产后抑郁症相关危险因素分析

摘要

Objective:To investigate the incidence of postpartum depression(PPD) in Daxing District of Beijing,and to analyze the related risk factors of PPD, and to establish the risk prediction model.Method:A total of 1666 delivery women in Beijing Daxing District People’s Hospital from January 1,2013 to December 31, 2014 completed general questionnaire and Edinburgh Postnatal Depression Scale(EPDS) at 42 days after delivery. Result:The incidence of PPD was 19.93%.Single factor analysis showed that the non PPD group (n=1334)and PPD group (n=332)in age,gravidity,parity,education level,household income per capita (month),neonatal feeding,neonatal development,neonatal sex was consistent with expectations,compared the living conditions and the relationship between husband and wife,the differences were statistically significant(P<0.05).Non conditional Logistic regression analysis showed that pregnancy,feeding multiple factors and neonatal development status,neonatal sex was consistent with expectations,living conditions and the relationship between husband and wife was suffering from PPD,and the model of the overall differences were statistically significant(P<0.05). Conclusion:The occurrence of PPD is the result of comprehensive factors,can be used to predict the risk of PPD high risk population,so as early detection, early intervention.%目的：调查北京市大兴区产后抑郁症（PPD）的发生情况，分析PPD发生的相关危险因素，建立风险预测模型。方法：采用一般情况调查表和爱丁堡产后抑郁量表对北京市大兴区人民医院2013年1月1日-2014年12月31日分娩的1666名产妇在产后42 d进行调查。结果：1666名产妇中，PPD的发生率为19.93%（332/1666）。单因素分析结果显示非PPD组（n=1334）和PPD组（n=332）的年龄、孕次、产次、文化程度、人均家庭收入（月）、新生儿喂养方式、新生儿发育状况、新生儿性别是否符合期望、居住条件及夫妻关系方面比较，差异均有统计学意义（P<0.05）；多因素非条件Logistic回归分析结果显示孕次、喂养方式、新生儿发育状况、新生儿性别是否符合期望、居住条件及夫妻关系都对是否患PPD有影响，且模型整体差异均有统计学意义（P<0.05）。结论：PPD的发生是综合因素影响的结果，可以利用风险预测模型筛选PPD高危人群，从而早发现、早干预。