中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
1期
20-21,22
,共3页
干预措施%产后%抑郁症
榦預措施%產後%抑鬱癥
간예조시%산후%억욱증
Intervention%Postpartum%Depression
目的：观察干预措施对产后抑郁症发生率及疗效的影响。方法：选择在笔者所在医院产检和分娩的孕妇2646例，随机均分为对照组和干预组，各1323例。对两组孕妇孕期行医院焦虑-抑郁自评量表(HAD)测试(≥11分为焦虑抑郁情绪)，产后行艾迪产后抑郁量表(EPDS)测试(≥13分诊断为产后抑郁症)。对干预组孕妇行6项干预措施，对照组未实施干预措施，观察两组产后抑郁症发生率及疗效。结果：(1)HAD≥11分，对照组129例(9.75%)，其中产后抑郁症发病64例(49.61%)；干预组133例(10.05%)，其中产后抑郁症发病29例(21.80%)，两组比较差异有统计学意义(P<0.01)。(2)EPDS≥13分，对照组198例(14.95%)，干预组80例(6.05%)，两组比较差异有统计学意义(P<0.01)。(3)对照组半年治愈及一年治愈分别为46例(26.77%)和138例(69.70%)，干预组半年治愈及一年治愈分别为42例(52.50%)和76例(95.00%)，两组比较差异有统计学意义(P<0.01)。结论：产前焦虑、抑郁情绪、产后心理和生理变化是产后抑郁症的高危因素，干预措施能够显著降低产后抑郁症的发生率，提高治愈率，值行推广。
目的：觀察榦預措施對產後抑鬱癥髮生率及療效的影響。方法：選擇在筆者所在醫院產檢和分娩的孕婦2646例，隨機均分為對照組和榦預組，各1323例。對兩組孕婦孕期行醫院焦慮-抑鬱自評量錶(HAD)測試(≥11分為焦慮抑鬱情緒)，產後行艾迪產後抑鬱量錶(EPDS)測試(≥13分診斷為產後抑鬱癥)。對榦預組孕婦行6項榦預措施，對照組未實施榦預措施，觀察兩組產後抑鬱癥髮生率及療效。結果：(1)HAD≥11分，對照組129例(9.75%)，其中產後抑鬱癥髮病64例(49.61%)；榦預組133例(10.05%)，其中產後抑鬱癥髮病29例(21.80%)，兩組比較差異有統計學意義(P<0.01)。(2)EPDS≥13分，對照組198例(14.95%)，榦預組80例(6.05%)，兩組比較差異有統計學意義(P<0.01)。(3)對照組半年治愈及一年治愈分彆為46例(26.77%)和138例(69.70%)，榦預組半年治愈及一年治愈分彆為42例(52.50%)和76例(95.00%)，兩組比較差異有統計學意義(P<0.01)。結論：產前焦慮、抑鬱情緒、產後心理和生理變化是產後抑鬱癥的高危因素，榦預措施能夠顯著降低產後抑鬱癥的髮生率，提高治愈率，值行推廣。
목적：관찰간예조시대산후억욱증발생솔급료효적영향。방법：선택재필자소재의원산검화분면적잉부2646례，수궤균분위대조조화간예조，각1323례。대량조잉부잉기행의원초필-억욱자평량표(HAD)측시(≥11분위초필억욱정서)，산후행애적산후억욱량표(EPDS)측시(≥13분진단위산후억욱증)。대간예조잉부행6항간예조시，대조조미실시간예조시，관찰량조산후억욱증발생솔급료효。결과：(1)HAD≥11분，대조조129례(9.75%)，기중산후억욱증발병64례(49.61%)；간예조133례(10.05%)，기중산후억욱증발병29례(21.80%)，량조비교차이유통계학의의(P<0.01)。(2)EPDS≥13분，대조조198례(14.95%)，간예조80례(6.05%)，량조비교차이유통계학의의(P<0.01)。(3)대조조반년치유급일년치유분별위46례(26.77%)화138례(69.70%)，간예조반년치유급일년치유분별위42례(52.50%)화76례(95.00%)，량조비교차이유통계학의의(P<0.01)。결론：산전초필、억욱정서、산후심리화생리변화시산후억욱증적고위인소，간예조시능구현저강저산후억욱증적발생솔，제고치유솔，치행추엄。
Objective:To observe the influence of intervention measures to the incidence of postpartum depression and effects.Method:2646 patients, who had been done with antenatal examination and delivered in our hospital,were divided into the control group and the intervention group(1323 cases in each group).HAD test was done to the two groups of pregnant women during the process of pregnant periods(regarding the level of more than or equal to 11 scores as the anxiety depression emotion).EPDS after giving birth was given(regarding the level of more than or equal to 13 scores as diagnosing postpartum depression).For the intervention group,sixes aspects of measures were given.The measures weren’t applied to the control group.The incidence and effects of postpartum depression of two groups were observed.Result:(1)The score of HAD was more than or equal to 11,129 cases(9.75%) in the control group,64 cases(49.61%) occurred to postpartum depression.133 cases(10.05%) in the intervention group,29 cases(21.80%) occurred to postpartum depression.By comparison with the groups,there was statistical significance(P<0.01).(2)The score of EPDS was more than or equal to 13,there were 198 patients in the control group,taking up 14.95%and 80 patients in the intervention group,taking up 6.05%.By comparison with the two groups,there was statistical significance(P<0.01).(3)By comparison with the healing rate,the half a year and one year of healing rate were respectively 46 cases(26.77%) and 138 cases(69.70%) in the control group.The half a year of healing rate were respectively 42 cases(52.50%) and 76 cases(95.00%),there was statistical significance(P<0.01).Conclusion:The prenatal anxiety,depression emotion, postpartum psychological and physiological changes are the high risk factors of postpartum depression.The intervention could decrease the incidence of postpartum depression and promote the healing rate,it is worth advocating.
