应用PPM治疗孕期抑郁的临床研究

Clinical Study on PPM Therapy to Depression During Pregnancy

目的应用PPM干预措施治疗孕期抑郁的效果观察[PPM是干预措施中生理调控（Physiological regulation）、心理调节（Psychological adjustment）、音乐调理（Music conditioning）三个英文单词的首字母]。方法对2015年8~9月在天津市滨海新区大港妇女儿童保健中心、广州市越秀区妇幼保健院参加产检的初产妇进行孕期抑郁障碍筛查,符合入组标准的孕妇随机分成实验组和对照组各11人,对照组进行传统健康教育干预,实验组在传统健康教育干预基础上应用PPM治疗。结果实验组治疗后EPDS评分与对照组治疗后EPDS评分有差异（P〈0.01）。实验组治疗后自主神经系统功能状态与对照组治疗后自主神经系统功能状态有差异。结论应用PPM能有效改善孕妇自主神经系统功能及孕期的抑郁障碍,疗效显著。

Objective To observe the effect of PPM as interventions in treatment of depression during pregnancy [PPM refer to physiological regulation,psychological adjustment,music conditioning]. Methods A screening was made for pregnant women with depression during pregnancy who attended the prenatal inspection in women＇s and children＇s health center,dagang,binhai new area,tianjin,and women＇s and children＇s health hospital,yuexiu district,guangzhou from August to September in 2015. The pregnant women meeting the inclusion criteria were randomly divided into experimental group and control group,11 persons each group,control group received the PPM therapy,and experimental group the PPM therapy on the basis of the traditional health education intervention. Results In the post-therapy EPDS scores,there was a significant difference between these two groups（P〈0.01）,also,in the post-therapy functional status of the autonomic nervous system,there was a significant difference too between these two groups. Conclusion The use of PPM can effectively improve the autonomic nervous system function and the depression disorder in the pregnant women,so having a significant effect.