产后抑郁的影响因素及其与中医证型的相关性探讨

发布时间：2018-01-05 09:26

本文关键词：产后抑郁的影响因素及其与中医证型的相关性探讨　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过研究产后抑郁的影响因素及其中医证型分布规律,分析以上影响因素与中医证型分布之间有无相关性,以预防、减少产后抑郁症的发生,并为中医药辩证治疗产后抑郁提供指导依据。方法:通过问卷调查广州中医药大学第一附属医院妇产科2016年7月-2017年1月符合纳入标准的416名产妇,采集她们的年龄、学历、家庭收入、生育意愿、产次、分娩方式、出血量、新生儿状况、新生儿性别满意度、家庭关心支持度及中医四诊资料,使用爱丁堡产后抑郁量表将产妇分为非产后抑郁者以及轻、重度产后抑郁者,使用中医症状采集表量化、判断产后抑郁患者的中医证型。建立数据库,使用SPSS 22.0对数据进行统计分析,研究以上因素(年龄、学历、家庭收入等)与产后抑郁及其中医证型分布之间的相关性。结果:1.本次调查的416名产妇中,发生产后抑郁者共88例,其发生率为21.15%,其中轻度60例(68.18%),重度28例(31.82%)。2.分娩方式、出血量、新生儿状况与产后抑郁的发生具有相关性,其中学历、家庭收入、生育意愿、新生儿性别满意度、家庭关心支持度与产后抑郁的发生呈负相关,而年龄、产次与产后抑郁的发生无相关性。3.88例产后抑郁患者中,以心脾两虚证为主的患者有31例,占发病总人数的35.23%;以瘀血内阻证为主的患者有30例,占发病总人数的34.09%;以肝气郁结证为主的患者有27例,占发病总人数的30.68%。4.年龄、学历、出血量、新生儿状况、新生儿性别满意度、家庭关心支持度与产后抑郁的中医证型分布具有相关性,而家庭收入、生育意愿、产次、分娩方式与产后抑郁的发生无相关性。结论:1.产后抑郁的发生率为21.15%,其中轻度占68.18%,重度占31.82%。2.分娩方式、出血量、新生儿状况与产后抑郁的发生具有正相关性,学历、家庭收入、生育意愿、新生儿性别满意度、家庭关心支持度与产后抑郁的发生呈负相关。而年龄、产次与产后抑郁的发生无相关性。3.心脾两虚证最多见,其次为瘀血内阻证、肝气郁结证。4.年龄、学历、出血量、新生儿状况、新生儿性别满意度、家庭关心支持度与产后抑郁的中医证型分布具有相关性,而家庭收入、生育意愿、产次、分娩方式与产后抑郁的中医证型分布无相关性。
[Abstract]:Objective: To study the effect of postpartum depression factors and TCM syndrome type distribution, analysis of the above factors and the distribution of TCM syndrome type has no correlation, in order to prevent and reduce the incidence of postpartum depression, and traditional Chinese medicine dialectical treatment of postpartum depression and provide guidance. Methods: the Department of Obstetrics and Gynecology, First Affiliated Hospital of Guangzhou University of Chinese Medicine July 2016 survey -2017 in January 416 women meet the inclusion criteria, collect their age, education, family income, fertility desire, parity, mode of delivery, the amount of bleeding, the condition of the newborn, newborn gender satisfaction, family support and care of TCM Diagnostic data, using the Edinburgh postnatal depression scale were divided into non postpartum depression and light, severe postpartum depression, using TCM symptom acquisition quantification, TCM syndrome type of patients with postpartum depression judgment. The establishment of database, the use of SPSS 22 Statistical analysis of the above factors (age, education, family income, etc.) and the relationship between postpartum depression and TCM syndrome distribution. Results: 416 women in the survey of 1., postpartum depression in 88 cases, the incidence rate was 21.15%, including 60 mild cases (68.18%). 28 severe cases (31.82%).2. delivery mode, the amount of bleeding, incidence of postpartum depression is associated with neonatal, including education, family income, fertility desire, newborn gender satisfaction, family care support and the incidence of postpartum depression was negatively correlated with age, parity and postpartum depression had no correlation between.3.88 cases of postpartum in depression patients, with two of the patients with heart and spleen deficiency syndrome in 31 cases, the total number of incidence of 35.23%; the blood stasis syndrome mainly in 30 patients, the incidence of the total number of 34.09%; with stagnation of liver Qi stasis mainly in patients with 27 cases, the total incidence rate The number of 30.68%.4. age, degree, amount of bleeding, neonatal status, newborn gender satisfaction, family support and care of TCM Syndromes of postpartum depression with the distribution of correlation, family income, fertility desire, parity, no relevant way of delivery and postpartum depression. Conclusion: 1. the incidence of postpartum depression was 21.15%. Mild accounted for 68.18%, severe 31.82%.2. accounted for the mode of delivery, the amount of bleeding, there is a positive correlation between the incidence of postpartum depression, and neonatal education, family income, fertility desire, newborn gender satisfaction, family care support and the incidence of postpartum depression was negatively correlated. While age, parity and the incidence of postpartum depression syndrome two correlation between.3. and the most common, followed by blood stasis syndrome, liver qi stagnation syndrome.4. age, degree, amount of bleeding, the condition of the newborn, newborn gender satisfaction, family support and care for postpartum depression The distribution of TCM syndrome type has relevance, but there is no correlation between family income, birth intention, birth, delivery mode and the distribution of TCM syndrome type of postpartum depression.

【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.43

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