese medicine psychotherapy on pregnant women with depression tendency or depression.Methods A total of 120 pregnant women before 12 weeks of pregnancy in department of Gynecdogy,Weihai Hospital of Traditional Chinese Medicine from November 2019 to August 2020 were conveniently selected as subjects.They were divided into the control group(given routine education)and the study group(given psychological treatment of traditional Chinese medicine on the basis of routine education),with 60 cases in each group.The psychological problems were evaluated by self-rating anxiety scale,self-rating depression scale and edinburgh postpartum depression scale,and the mode of delivery and related symptoms were recorded.Results The cesarean section rate of the study group was lower than that of the control group,and the difference was not statistically significant(χ^(2)=0.137,P>0.05).The score of self-rating depression scale for pregnant women in the study group(46.81±6.77)points was lower than that in the control group(48.27±7.80)points,and the difference was not statistically significant(t=-1.094,P>0.05).The scores of late pregnancy and puerperium in the study group were(47.06±6.08)points and(37.17±8.55)points,which were significantly lower than(49.39±5.61)points and(45.00±8.32)points in the control group,the difference was statistically significant significant(t=-2.185,-5.083,P<0.05).The scores of mid-pregnancy,late pregnancy and puerperium in the study group were(42.13±4.18)points,(44.79±4.09)points and(38.67±6.69)points,which were significantly lower than(45.08±5.04)points,(47.48±2.48)points and(41.21±6.01)points in the control group,the difference was statistically significant significant(t=-3.500,-4.354,-2.189,P<0.05).The score of edinburgh postpartum depression scale in the study group(7.15±1.52)points was significantly lower than that in the control group(9.43±2.15)points,and the difference was statistically significant(t=-6.706,P<0.05).Conclusion The psycho

关 键 词：孕产妇 抑郁状态 中医心理治疗 

分 类 号：R714[医药卫生—妇产科学]