产后抑郁症与产后尿失禁的相关性研究

Correlation study of postpartum depression and urinary incontinence

目的:探讨产后抑郁症和产后尿失禁的相关性。方法:选择1 263例孕产妇参与有关健康问卷调查。在产后12周,对完成调查者评估有无尿失禁和抑郁症。尿失禁的严重程度采用Sandvik指数评估,用Edinburgh产后抑郁量表(EPDS)对抑郁症进行评估(EPDS≥10分定义为抑郁症)。结果:产后12周,有121例(12.6%)产妇诊断为尿失禁;其中有83例(68.6%)诊断为轻度尿失禁,36例(29.8%)为中度尿失禁,2例(1.7%)为重度尿失禁。有14.8%(143/961)的产妇诊断为抑郁症。存在尿失禁的产妇抑郁症的患病率为23.1%,高于无尿失禁的产妇抑郁症的患病率13.7%(P<0.05)。结论:产后抑郁症与产后尿失禁有相关性。

Objective: To investigate the correlation between postpartum depression and urinary incontinence( UI). Methods: One thousand two hundred and sixty-three pregnant women were investigated using the relevant health questionnaire. The postpartum depression and UI were investigated at postpartum 12 weeks. The severity of UI and depressive symptoms were assessed using Sandvik index,and Edinburgh Postpartum Depression Scale( EPDS≥10 as depression),respectively. Results: At postpartum 12 weeks,the UI in 121 women( 14. 8%) was diagnosed,which included 83 cases( 68. 6%) with mild UI,36 cases( 29. 8%) with moderate UI,and 2 cases( 1. 7%) with severe UI. Depression in 143 cases( 14. 8%) was identified. The incidence rate of depression in puerpera with UI( 23. 1%) was higher than that in puerpera without UI( 13.7%)( P <0.05). Conclusions: The postpartum depression is related to the UI.