【摘要】 目的 探讨滨州市经产妇产褥期抑郁筛查阳性率及其影响因素。方法 选取2021年1月—2022年9月在滨州医学院附属医院孕28周后活产分娩经产妇700例作为研究对象，产后6周进行问卷调查，根据爱丁堡产后抑郁量表评分分为产后抑郁筛查阳性组（n=161）和阴性组（n=539）。采用多因素Logistic回归分析产褥期抑郁的影响因素。结果 单因素分析显示：两组社会支持评定量表评分、肥胖、母乳喂养、分娩方式、意外妊娠、产后睡眠情况、既往有产后并发症、产前身体状况、新生儿患病情况、其他家人照料孩子、担心体形变化、住院期间家人陪伴少比较，差异有统计学意义（P<0.05）。多因素Logistic回归分析显示：社会支持度高是产褥期抑郁的保护因素（OR=0.665,P<0.001）。肥胖、分娩方式、既往产后并发症、新生儿患病情况、担心体型变化、住院期间家人陪伴少是产褥期抑郁的危险因素（OR=4.581、3.267、3.300、2.555、3.090、2.252,P<0.05）。结论滨州市经产妇产褥期抑郁阳性率处于高水平，尽早筛查及干预可降低产褥期抑郁的发生风险。更多还原

【Abstract】 Objective To explore the positive screening rate of puerperal depression among multipara women in Binzhou City and its influencing factors. Methods From January 2021 to September 2022, 700 women who delivered live births after 28 weeks of pregnancy in the Affiliated Hospital of Binzhou Medical College were selected as the study objects. A questionnaire survey was conducted at 6 weeks postpartum. According to the score of Edinburgh postpartum Depression Scale, they were divided into a positive group(n=161) and a negative group(n=539) for postpartum depression screening. Multivariate Logistic regression was used to analyze the influencing factors of puerperal depression.Results Univariate analysis showed that there were statistically significant differences in social support rating scale score, obesity, breastfeeding, mode of delivery, unplanned pregnancy, postpartum sleep, previous postpartum complications, prenatal health conditions, neonatal disease, other family members taking care of the child, worrying about body shape change, and less family companionship during hospitalization between the two groups, and the difference were statistically significant(P<0.05). Multivariate Logistic regression analysis showed that high social support was a protective factor for puerperal depression(OR=0.665, P<0.001). Obesity, mode of delivery, previous postpartum complications, neonatal morbidity, fear of body shape change, and less family companionship during hospitalization were risk factors for puerperal depression(OR=4.581, 3.267, 3.300, 2.555, 3.090, 2.252, P<0.05). Conclusion The positive rate of puerperal depression among multipara women in Binzhou City is at a high level, and early screening and intervention can reduce the risk of puerperal depression.更多还原