产后抑郁症干预措施的探讨及有效性的评估

目的探讨针对孕产妇保护性和危险性因素制定的综合干预措施的有效性。方法选取产后42d复查的800位产妇进行问卷调查，通过分析找出与产后抑郁症有关的保护性和危险性因素，针对这些影响因素对300位孕妇进行孕期、产时、产后干预，产后42d进行调查，对两组的调查结果进行评估。结果孕期保健、分娩的准备、家人帮助等9项相关因素对产后抑郁症的发生有统计学意义。观察组中产后抑郁症的发生率为18．13％，对照组产后抑郁症的发生率比观察组下降了4．72％，但无统计学意义。结论产后抑郁症的发生原因是多因素的，针对其影响因素进行预防性干预，可以降低产后抑郁症发生。

A study of postpartum depression intervention measures and effectiveness evaluation

[ Objective ] The study aims to identify the independent protective and risk factors ot postpartum depression and to evaluate the effect of comprehensive intervention measures on reducing the incidence of this disease. [ Methods ] The protective and risk factors of postpartum depression have been evaluated by using General Situation Questionnaire and the Edinburgh Postnalal Depression Scale （EPDS） in 800 lying-in mother on day 42nd after delivery. Based on these factors found in our questionnaire studies, another group of pregnant women （n=300） have been recruited to receive comprehensive intervention measures during pregnancy, birth as well as postpartum, and the efficiency of this intervention has also been evaluated on day 42nd after delivery. [ Results ] Prenatal care, the preparation for parturition and family support are three independent protective factors of postpartum depression. The incidence of postpartum depression in our intervention group was 13.41%. Compared to the 18.13% of the first group; it has been lowered as much as 4.72%. However, the incidence between these two groups had no significant difference（P〉0.05）. [ Conclusion ] Multiple factors contribute to the development of postpartum depression. To lower the incidence of this disease, a well-established early intervention measure based on both protective and risk factors is warranted for clinical practice.