影响产后抑郁相关因素的分析

目的:探讨产后抑郁发生的影响因素.方法:以2011年1月-11月在我院建立产后保健手册的500名产妇为研究对象,对产妇的一般人口学、产后情况与产后抑郁状况进行评定.结果:500名产妇中产后抑郁有120例(24.0%).单因素分析显示年龄、切口疼痛、文化程度、新生儿生长情况、夫妻感情等5个因素对产妇抑郁的影响具有统计学意义(P<0.05).多元线性回归结果显示新生儿生长情况、夫妻感情与年龄为主要危险因素(P<0.01).结论:产后抑郁的发生主要危险因素为担心年龄、新生儿生长情况与夫妻感情,应根据危险因素积极预防与治疗.

Risk factors for postpartum depression

Objectives: To discuss the risk factors for postpartum depression.Method: We selected 500 puerperae who kept their postpartum health record in our hospital from January to November 2011,and evaluted their maternal demographic,post-natal conditions and post-natal depression status.Results: Out of 500 puerperae,there were 120 cases of postpartum depression(24.0%).Univariate analysis showed that the impact of age,incision pain,literacy level,neonatal growth and marital relations had statistical significance on maternal depression(P<0.05).Results of multiple linear regression showed that neonatal growth,marital relations and age were the main risk factors(P<0.01).Conclusion: Main risk factors for the postpartum depression were age,neonatal growth and marital relations.Prevention and treatment of postpartum depression should be based on these risk factors.