产后抑郁相关因素调查

目的 探讨相关因素对产后抑郁发生的影响，找出与该病关联较强的因素，为预防该病发生的措施提供依据。方法 对612例住院分娩产妇采用爱丁堡产后抑郁量表（EPDS）以及产妇的一般情况、健康状况、社会支持等条目做问卷调查，通过EPDS量表评分将产妇分为病例组和对照组，对两组观察对象的各个相关因素进行比较，并计算其OR值，评价各因素与该病发生的关联强度。结果 城市农村人口、产前并发症、分娩方式、产后并发症、不良分娩结局、夫妻关系、孕期接受宣教、产后周围人的关心、家庭支持等因素在病例组和对照组之间差异有显著性意义（P〈0．05），且OR均提示这些因素与产后抑郁的发病有关联。结论 减少围产期并发症的发生率、重视社会支持等有助于降低产后抑郁的发生。

A survey on the related factors for postpartum depression

Objective To find out the factors involving in postpartum depression and to offer the measures to prevent this disease.Methods We investigated 612 lying-in women cases in terms of EPDS,general complexion,healthy status,and social supports via questionnaire.According to EPDS scoring,we classified the cases into two groups and calculated the OR values and evaluated the correlation between the factors and the disease.Results Such factors as city or rural area origin,prenatal and postpartum complications,delivery modes and results,relations of spouse,related medical knowledge education during pregnancy,care and supports from family members or others persons had great influence on the attack of this disease.Conclusion Measures to lower the incidence of confinement complications and pay more attention to social supports are helpful to reduce the incidence of postpartum depression.