产后抑郁的患病率及其影响因素的调查

Clinical analysis of sickness rate and effect factors of postpartum psychosis

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。

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.