许蔚倩 ，陈 陈 ，汤义平 ，庞桂平，安 华

(1.台州市第二人民医院，浙江 台州 317200；2.温州医科大学，浙江 温州 325035；3.天台县人民医院，浙江 天台 317200；4.天台县中医院，浙江 天台 317200)

围产期产妇和配偶抑郁状况调查及相关因素分析

许蔚倩1，陈 陈2，汤义平1，庞桂平3，安 华4

(1.台州市第二人民医院，浙江 台州 317200；2.温州医科大学，浙江 温州 325035；3.天台县人民医院，浙江 天台 317200；4.天台县中医院，浙江 天台 317200)

目的：调查围产期配偶双方心理状况，分析产后抑郁危险因素，为围产期产妇及配偶保健提供参考依据。方法对362名准新生儿父母在产前及产后1-4周进行社会支持评定量表、爱丁堡产后抑郁量表(EPDS)评定，并在产后予自编的抑郁相关因素评估表评定；通过Logistics回归分析产后抑郁主要的危险因素。结果产妇产后抑郁发生率为26.07%，配偶抑郁发生率14.9%；产妇产后抑郁最主要危险因素为产前抑郁、低社会支持、高危妊娠；配偶抑郁最主要危险因素为产前抑郁、低社会支持、低经济收入。结论产后抑郁在产妇及其配偶身上均可发生；高社会支持是夫妻双方避免围产期抑郁发生的保护因素。

产后抑郁症；产妇；配偶；发病率；危险因素

Abstract: [Objective]To investigate the psychological status of perinatal spouses and to analyzes the risk factors for postpartum depression.[Method] 362 new parents were assessed by the social support scale and the Edinburgh Postnatal Depression Scale (EPDS)at antepartum and 1-4 weeks after parturition,and general depression related rating scale after parturition.Logistics regression analysis was used to explored the primary risk factors of postpartum depression. [Result] The incidence rate of maternal postpartum depression was 26.07% and 14.9 % in their spouses.The most important risk factors for postpartum depression were prenatal depression, low social support and high-risk pregnancy in puerperant, and prenatal depression, low social support and low income in their spouses by logistics regression analysis. [Conclusion] Postpartum depressive symptoms can be existed in women and their spouses. High social support was the protective factor in the couples to to avoid being depression.

Keywords: postpartum depression; puerpera; incidence rate; risk factors

产后抑郁是指产妇在产褥期出现的抑郁，发病率较高，国外报道为3.5%～33%, 国内为3.8%～16.7%[1]。有研究者发现产妇的配偶也有较高的抑郁发生率，国外报道其发病率可达2%～18.6%[2]，国内相关资料较少。本文对围产期产妇及其配偶抑郁发病率及导致抑郁的相关危险因素作初步研究，以期为围产期产妇及配偶保健提供参考。……