临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2014年
16期
1374-1376
,共3页
腰-硬联合阻滞%无痛分娩%产后抑郁
腰-硬聯閤阻滯%無痛分娩%產後抑鬱
요-경연합조체%무통분면%산후억욱
Combined spinal-epidural block%Labor analgesia%Postpartum depression
目的探讨腰-硬联合阻滞分娩镇痛对产后抑郁的影响。方法选择徐州医学院附属医院产科300例足月初产孕妇，分为常规分娩组（A组，150例）和无痛分娩组（C组，150例），使用爱丁堡产后抑郁量表（EPDS）对两组患者于孕37周（ T0）、分娩后3天（ T1），分娩后42天（ T2）进行测评。比较两组患者T0、T1、T2时的EPDS评分和产后抑郁的发生率。结果排除A组24例和C组19例改行剖宫产术的产妇，两组产妇在T0时的EPDS评分比较差异无统计学意义（ P﹥0.05）。T1时的EPDS评分，C组（7.27±2.88）明显低于A组（8.18±3.04），差异有统计学意义（ P ﹤0.05）；T2时的EP-DS评分，C组（8.32±2.63）亦明显低于A组（9.13±2.91），差异有统计学意义（ P ﹤0.05）。T1时产后抑郁发生率C组（13.7%）明显低于A组（23.8%），差异有统计学意义（ P ﹤0.05），T2时产后抑郁发生率C组（15.0%）亦明显低于A组（27.9%），差异有统计学意义（ P ﹤0.05）。结论与常规分娩产妇比较，使用腰-硬联合阻滞无痛分娩的产妇产后EPDS评分低，产后抑郁的发生率降低。
目的探討腰-硬聯閤阻滯分娩鎮痛對產後抑鬱的影響。方法選擇徐州醫學院附屬醫院產科300例足月初產孕婦，分為常規分娩組（A組，150例）和無痛分娩組（C組，150例），使用愛丁堡產後抑鬱量錶（EPDS）對兩組患者于孕37週（ T0）、分娩後3天（ T1），分娩後42天（ T2）進行測評。比較兩組患者T0、T1、T2時的EPDS評分和產後抑鬱的髮生率。結果排除A組24例和C組19例改行剖宮產術的產婦，兩組產婦在T0時的EPDS評分比較差異無統計學意義（ P﹥0.05）。T1時的EPDS評分，C組（7.27±2.88）明顯低于A組（8.18±3.04），差異有統計學意義（ P ﹤0.05）；T2時的EP-DS評分，C組（8.32±2.63）亦明顯低于A組（9.13±2.91），差異有統計學意義（ P ﹤0.05）。T1時產後抑鬱髮生率C組（13.7%）明顯低于A組（23.8%），差異有統計學意義（ P ﹤0.05），T2時產後抑鬱髮生率C組（15.0%）亦明顯低于A組（27.9%），差異有統計學意義（ P ﹤0.05）。結論與常規分娩產婦比較，使用腰-硬聯閤阻滯無痛分娩的產婦產後EPDS評分低，產後抑鬱的髮生率降低。
목적탐토요-경연합조체분면진통대산후억욱적영향。방법선택서주의학원부속의원산과300례족월초산잉부，분위상규분면조（A조，150례）화무통분면조（C조，150례），사용애정보산후억욱량표（EPDS）대량조환자우잉37주（ T0）、분면후3천（ T1），분면후42천（ T2）진행측평。비교량조환자T0、T1、T2시적EPDS평분화산후억욱적발생솔。결과배제A조24례화C조19례개행부궁산술적산부，량조산부재T0시적EPDS평분비교차이무통계학의의（ P﹥0.05）。T1시적EPDS평분，C조（7.27±2.88）명현저우A조（8.18±3.04），차이유통계학의의（ P ﹤0.05）；T2시적EP-DS평분，C조（8.32±2.63）역명현저우A조（9.13±2.91），차이유통계학의의（ P ﹤0.05）。T1시산후억욱발생솔C조（13.7%）명현저우A조（23.8%），차이유통계학의의（ P ﹤0.05），T2시산후억욱발생솔C조（15.0%）역명현저우A조（27.9%），차이유통계학의의（ P ﹤0.05）。결론여상규분면산부비교，사용요-경연합조체무통분면적산부산후EPDS평분저，산후억욱적발생솔강저。
Objective To explore the influence of combined spinal - epidural block analgesia on the occurrence of postpartum depression. Methods Three hundred nulliparous parturients in this hospital were allocated into control group(group A,parturients in this group didn't accept any anesthesia for labor,n =150)and experimental group(group C,parturients in this group received combined spinal - epidural block analgesia for labor,n =150 ). Edinburgh Postnatal Depression Scale(EPDS)had been applied to test the parturients in 37 weeks(T0 )of pregnancy,postpartum 3 days(T1 )and postpartum 42 days(T2 ). The scores of EPDS in T0 ,T1 and T2 were compared between these two groups. Results Besides 24 parturients in group A and 19 parturients in group C chosen cesarean section during the delivery,there was no significant difference in EPDS at T0( P ﹥0.05). The scores of EPDS in group C(7.27 ±2.88)were obviously lower than those of group A(8.18 ±3.04)at T1 ,and their difference was difference between these two groups was significan(t P ﹤0.05). The incidence of postpartum depression in group C(13. 7%)was obviously lower than that of group A(23.8%)at T1,and their difference was significan(t P ﹤0.05). The incidence of postpartum depression in group C(15.0%) was obviously lower than that of group A(27.9%)at T2,and their difference was significan(t P ﹤0.05). Conclusion In comparison with control group,parturients received combined spinal - epidural block analgesia during labor had lower postpartum EPDS scores and lower incidence of postpartum depression.
