椎管内分娩镇痛对产后抑郁症的影响及相关性研究进展

Research advances of intraspinal block labor analgesia on postpartum depression

近年来,产后抑郁症(postpartum depression,PPD)的发生率逐年升高,对社会及家庭产生严重影响。剧烈的分娩痛是诱发PPD的高危因素,因此,分娩镇痛与PPD的关系引起人们广泛关注。文章综述了PPD的定义、患病率及风险因素,探讨了分娩镇痛对PPD的影响及其可能的相关机制,以便进一步推广分娩镇痛,同时为PPD的临床治疗等提供新的方向。

In recent years,the incidence of postpartum depression(PPD)has increased yearly,which can seriously impact soci‑ety and families.Severe labor pain is a high‑risk factor for inducing PPD,so the relationship between labor analgesia and postpartum depression has also attracted widespread attention.This paper reviewed the definition,prevalence,and risk factors of PPD and dis‑cussed the effects of labor analgesia on PPD and its possible related mechanisms to promote labor analgesia further and provide a new direction for the clinical treatment of PPD.