摘要
目的 探讨孕产妇分娩前后心身健康状况,为临床干预提供依据.方法 对100名孕产妇产前、产后1周、4周、12周末采用焦虑自评量表、抑郁自评量表和爱丁堡产后抑郁量表评定焦虑抑郁状况,于产前、产后1周末检测血清雌二醇和孕酮水平.结果 入组被试产后焦虑自评量表、抑郁自评量表和爱丁堡产后抑郁量表评分随着时间的延续均呈持续性下降（P＜0.05或0.01）;产前及产后1周、4周、12周末焦虑症状检出率分别为3.0%、2.0%、2.0%、1.0%;抑郁症状检出率分别为12.0%、8.0%、7.0%、3.0%;产前及产后1周末抑郁症状检出率最高,产后4周逐渐下降;不同文化程度孕产妇产前产后焦虑自评量表评分差异无显著性（P＞0.05）,抑郁自评量表和爱丁堡产后抑郁量表评分差异有显著性（P＜0.05）;产妇产后1周末伴发与非伴发焦虑抑郁症状者血清雌二醇和孕酮检测水平均较产前下降（P＜0.01）.结论 妊娠及分娩对孕产妇的心身健康状况有明显影响,应引起重视.
Objective To explore antepartum and postpartum psychosomatic health status of pregnant women in order to provide basis for clinical intervention. Methods Anxiety-depression status was assessed with the the Sself-rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS） and Edingburgh Post- natal Depression Scale （EPDS） in 100 pregnant women at antepartum and the end of the 1st, 4th and 12th week after childbirth, serum estradiol （E2） and progesterone levels were detected before childbirth and at the end of the 1st week after. Results After childbirth, their scores of the SAS, SDS and EPDS lowered continuatively over time （P〈0.05 or 0.01）. Detection rates were 3.0% before childbirth, 2.0% at the end of the 1st week after childbirth, 2.0% 4th and 1.0% 12th respectively, those of depression 12.0%, 8.0%, 7.0% and 3.0 %, and those of depression were the highest before childbirth and at the end of the 1st week after childbirth, detection rates of depression were the highest before childbirth and at the end of the 1st week after childbirth and gradually lowered at the end of the 4th. Antepartum and postpartum SAS scores had no significant differences in educational levels （P〉0.05） ; Dectetion results of E2 and progesterone at the end of the 1st week lowerd more significantly compared with anteparum in the pregnant women with and without anxiety-depression symptoms （P〈0.01）. Conclusion Pregnancy and labour have great influence to women＇s psychosomatic health mental status, as should be paid attention to.
出处
《临床心身疾病杂志》
CAS
2011年第4期357-359,共3页
Journal of Clinical Psychosomatic Diseases
