国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
10期
1463-1465
,共3页
产后抑郁症%发生率%发病因素
產後抑鬱癥%髮生率%髮病因素
산후억욱증%발생솔%발병인소
Postpartum depression%Incidence%Risk factor
目的 探讨产后抑郁症的发生率及其相关的发病因素.方法 采用我院自制的调查问卷对245例分娩后第30 d的产妇进行产后抑郁调查.结果 245例产妇中,EPDS总分≥13分的产妇52例,产后抑郁症的发生率为21.22％;孕期及分娩期夫妻关系一般、围产期医务人员态度一般、想生男孩的传统观念强烈、产后泌乳情况较差、分娩知识了解较差的产妇,发生产后抑郁症的比例明显高于以上几项内容良好并无强烈想生男孩的传统观念的产妇(p＜0.05);顺产的产妇发生产后抑郁症的比例略低于难产的产妇,但差异无显著性(P＞0.05).结论 产妇发生产后抑郁症的比例主要受与产妇相关的社会因素影响；只要对产后抑郁症给予足够的重视,尽早发现对产妇具有不良影响的因素,及时治疗与预防,就能有明显的临床效果.
目的 探討產後抑鬱癥的髮生率及其相關的髮病因素.方法 採用我院自製的調查問捲對245例分娩後第30 d的產婦進行產後抑鬱調查.結果 245例產婦中,EPDS總分≥13分的產婦52例,產後抑鬱癥的髮生率為21.22％;孕期及分娩期伕妻關繫一般、圍產期醫務人員態度一般、想生男孩的傳統觀唸彊烈、產後泌乳情況較差、分娩知識瞭解較差的產婦,髮生產後抑鬱癥的比例明顯高于以上幾項內容良好併無彊烈想生男孩的傳統觀唸的產婦(p＜0.05);順產的產婦髮生產後抑鬱癥的比例略低于難產的產婦,但差異無顯著性(P＞0.05).結論 產婦髮生產後抑鬱癥的比例主要受與產婦相關的社會因素影響；隻要對產後抑鬱癥給予足夠的重視,儘早髮現對產婦具有不良影響的因素,及時治療與預防,就能有明顯的臨床效果.
목적 탐토산후억욱증적발생솔급기상관적발병인소.방법 채용아원자제적조사문권대245례분면후제30 d적산부진행산후억욱조사.결과 245례산부중,EPDS총분≥13분적산부52례,산후억욱증적발생솔위21.22％;잉기급분면기부처관계일반、위산기의무인원태도일반、상생남해적전통관념강렬、산후비유정황교차、분면지식료해교차적산부,발생산후억욱증적비례명현고우이상궤항내용량호병무강렬상생남해적전통관념적산부(p＜0.05);순산적산부발생산후억욱증적비례략저우난산적산부,단차이무현저성(P＞0.05).결론 산부발생산후억욱증적비례주요수여산부상관적사회인소영향；지요대산후억욱증급여족구적중시,진조발현대산부구유불량영향적인소,급시치료여예방,취능유명현적림상효과.
Objective To investigate the incidence of postpartum depression and its associated risk factors.Methods Hospital-made questionnaire survey was used to investigate the maternal postpartum depression status of 245 cases 30 days after delivery.Results Among all 245 cases of maternity,there were 52 cases with the EPDS score ≥ 13points,21.22％ of the incidence of postpartum depression; for those maternity patients who had poor husband-wife relationship during pregnancy and childbirth period,the poor attitude of the medical staff of the perinatal period,strong traditional concept of wanting a boy; poorer postpartum lactation and poor maternity knowledge,the incidence of postpartum depression was significanily higher than that of those maternity patients who had no above several elements and the strong traditional concept of liking a boy(P＜0.05); the depression ratio of normal production maternal postpartum was slighdy lower than that of dystocia matemal,but the difference was not statistically significant(P＞0.05).Conclusion The rate of maternal postpartum depression is mainly affected by the social factors associated to maternity patients、in order to reduce the incidence of postpartum depression,enough attention should be paid to the early detection of adverse factors and timely treatment and prevention should be carried out to get the obvious clinic effects.
