CAJ | 학술논문

目的评价分娩镇痛对产后抑郁症发生的影响.方法单胎头位足月初产妇70例,年龄20～ 35岁,BMI＜27 kg/m2,孕龄38～41周,ASA分级Ⅰ级,采用随机数字表法,将其分为2组(n=35):自然分娩组(VD组)和分娩镇痛组(LA组).LA组于宫口2～3 cm时于L23间隙行脊椎-硬膜外联合穿刺,行脊椎-硬膜外联合分娩镇痛,维持VAS评分＜3分.于分娩后42 d进行爱丁堡产后抑郁量表评分,记录抑郁症发生情况.结果 VD组和LA组产后抑郁症发生率分别为40％和17％,LA组低于VD组(P＜0.05).结论分娩镇痛可降低产后抑郁症的发生.
목적 평개분면진통대산후억욱증발생적영향.방법 단태두위족월초산부70례,년령20～ 35세,BMI＜27 kg/m2,잉령38～41주,ASA분급Ⅰ급,채용수궤수자표법,장기분위2조(n=35):자연분면조(VD조)화분면진통조(LA조).LA조우궁구2～3 cm시우L23간극행척추-경막외연합천자,행척추-경막외연합분면진통,유지VAS평분＜3분.우분면후42 d진행애정보산후억욱량표평분,기록억욱증발생정황.결과 VD조화LA조산후억욱증발생솔분별위40％화17％,LA조저우VD조(P＜0.05).결론 분면진통가강저산후억욱증적발생.
Objective To evaluate the effect of labor analgesia on the development of postpartum depression.Methods Seventy nulliparous parturients who were at full term with a singleton fetus in vertex presentation,aged 20-35 yr,with body mass index＜27 kg/m2,at 38-41 weeks of gestation,of ASA physical status Ⅰ,were enrolled and divided into 2 groups (n =35 each) using a random number table:vaginal delivery group (group VD) and labor analgesia group (group LA).In LA group,the epidural catheter was placed at L2,3 interspace for combined spinal-epidural analgesia when their cervical dilations were in 2-3 cm.VAS score was maintained below 3 after the analgesia.Parturients completed Edinburgh Postnatal Depression Scale questionnaires 42 days after the labor.The development of depression was recorded.Results The incidence of postnatal depression was significantly lower in LA group (17％) than in VD group (40％).Conclusion Labor analgesia can decrease the development of postpartum depression.