中西医疗法干预产后抑郁的研究进展

文章信息/Info

• Title:中西医疗法干预产后抑郁的研究进展

• 卷期:2024年22卷20期

• 作者:刘怡弘1，郑祖峰2

• 1.山东中医药大学中医学院，山东 济南 250013；2.山东中医药大学第二附属医院妇产科，山东 济南 250001

• Author(s):LIU Yihong1, ZHENG Zufeng2

• 1. School of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250013, China2. Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250001, China

• 关键词产后抑郁；中西医疗法；心理治疗；研究进展

• Keywords: postpartum depression; Chinese and Western medicine therapy; psychotherapy; research progress

• 摘要:近年来，产后抑郁发病率呈上升趋势，社会相关负面新闻频出，给产妇和新生儿的身心健康带来严重影响，也影响了家庭和睦与社会稳定。产后抑郁作为产褥期精神类疾病中最常见的类型，其发生与产褥期生理、遗传、家庭、社会等因素密切相关。现从产后抑郁的病因病机、中西医药物治疗、心理治疗等方面出发，对国内外相关研究进展进行归纳与分析，以期为临床防治产后抑郁提供新思路。                                                                                                                                                                                

• AbstractIn recent years, the incidence of postnatal depression has been on the rise, and there has been a lot of negative social news about it, which has a serious impact on the physical and mental health of mothers and newborns, as well as on family harmony and social stability. As the most common type of puerperal depression, its occurrence is closely related to physiological, genetic, family and social factors during the puerperium. Now, we summarize and analyze the relevant research progress at home and abroad from the aspects of the etiology and mechanism of postpartum depression, Chinese and Western medicine drug treatment and psychotherapy, in order to provide new ideas for the clinical prevention and treatment of postpartum depression.

  产后抑郁(postpartum depression, PPD)，西医学称之为“产褥期抑郁症”，由Pitt B在1968年首次提出[1]，是指产妇继发于分娩后的以持续性精神淡漠、精力减退、失眠焦虑、食欲下降、乏力、心慌等为临床表现的精神障碍性疾病，严重时甚至可产生自伤及伤婴等极端倾向。产后抑郁目前尚无统一的诊断标准，美国精神病学协会在《精神疾病的诊断与统计手册》（DSM-5）中对产后抑郁的概念进行了扩展，界定了从妊娠开始至产后1年内出现的抑郁发作为围生期抑郁（perinatal dpression,PND）[2]。