爱丁堡产后抑郁量表评分在经产妇产后抑郁症状评估中的应用及产后抑郁的影响因素分析  

Edinburgh postnatal depression scale score for postpartum depressive symptoms in multiparas application of the assessment and analysis of the influencing factors of postpartum depression

作　　者：严程娟 胡希文[1] 傅菊萍[1] 张英[1] 毛艳 YAN Cheng-juan;HU Xi-wen;FU Ju-ping;ZHANG Ying;MAO Yan(The Sixth Department of Psychiatry,Hangzhou Seventh People's Hospital,Hangzhou,Zhejiang 310000,China)

机构地区：[1]杭州市第七人民医院精神六科,浙江杭州310000

出　　处：《中国妇幼保健》2024年第20期4005-4008,共4页Maternal and Child Health Care of China

基　　金：浙江省杭州市科技发展计划项目(2021R31Y055)。

摘　　要：目的分析爱丁堡产后抑郁量表(EPDS)评分在经产妇产后抑郁症状评估中的应用及产后抑郁的影响因素。方法纳入2021年4月—2022年4月杭州市第七人民医院收治的经产妇108例进行研究,根据产后6~8周EPDS评分将其分为产后抑郁组(28例,EPDS评分≥10分)和无产后抑郁组(80例,EPDS评分<10分),回顾性收集所有研究对象临床资料。分析EPDS评分在经产妇产后抑郁症状评估中的应用,并通过单因素分析和多因素logistic回归分析法分析经产妇产后抑郁的影响因素。结果108例经产妇产后6~8周采用EPDS评分分析,存在产后抑郁症状28例,产后抑郁发生率为25.93%。单因素分析结果显示,与无产后抑郁组比较,产后抑郁组有妊娠期疾病、分娩方式为剖宫产、家庭人均月收入<5000元、喂养方式为非纯母乳、分娩孕周为早产、新生儿结局为住院/死亡及有产后恶露异常比例更高,差异均有统计学意义(均P<0.05)。多因素logistic分析结果显示,有妊娠期疾病、家庭人均月收入<5000元、喂养方式为非纯母乳、分娩孕周为早产及新生儿结局为住院/死亡为经产妇产后抑郁的危险因素(OR=1.868、2.106、1.828、2.298及2.040,95%CI:1.094~3.190、1.191~3.726、1.199~2.785、1.083~4.878及1.313~3.171,均P<0.05)。结论EPDS评分判断经产妇产后抑郁的效果较好。经产妇产后抑郁的发生与有妊娠期疾病、家庭人均月收入<5000元、喂养方式为非纯母乳、分娩孕周为早产及新生儿结局为住院/死亡密切相关,临床可对高危经产妇采取相应干预策略,以降低产后抑郁发生率。Objective To analyze the application of Edinburgh Postnatal Depression Scale(EPDS)in the evaluation of postpartum depression symptoms in multiparas and the influencing factors of postpartum depression.Methods A total of 108 multiparas admitted to Hangzhou Seventh People's Hospital from April 2021 to April 2022 were included in the study.According to the EPDS score at 6-8 weeks after delivery,they were divided into postpartum depression group(28 cases,EPDS score≥10)and no postpartum depression group(80 cases,EPDS score<10).Clinical data of all subjects were retrospectively collected.The application of EPDS score in the evaluation of postpartum depression symptoms of multiparas was analyzed,and the influencing factors of postpartum depression of multiparas were analyzed by univariate analysis and multivariate logistic regression analysis.Results There were 28 cases of postpartum depression in 108 multiparas at 6-8 weeks after delivery,and the incidence of postpartum depression was 25.93%.Univariate analysis showed that compared with the non-postpartum depression group,the postpartum depression group had a higher proportion of pregnancy diseases,cesarean section,per capita monthly family income<5000 yuan,non-pure mother's milk feeding,preterm delivery,neonatal hospitalization or death,and abnormal postpartum locida.The differences were statistically significant(all P<0.05).Multivariate logistic regression analysis showed that pregnancy diseases,family income<5000 yuan per person per month,non-exclusive breast feeding,preterm delivery and neonatal hospitalization or death were associated with increased risk of pregnancy Risk factors for postpartum depression in multiparas(OR=1.868,2.106,1.828,2.298,2.040,95%CI:1.094-3.190,1.191-3.726,1.199-2.785,1.083-4.878,1.313-3.171,all P<0.05).Conclusion EPDS score was a good predictor of postpartum depression in multiparas.The occurrence of postpartum depression in multiparas was closely related to pregnancy diseases,family income<5000 yuan per person per month,non-exclusive b

关 键 词：经产妇 分娩 爱丁堡产后抑郁量表 产后抑郁 危险因素 

分 类 号：R7144[医药卫生—妇产科学]