产后抑郁症病因分析与筛选诊断研究进展.pdfVIP

当代医学　2009年2月第15卷第4期总第159期　Contemporary Medicine, Feb. 2009,Vol.15 No.4 Issue No.159 产后抑郁症病因分析与筛选诊断研究进展 王奕娟 王朝晖 [摘要] 产后抑郁症是严重危害产妇健康的心理疾病，一般在产后6周内发生。产后激素水平的改变、甲状腺机能减退以及免疫机能的下降是 产后抑郁发生的重要生理原因，而遗传和家族因素也与产后抑郁症有关。产后抑郁诊断方法主要有Zung抑郁自评量表和爱丁堡产后抑郁量表。早期 识别、产前教育、护理干预是预防产后抑郁症发生的重要手段。 [关键词] 产后抑郁症；病因；筛选 [Abstract] Postpartum depression is the most frequent postpartum mental disorders, mostly occurring after parturition within six weeks. Considerable changes in hormone levels, hypothyroidism and depressed cellular immunity in the perinatal period, have been suspected of playing an etiological role for postpartum depression. In addition, familial occurrence and genetic predisposition are also suggested to be associated with the occurrence of postpartum depression. Edinburgh Postnatal Depression Scale (EPDS) and self-rating depression scale (SDS) are two effective and widely used depression screening instrument in China through self-report questionnaires. Early Screening, antenatal counseling and interventions are important treatments to preventing the occurrence of postpartum depression. [Key words] postpartum depression; pathogeny; screening tool 综 女性精神障碍疾病发生率是男性的两倍，其中产后抑郁症 是由于怀孕本身的保护和屏障作用，使产后抑郁症多在怀孕后 [5] 是女性精神障碍中最为常见的类型。典型的产后抑郁是产后6 期和产后发生 。 周内发生，可持续整个产褥期，有的甚至持续至幼儿上学前。 产后抑郁症多见于以自我为中心、成熟度不够、社交能力 产后抑郁症不仅影响产妇的身心健康，还影响到婴儿、家庭、