产后抑郁症的相关危险因素探讨

目的探讨产后抑郁症发生的影响因素。方法采用自编一般资料调查表、爱丁堡产后抑郁量表,对182名产妇进行问卷调查,并对调查结果进行统计学分析。结果 182名产妇产后抑郁发生率为20.3%;孕期抑郁知识缺乏的产妇较孕期抑郁知识丰富产妇的产后抑郁症患病率高（P〈0.05）;睡眠状况差的产妇较睡眠好产妇产后抑郁症患病率高（P〈0.05）;剖宫产的产妇较顺产的产妇产后抑郁症患病率高（P〈0.05）;不同学历产妇产后抑郁症发病率差异无统计学意义（P〉0.05）。结论孕期抑郁知识了解缺乏、睡眠状况差、剖宫产的产妇发生产后抑郁症的风险增大。

Investigation on the risk factors of postpartum depression

Objective To investigate the risk factors of postpartum depression.Methods A total of 182 puerperas were investigated by Edinburgh postnatal depression scale(EPDS) and self-designed questionnaire.All data were statistically analyzed.Results The incidence of postpartum depression was 20.3% among 182 puerperas.The incidence of postpartum depression of puerperas who were lack of postpartum depression knowledge was higher than the puerperas who understood it.Bad sleep puerperas had higher incidence of postpartum depression than good sleep puerperas.Puerperas with cesarean section had higher incidence of postpartum depression than the puerperas with spontaneous delivery.The incidence of postpartum depression had no significant difference among parturients with different education levels.Conclusion Puerperas with less knowledge of postpartum depression,poor sleep and cesarean section have high incidence of postpartum depression.