景素芬+潘华+俞晓婷+周敏华+周雯睿

摘 要 目的：比较中医社区干预与常规产后访视干预效果，研究中医社区干预的有效性。方法：选取2014年1月至2015年9月辖区内450例焦虑自评量表≥50分或者爱丁堡产后抑郁量表≥9分的初产妇，按入选时间先后，单数入对照组250例，给予常规产后访视，双数入干预组250例，在常规产后访视基础上给予中医社区干预。分析产后1周、2周、1个月、3个月和6个月时的焦虑自评量表及爱丁堡产后抑郁量表的得分；比较干预组与对照组干预前与干预6个月后焦虑及抑郁的得分情况。结果：对照组及干预组的焦虑量表和抑郁量表得分差异有统计学意义（P<0.05）。结论：中医社区干预能够减轻初产妇产后焦虑及抑郁的症状。

关键词 焦虑 抑郁 中医 干预

中图分类号：R749/R714 文献标志码：A 文章编号：1006-1533（2016）20-0048-03

Study on the effect of traditional Chinese medicine community intervention of anxiety and depression in primiparas

JING Sufen， PAN Hua， YU Xiaoting， ZHOU Minhua， ZHOU Wenrui（Gaojing Community Health Service Center of Baoshan District， Shanghai 200436， China）

ABSTRACT Objective： To compare the effects of traditional Chinese medicine community intervention and routine postpartum interview intervention to study the effectiveness of community intervention of traditional Chinese medicine. Methods： From January 2014 to September 2015 450 cases whose score of anxiety self rating scale was ≥ 50 points and score of Edinburgh postnatal depression scale ≥9 points of primiparas， and according to the selected time， the odd number was selected into a control group with 250 cases and given the routine postpartum visit and the even number into an intervention group with 250 cases and given the traditional Chinese medicine community intervention based the routine postpartum visit. The scores of anxiety self rating scale and Edinburgh postpartum depression scale were analyzed in 1 week， 2 weeks， 1， 3 and 6 months and the scores of anxiety and depression were compared between the intervention group and the control group before and after intervention of 6 months. Results： There were significant differences in anxiety and depression scores between the control group and the intervention group（P<0.05）. Conclusion： The traditional Chinese medicine community intervention can reduce the symptoms of anxiety and depression of primiparas.

KEY WORDS anxiety； depression； traditional Chinese medicine； intervention

随着社会的发展，妇女的生活和工作压力不断加大，而怀孕和分娩是女性重要的生理过程，伴有神经内分泌系统改变，从而引起生理和心理状态变化，产后是女性精神障碍特别是产后抑郁症的高发阶段。产后抑郁的后果严重，不仅使产妇的精神和生活质量受到直接损害，而且对婴幼儿生长发育也将产生长远的消极影响。因此，通过积极的预防干预措施来降低产后抑郁发病率是非常必要与迫切的。

1 对象与方法

1.1 研究对象

2014年1月至2015年9月间选取辖区内450例焦虑自评量表（SAS）≥50分或者爱丁堡产后抑郁量表（EPDS）≥9分的初产妇。按入选时间先后分组，单数入对照组250例，给予常规产后访视，双数入干预组250例，在常规产后访视基础上给予中医社区干预。……