国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2015, Vol. 34 ›› Issue (2): 169-172.

• 综述 • 上一篇    下一篇

产后抑郁症的评估与治疗进展

崔莉莉，王冬娜，毛佩贤，任艳萍，汤宜朗   

  1. 100088 北京，首都医科大学附属北京安定医院（崔莉莉，毛佩贤，任艳萍，汤宜朗）；首都医科大学宣武医院妇产科（王冬娜）；乔治亚州亚特兰大，美国埃默里大学精神病学和行为科学系（汤宜朗）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-15 发布日期:2015-03-15

Evaluation and Treatment for Postpartum Depression

CUI Li-li，WANG Dong-na，MAO Pei-xian，REN Yan-ping，TANG Yi-lang   

  1. Beijing Anding Hospital，Capital Medical University，Beijing 100088，China（CUI Li-li，MAO Pei-xian，REN Yan-ping，TANG Yi-lang）；Department of Obstetrics and Gynecology，Beijing Xuanwu Hospital，Capital Medical University，Beijing 100053，China（WANG Dong-na）；Department of Psychiatry and Behavioral Sciences，Emory University，Atlanta Georgia 30329，USA（TANG Yi-lang）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-15 Online:2015-03-15

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摘要： 抑郁症是产后常见并发症之一。产后抑郁症（postpartum depression，PPD）是一种常见的、具有潜在致残性甚至可危及生命的疾病，约影响1/7的围生期和产后女性。未经治疗的PPD影响很大，除个人痛苦和功能损害外，常会对婴儿的发育和成长带来不良影响。PPD在常规临床实践中可以被发现，且有多种有效的治疗方法。研究表明PPD多与生物因素和社会、心理因素有关，该病临床多以心理治疗和药物治疗为主，后者包括抗抑郁药物和激素治疗等。同时，哺乳对婴儿的发育和心理健康都有深远的影响，PPD女性服药期间是否应哺乳也是产后女性密切关注的问题。

关键词: 抑郁症, 产后, 心理疗法, 药物疗法, 雌激素替代疗法

Abstract: Postpartum depression（PPD），one of the most common complications after childbirth，is a common，potentially disabling and even life-threatening disease. About one seventh peripartum and postpartum women were subjected to PPD. The apparent effects of untreated PPD on those postpartum women individuals include distress and functional impairment. PPD is actually associated with negative effects on the growth and development in their children. Fortunately，PPD is detectable in routine practice，and there are effective treatments. Studies indicated that both biological and psychosocial factors contributed to PPD pathogenesis. So，clinical treatment of PPD should combine pharmacotherapy with psychotherapy，in which pharmacotherapy includes antidepressants and hormonal therapy. Since there is wide and far effect of breast-feeding on infant development and psychological health，it is the point at issue whether to stop breast-feeding in those PPD women who are taking medicines.

Key words: Depression, postpartum, Psychotherapy, Drug therapy, Estrogen replacement therapy