产后抑郁诱发因素临床探讨

目的：调查产后抑郁症的诱发因素，提高产后妇女的健康水平。方法：对本院2012年10月-2013年10月1800例产妇进行临床资料分析，采用本院自行设计的调查问卷、爱丁堡产后抑郁量表（EPDS）、抑郁自评量表（SDS）进行调查，其中236例产后抑郁症患者。结果：产后抑郁症的发生率为13．11％，产后抑郁症诱因为年龄、文化程度、地域、分娩方式、新生儿的性别、孕期产前教育、婚姻情况、异常孕产史、产后并发症等，其中文化程度、孕期情况、婚姻情况及产后并发症是主要危险因素。结论：多种因素可诱发产后抑郁症，重点加强产前健康教育，进行心理疏导干预能降低产后抑郁的发生，减少对母婴和家庭的影响。

Clinical Discussion of Causative Factor in Postpartum Depression

Objective： To investigate inducing factors of postpartum depression, to ~mprove the health status of postpartum women. Method： From October 2012 to October 2013 , clinical data of 1800 cases of maternal were analyzed by using our own design of questionnaire, the Edinburgh postnatal depression scale （ EPDS ） and depression self rating scale （ SDS ）, including 236 patients with postpartum depression. Result： The incidence of postpartum depression was 13.11%, postpartum depression triggers included age, culture level, regional, newborn gender, pregnancy, childbirth way prenatal education, marriage status, abnormal maternal history, postpartum complications.The degree of cuhure, situation, marriage status and postpartum complications during pregnancy were major risk factors. Conclusion： The key to strengthen the pro- natal health education and psychological counseling intervention can reduce the incidence of postpartum depression, reduce the effect of maternal and child and family.