社区康复治疗产后抑郁症60例效果观察.docVIP

精品论文 参考文献 社区康复治疗产后抑郁症60例效果观察 陈惠（四川省宜宾县华盛社区卫生服务中心 644600） 　　【摘要】目的 探讨孕妇产后抑郁症经社区康复治疗后的治疗效果。方法 将我院于2011年8月—2013年7月60例被诊断为产后抑郁症的产妇随机分成对照组30例、实验组各30例。对照组进行常规抗抑郁药物治疗，实验组不仅给予常规抑郁药物治疗，也给予社区康复干预治疗。社区医生对研究对象采集资料、定期的随访。评分使用汉密尔顿焦虑量表(hamilton anxiety scale，HAMA)。结果治疗后两组HAMA评分对照组17.8plusmn;0.4分，治疗组11.1plusmn;0.3分，比较差异P＜0.05，具有统计学意义。治疗后对比两组，实验组中焦虑人数明显减少，临床效果较好。结论 产后抑郁症患者若经过社区医生系统、全面、合理的康复治疗能够显著降低产妇的抑郁症状，使产后抑郁症患者的生活质量得到较大地提高。 　　【关键词】 康复治疗 产后抑郁症 孕妇 社区健康服务中心 　　【中图分类号】R493 【文献标识码】A 【文章编号】2095-1752（2013）31-0056-02 　　【Abstract】Objective To explore the therapeutic effect ofcommunity rehabilitation treatment of postpartum depression. Methods in our hospital from 2011 August to 2013 July 60 cases were diagnosed as postpartum depression were randomly divided into the control group of 30 cases, 30 cases of the experimental group. The control group was given routine antidepressant treatment,the experimental group only received routineantidepressant drug treatment, also give communityrehabilitation intervention. Community physicians on data acquisition, regular follow-up. Score using Hamilton Anxiety Scale (Hamilton Anxiety Scale, HAMA). Results after treatment, HAMA scores of the two groups of control group 17.8plusmn;0.4, treatment group11.1plusmn;0.3,Plt;0.05 differences, with statistical significance. After treatment, compared two groups, significantly reduced the number of anxiety in the experimental group, the clinical effect is good. Conclusion patients with postpartum depression if through community rehabilitation doctor system,comprehensive, reasonable and can significantly reduce the maternal depressive symptoms, the patients with postpartum depression and quality of life can be greatly improved. 　　【Keywords】 rehabilitation postpartum depression pregnant women Community Health Service Center 　　产后抑郁症(postparturm depression，PPD)是指产妇在分娩后出现抑郁、悲伤、沮丧、哭泣、易激怒、烦躁、甚至有自杀或杀婴倾向等一系列症状为特征的心理障碍，是产褥期精神综合征中最常见的一种类型[1][2]。通常在产后2周出现，其病因不明，可能与遗传、心