产后抑郁症的发病因素和预防措施

目的:分析产后抑郁症的发病因素,探讨预防产后抑郁症的相关措施。方法:选择450例产妇作为研究对象,采用EPDS(爱丁堡产后抑郁量表)、产科情况调查表、新生儿及产妇一般情况调查表,在分娩后3~7 d内,对产妇进行调查,了解产妇产后抑郁情况。结果:450例产妇中,68例有产后抑郁症,占15.1%,382例无产后抑郁症,占84.9%。新生儿健康状况、睡眠质量、社会支持、夫妻关系、固定收入、文化程度均与产后抑郁症明显相关(P<0.05);分娩方式与产后抑郁症的发生无显著相关性(P>0.05)。结论:夫妻感情、经济收入、睡眠质量、新生儿健康、社会支持、文化程度等均是引发产后抑郁症的重要因素,临床上应对产后抑郁症引起充分的重视,早期实施干预,以减少产后抑郁症的发生。

Postpartum depression risk factors and preventive measures

Objective To analyze the pathogenic factors of postpartum depression,to explore the related measures for the prevention of postpartum depression.Methods 450 cases of pregnant women as the research object,using the EPDS（the Edinburgh postnatal depression scale）,neonatal and maternal obstetric questionnaire,questionnaire,after delivery in 3~7 d,carries on the investigation to understand the situation of women,postpartum depression.Results 450 cases of pregnant women,68 cases with postpartum depression,accounting for 15.1%,382 cases without postpartum depression,accounted for 84.9%.Neonatal health status, sleep quality,social support,the relationship between husband and wife,fixed income,education level were significantly associated with postpartum depression（P〈0.05）;there was no significant correlation between the occurrence of the mode of delivery and postpartum depression（P＆gt;0.05）.Conclusion The feelings of husband and wife,economic income,sleep quality,neonatal health,social support,education level are important factors causing postpartum depression,postpartum depression clinical should arouse sufficient attention,early intervention,to reduce the incidence of postpartum depression.