产后精神障碍的临床分析与防治

A clinical analysis of psychosis after childbirth and its prevention and treatment

目的:探讨产后精神障碍的发病因素、愈后及防治办法。方法:对116例产后精神障碍的发病因素进行临床分析,根据临床症状分类诊断与治疗,对治疗效果进行观察。结果:显示该病的发生与心理因素,产褥期感染、难产、产次、失血过多、文化程度、病前性格、遗传因素、内分泌、健康状况、新生儿性别、接生技术等多因素有关。结论:本组病例根据临床症状、诱发因素分类诊断,选用不同类型的抗精神病药物对症治疗及心理治疗。其愈后效果良好。

Objective：To explore the pathogenic factors, prognosis, prevention and treatment in psychosis after childbirth. Methods：One hundred and sixteen patients with psychosis after childbirth have been clinically analyzed in their pathogenic factors. They were classified into different groups and treated in different methods, based on their clinical manifestations. The therapeutic effects were recorded. Results： A great variety of factors such as mental factors, infection in puerperium dystociafreguency of childbirth, too much blood loss, cultural level, character before stiffer from illness, inheritances, endocrine, the health condition, sex of the newborn, technique of the midwife et cetera are related to the etiology for this disease. Conclusions： Depend upon different symptoms and pathogenic factors, different sorts of antipsychotic drugs were selected for beth symptomatic therapy and mental treatment. Fine prognoses were brought to the patient＇s by such measures.