本文關(guān)鍵詞：產(chǎn)后抑郁的影響因素及其與中醫(yī)證型的相關(guān)性探討　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

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【摘要】：目的:通過(guò)研究產(chǎn)后抑郁的影響因素及其中醫(yī)證型分布規(guī)律,分析以上影響因素與中醫(yī)證型分布之間有無(wú)相關(guān)性,以預(yù)防、減少產(chǎn)后抑郁癥的發(fā)生,并為中醫(yī)藥辯證治療產(chǎn)后抑郁提供指導(dǎo)依據(jù)。方法:通過(guò)問(wèn)卷調(diào)查廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院婦產(chǎn)科2016年7月-2017年1月符合納入標(biāo)準(zhǔn)的416名產(chǎn)婦,采集她們的年齡、學(xué)歷、家庭收入、生育意愿、產(chǎn)次、分娩方式、出血量、新生兒狀況、新生兒性別滿(mǎn)意度、家庭關(guān)心支持度及中醫(yī)四診資料,使用愛(ài)丁堡產(chǎn)后抑郁量表將產(chǎn)婦分為非產(chǎn)后抑郁者以及輕、重度產(chǎn)后抑郁者,使用中醫(yī)癥狀采集表量化、判斷產(chǎn)后抑郁患者的中醫(yī)證型。建立數(shù)據(jù)庫(kù),使用SPSS 22.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,研究以上因素(年齡、學(xué)歷、家庭收入等)與產(chǎn)后抑郁及其中醫(yī)證型分布之間的相關(guān)性。結(jié)果:1.本次調(diào)查的416名產(chǎn)婦中,發(fā)生產(chǎn)后抑郁者共88例,其發(fā)生率為21.15%,其中輕度60例(68.18%),重度28例(31.82%)。2.分娩方式、出血量、新生兒狀況與產(chǎn)后抑郁的發(fā)生具有相關(guān)性,其中學(xué)歷、家庭收入、生育意愿、新生兒性別滿(mǎn)意度、家庭關(guān)心支持度與產(chǎn)后抑郁的發(fā)生呈負(fù)相關(guān),而年齡、產(chǎn)次與產(chǎn)后抑郁的發(fā)生無(wú)相關(guān)性。3.88例產(chǎn)后抑郁患者中,以心脾兩虛證為主的患者有31例,占發(fā)病總?cè)藬?shù)的35.23%;以瘀血內(nèi)阻證為主的患者有30例,占發(fā)病總?cè)藬?shù)的34.09%;以肝氣郁結(jié)證為主的患者有27例,占發(fā)病總?cè)藬?shù)的30.68%。4.年齡、學(xué)歷、出血量、新生兒狀況、新生兒性別滿(mǎn)意度、家庭關(guān)心支持度與產(chǎn)后抑郁的中醫(yī)證型分布具有相關(guān)性,而家庭收入、生育意愿、產(chǎn)次、分娩方式與產(chǎn)后抑郁的發(fā)生無(wú)相關(guān)性。結(jié)論:1.產(chǎn)后抑郁的發(fā)生率為21.15%,其中輕度占68.18%,重度占31.82%。2.分娩方式、出血量、新生兒狀況與產(chǎn)后抑郁的發(fā)生具有正相關(guān)性,學(xué)歷、家庭收入、生育意愿、新生兒性別滿(mǎn)意度、家庭關(guān)心支持度與產(chǎn)后抑郁的發(fā)生呈負(fù)相關(guān)。而年齡、產(chǎn)次與產(chǎn)后抑郁的發(fā)生無(wú)相關(guān)性。3.心脾兩虛證最多見(jiàn),其次為瘀血內(nèi)阻證、肝氣郁結(jié)證。4.年齡、學(xué)歷、出血量、新生兒狀況、新生兒性別滿(mǎn)意度、家庭關(guān)心支持度與產(chǎn)后抑郁的中醫(yī)證型分布具有相關(guān)性,而家庭收入、生育意愿、產(chǎn)次、分娩方式與產(chǎn)后抑郁的中醫(yī)證型分布無(wú)相關(guān)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.

【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R271.43

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