产后抑郁的患病率及其影响因素的调查

目的:对产后抑郁的患病情况及其影响因素进行调查。方法:对237例产妇用爱丁堡产后抑郁量表(EPDS)及自编一般情况调查表进行评定。结果:广州市海珠区产后抑郁患病率与国内研究结果相比居中等水平。产后抑郁的主要临床表现,按严重程度排名前5位依次为自责、失眠、焦虑、悲伤、哭泣。产后抑郁组与正常组在产前焦虑、经济条件、睡眠不足、负性生活事件等方面有非常显著性差异(P<0.01)。结论:产后抑郁与经济条件、负性生活事件等多种因素有关,因此,要尽量消除不良因素,降低产后抑郁的患病率。

Clinical analysis of sickness rate and effect factors of postpartum psychosis

Objective:To investigate the prevalence rate and influence factor of postpartum psychosis.Methods:237 cases of postpartum women were estimated by Edinburgh Postnatal Depression Scale(EPDS) and some others forms designed by ourselves.Results:Incidence of postpartum psychosis in the investigated people was in the middle place within the country.Remorse,insomnia,anxiety,sadness and crying were list on the top 5 of most serious primary symptoms.Prepartum anxiety,lack of sleeping,negative affairs and bad family economics of depression women had obvious difference with those of normal women.Conclusion:Economics ,negative affairs have relations with postpartum psychosis,so we should eliminate the negative factors as far as possible,to lower the sickness rate of postpartum psychosis.