产后抑郁症的筛查标准及发病因素探讨

分析了我院1992年2月1日～4月30日住院分娩产妇中167例应用艾氏产后抑郁量表(EPDS)的情况,并分析其发病因素。其产后抑郁症阳性率为11.38％(19/167),真阳性率为15.25％(9/59)。 EPDS在产后抑郁症的筛查中其灵敏性高,对高危妇女的筛查是可行的,使患者得到尽早发现及治疗。 产后抑郁症的发病因素与社会的支持及夫妻关系有密切关系。其症状往往与关于婴儿或丈夫的事为主,表现爱哭,孤僻,悲观厌世,犯罪感等,在产后4～6周明显,持续2周～3个月,严重者可发展为产后精神病,影响母婴的身心健康。

Probe of Screen Standards and Factors on Postpartum Depression

The authors analysed 167 women diliveried from February to April in 1992 in our hospital by using EPDS. The results shown that the positive rate of EPDS was 11. 39% (19/167). Some social an,d psychological factors such as lacking support from the women's relatives,poor marital relationship seems to significantly associated with postnatal depression.PPD will seriously affect women's physical, mental health and welling being,her child's early education causing delayed development and her family causing a great deal of suffering,even causing devorce and suicide.EPDS is sensitive and feasible to identify the high risk women in order to treat them as early as possible.