干预措施治疗产后抑郁症疗效分析

摘要

Objective:To observe the influence of intervention measures to the incidence of postpartum depression and effects.Method:2646 patients, who had been done with antenatal examination and delivered in our hospital,were divided into the control group and the intervention group(1323 cases in each group).HAD test was done to the two groups of pregnant women during the process of pregnant periods(regarding the level of more than or equal to 11 scores as the anxiety depression emotion).EPDS after giving birth was given(regarding the level of more than or equal to 13 scores as diagnosing postpartum depression).For the intervention group,sixes aspects of measures were given.The measures weren’t applied to the control group.The incidence and effects of postpartum depression of two groups were observed.Result:(1)The score of HAD was more than or equal to 11,129 cases(9.75%) in the control group,64 cases(49.61%) occurred to postpartum depression.133 cases(10.05%) in the intervention group,29 cases(21.80%) occurred to postpartum depression.By comparison with the groups,there was statistical significance(P<0.01).(2)The score of EPDS was more than or equal to 13,there were 198 patients in the control group,taking up 14.95%and 80 patients in the intervention group,taking up 6.05%.By comparison with the two groups,there was statistical significance(P<0.01).(3)By comparison with the healing rate,the half a year and one year of healing rate were respectively 46 cases(26.77%) and 138 cases(69.70%) in the control group.The half a year of healing rate were respectively 42 cases(52.50%) and 76 cases(95.00%),there was statistical significance(P<0.01).Conclusion:The prenatal anxiety,depression emotion, postpartum psychological and physiological changes are the high risk factors of postpartum depression.The intervention could decrease the incidence of postpartum depression and promote the healing rate,it is worth advocating.%目的：观察干预措施对产后抑郁症发生率及疗效的影响。方法：选择在笔者所在医院产检和分娩的孕妇2646例，随机均分为对照组和干预组，各1323例。对两组孕妇孕期行医院焦虑-抑郁自评量表(HAD)测试(≥11分为焦虑抑郁情绪)，产后行艾迪产后抑郁量表(EPDS)测试(≥13分诊断为产后抑郁症)。对干预组孕妇行6项干预措施，对照组未实施干预措施，观察两组产后抑郁症发生率及疗效。结果：(1)HAD≥11分，对照组129例(9.75%)，其中产后抑郁症发病64例(49.61%)；干预组133例(10.05%)，其中产后抑郁症发病29例(21.80%)，两组比较差异有统计学意义(P<0.01)。(2)EPDS≥13分，对照组198例(14.95%)，干预组80例(6.05%)，两组比较差异有统计学意义(P<0.01)。(3)对照组半年治愈及一年治愈分别为46例(26.77%)和138例(69.70%)，干预组半年治愈及一年治愈分别为42例(52.50%)和76例(95.00%)，两组比较差异有统计学意义(P<0.01)。结论：产前焦虑、抑郁情绪、产后心理和生理变化是产后抑郁症的高危因素，干预措施能够显著降低产后抑郁症的发生率，提高治愈率，值行推广。