He J, Shangguan X, Wang Z
Department of Obstetrics, Affiliated Obstetrics and Gynecology Hospital, Faculty of Medicine, ZheJiang University, Hangzhou 310006, China.
Zhonghua Fu Chan Ke Za Zhi. 2000 Nov;35(11):660-3.
The prevalence rate, related factors and clinical characteristics of postpartum depression were studied in order to promote obstetrician's understanding of the disease, and resort to preventive and therapeutic measure earlier.
Two hundred and ten puerpera were selected from September to November 1998 for mood study by self-rating depression scale, self-rating anxiety scale, Hamilton depression scale, and self-made questionnaires.
The prevalence rate of postpartum depression was 37.14% (78/210), of which, 91.03% (71/78) was mild, and 8.97% (7/78) moderate. In addition, 10.48% (22/210) of women got anxiety after delivery. The symptoms, including decreased activity, difficulty in thinking, problems in decision-making, difficulty in doing things, feeling of uselessness and hopelessness were chief complaints of postpartum depression patients. Bad social behavior and mood controlling, inadequate psychological preparation for delivery, lack of knowledge of delivery were closely correlated to the onset of postpartum depression, which are the risk factors of postpartum depression.
Postpartum depression is a spiritual and psychological obstacle with relatively high prevalence rate. Bad social psychological factors can bring out and aggravate postpartum depression. It is important to carry out prenatal psychological care and to propagate the knowledge of delivery, to find out and cure of postpartum depression as soon as possible.
研究产后抑郁症的患病率、相关因素及临床特征，以提高产科医生对该病的认识，尽早采取预防和治疗措施。
选取1998年9月至11月的210例产妇，采用自评抑郁量表、自评焦虑量表、汉密尔顿抑郁量表及自制问卷进行情绪研究。
产后抑郁症的患病率为37.14%（78/210），其中轻度占91.03%（71/78），中度占8.97%（7/78）。此外，10.48%（22/210）的产妇产后出现焦虑。活动减少、思维困难、决策问题、做事困难、无用感和绝望感等症状是产后抑郁症患者的主要主诉。不良的社会行为和情绪控制、对分娩心理准备不足、缺乏分娩知识与产后抑郁症的发病密切相关，是产后抑郁症的危险因素。
产后抑郁症是一种患病率较高的精神心理障碍。不良的社会心理因素可引发和加重产后抑郁症。开展产前心理护理、宣传分娩知识、尽早发现并治疗产后抑郁症具有重要意义。
