摘要
产后抑郁症发病率国外报道为3.5%～33%,国内报道为3.8%～16.7%。临床表现涉及情绪、认识、行为、生活等几个方面,特点为产后2周发病,4～6周症状明显。主要特征是以婴儿、丈夫相关事为主,一般认为病因是多因素的。但是,产妇分娩前后体内的内分泌变化及产妇的个性心理特点,是产后抑郁症发生的重要先决条件,一些应激性生活事件和产前产时的并发症又是产后抑郁症的主要促发因素。目前,诊断尚缺乏客观指标,多依据各种症状自评量表,由产妇自填后以相应的评分结果判定。主要是心理治疗。
It was reported that the incidence of postpartum depression is about 3.5%～33% abroad,and 3.8%～16.7% nationally. Its clinical manifestation involves several aspects such as emotion,cognition,behavior and living etc.The onset of postpartum depression usually happen during the two weeks followed parturition and the symptoms are most evident in 4～6 weeks.The onset are mainly related to the baby or husband.The causes include multi factors.but the prerequisite are related to endocrine change due to childbirth and personelity. While the main promoter are some stress incidents and antepartum and intrapartum complications.The diagnosis mainly depends on the self rating scale of various symptoms, but is present still lack of objective index at present.After parturient fill the scale by themselves, doctors can assess accordring to the results. The treatment of postpartum depression mainly depends on psychotherapy, while about one third patients need drug therapy.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2000年第1期13-15,共3页
Journal of Practical Obstetrics and Gynecology
关键词
抑郁症
产后
病因
防治
Depression
Poctpartum
Disease causes
Prevention and cure
