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目的观察认知行为干预复合分娩镇痛对初产妇抑郁状态的影响。方法 74例产前抑郁自评量表(SDS)≥50分初产妇按产妇意愿分为(29例,采用常规自然分娩)和观察组(45例,分娩镇痛组),再将观察组分为A组(22例,给予分娩镇痛)及B组(23例,给予认知行为干预复合分娩镇痛)。观察产程中产妇的视觉模拟评分(VAS)和围产期SDS。结果宫口开全和胎儿娩出时,3组VAS差异有统计学意义(<0.05),B组产后2~5 d SDS明显低于对照组(<0.01)。结论认知行为干预复合分娩镇痛治疗产后抑郁症高危人群有效。
Objective To observe the effect of cognitive and behavioral interventions on the depression of primipara by combined labor analgesia. Methods Seventy-four prenatal self-depressive self-rating depression scale (SDS) ≥ 50 primiparous women were divided into two groups according to their mothers’ wishes: routine spontaneous labor (n = 29) and observation group (n = 45) A group (22 cases, giving labor analgesia) and B group (23 cases, given cognitive behavioral interventions combined labor analgesia). Observe the midwife visual analogue scale (VAS) and perinatal SDS. Results The results showed that there was significant difference in VAS between the three groups (P <0.05). The SDS level of postpartum 2 ~ 5 d in group B was significantly lower than that of the control group (P <0.01). Conclusions Cognitive behavioral interventions for combined labor analgesia are effective in treating post-natal depression at high risk.