围产期精神障碍筛查与诊治专家共识

Expert Consensus on Screening,Diagnosis and Treatment of Perinatal Mental Disorders

围产期精神障碍是妊娠期常见疾病之一,可能导致孕产妇及其子代出现不良结局。当前越来越多的女性在孕产期可能出现焦虑、抑郁等情绪问题,既往患有精神疾病的女性在妊娠期间也有复发风险。与此同时,针对围产期精神障碍的诊断、治疗又缺乏相应的临床指南,这使得临床医生面对更加严峻的工作挑战。本共识撰写组整合了国内外相关领域前沿循证医学证据及临床实践,共识内容涵盖围产期精神障碍的流行病学和发病机制、临床表现、临床评估、诊断、治疗及管理,可以为临床实际工作提供参考和指导。本共识主张综合、全程、分级、多学科协作诊疗,旨在帮助临床一线医生尽早地对围产期女性进行筛查、合理评估、临床诊断,并为其提供必要的心理干预和临床用药。

Perinatal mental disorders are one of the most common disorders during pregnancy and may lead to adverse maternal and offspring outcomes.There is an increasing number of women currently at risk for emotional problems such as anxiety and depression during pregnancy and childbirth,and women with previous mental disorders are also at risk of relapse during pregnancy.At the same time,the lack of clinical guidelines for the diagnosis and treatment of perinatal mental disorders has made the work of clinicians even more challenging.The expert writing group integrated the latest medical evidence and clinical practice in related fields at home and abroad to form the expert consensus,consisting of the epidemiology and pathogenesis,clinical manifestations,clinical evaluation,diagnosis,treatment and management of perinatal mental disorders,which can provide reference and guidance for practical clinical work.The consensus advocates comprehensive,whole-process,hierarchical,multidisciplinary and collaborative diagnosis and treatment,to help frontline clinicians screen,rationally assess and clinically diagnose perinatal pregnant women as soon as possible,as well as provide necessary psychological interventions and clinical medication for them.