医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2015年
8期
77-80
,共4页
产后抑郁症%M eta分析%病例对照研究
產後抑鬱癥%M eta分析%病例對照研究
산후억욱증%M eta분석%병례대조연구
postpartum depression%Meta-analysis%case-control studies
采用M eta分析的方法综合筛选出中国妇女产后抑郁症发病的主要危险因素。共纳入14篇文献。病例组共计1283名产妇,对照组共计6851例非产后抑郁症产妇。M eta分析结果提示,与产后抑郁症发病关联较高的4个因素分别为:新生儿身体健康状况差、夫妻关系不和睦、产妇年龄>34周岁以及非顺产。同时,若产妇无产前焦虑,则可降低产后抑郁症的发病风险。孕产妇年龄、产科、心理以及家庭等多方面危险因素均可增加产后抑郁症的发病风险。应在产褥期密切关注上述危险因素,避免不良的内外因对产妇造成刺激。
採用M eta分析的方法綜閤篩選齣中國婦女產後抑鬱癥髮病的主要危險因素。共納入14篇文獻。病例組共計1283名產婦,對照組共計6851例非產後抑鬱癥產婦。M eta分析結果提示,與產後抑鬱癥髮病關聯較高的4箇因素分彆為:新生兒身體健康狀況差、伕妻關繫不和睦、產婦年齡>34週歲以及非順產。同時,若產婦無產前焦慮,則可降低產後抑鬱癥的髮病風險。孕產婦年齡、產科、心理以及傢庭等多方麵危險因素均可增加產後抑鬱癥的髮病風險。應在產褥期密切關註上述危險因素,避免不良的內外因對產婦造成刺激。
채용M eta분석적방법종합사선출중국부녀산후억욱증발병적주요위험인소。공납입14편문헌。병례조공계1283명산부,대조조공계6851례비산후억욱증산부。M eta분석결과제시,여산후억욱증발병관련교고적4개인소분별위:신생인신체건강상황차、부처관계불화목、산부년령>34주세이급비순산。동시,약산부무산전초필,칙가강저산후억욱증적발병풍험。잉산부년령、산과、심리이급가정등다방면위험인소균가증가산후억욱증적발병풍험。응재산욕기밀절관주상술위험인소,피면불량적내외인대산부조성자격。
This Meta‐analysis aims to evaluate the risk factors associated with postpartum depression .A total of 14 case‐control studies were included ,including 1 283 patients and 6 851 controls .The results of this Meta‐analysis suggested that ,the first four risk factors related to postpartum depression were poor health condition of infant ,bad relationship between couple ,maternal age >34y ,and non‐eutocia birth .Besides ,if women did not suffer from antenatal anxiety ,the risk of postpartum would reduce significantly .Many risk factors may increase the incidence of postpartum depression ,like women's age at delivery ,obsteric factors ,psychological problems of women ,as well as family troubles .Therefore ,special attention should be paid to women during their perinatal period ,in order to avoid negative stimulation .