产后抑郁症与产后急慢性疼痛的研究进展

发布时间：2018-08-18 08:44

【摘要】：分娩虽然是正常的生理过程,但对于大多数女性来讲都是非常痛苦的体验,产后抑郁症以及产后急慢性疼痛的发生更严重威胁着产妇及家人的身心健康,产后抑郁症的发生率虽高却未受到应有的重视,社会支持不足是排在第一位的危险因子。大量研究表明产后急慢性疼痛的发生与产后抑郁症的发生密切相关,更有研究指出产后急性疼痛的严重程度是产后慢性疼痛及产后抑郁症非常重要且独立的危险因子。在疼痛管理方面需要给予更多的重视,为产时及产后镇痛提供更多的选择,加强疼痛管理,提供最优的镇痛模式。无痛分娩可以提供有效产时及产后的镇痛,值得大力推广,产科的神经阻滞技术也值得我们去进一步研究,需强调多模式镇痛。总而言之,为产妇提供最佳的多模式镇痛方案,减少疼痛对产妇心理及生理上的双重影响,更可能因此而降低产后抑郁症及产后慢性疼痛的发生率,促进产妇生理机能的恢复。
[Abstract]:Although childbirth is a normal physiological process, it is a very painful experience for most women. The occurrence of postpartum depression and postpartum acute and chronic pain is a serious threat to the physical and mental health of women and their families. Although the incidence of postpartum depression is high, it has not received due attention, and insufficient social support is the first risk factor. A large number of studies show that the occurrence of postpartum acute and chronic pain is closely related to the occurrence of postpartum depression. More studies point out that the severity of postpartum acute pain is a very important and independent risk factor for postpartum chronic pain and postpartum depression. In the aspect of pain management, more attention should be paid to providing more choices for labor and postpartum analgesia, strengthening pain management and providing the best analgesic mode. Painless delivery can provide effective labor and postpartum analgesia, which is worth popularizing. The technique of obstetrical nerve block is also worthy of further study, and multi-mode analgesia should be emphasized. In a word, to provide the best multi-mode analgesic scheme for parturient, to reduce the double influence of pain on psychology and physiology of parturient, it is more likely to reduce the incidence of postpartum depression and postpartum chronic pain, and promote the recovery of physiological function of parturient.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R749.4

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