Prenatal anesthesia assessment combined with analgesic intervention on negative emotions during postoperative period and postpartum depression of parturients
产前麻醉评估联合镇痛干预对产妇围术期负性情绪及产后抑郁的作用

摘要

目的 探讨产前麻醉评估联合镇痛干预对产妇围术期负性情绪及产后抑郁的作用。方法 选取本院产科行剖宫产分娩的初产妇160例，随机分为对照组与观察组，对照组仅接受常规围产期护理与术后镇痛，观察组并给予产前麻醉评估及个体化镇痛干预，比较两组干预效果。结果 观察组术前1d及术后3d的焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分均低于对照组（P<0.05）。观察组产后第14d、第42d爱丁堡产后抑郁量表（EPDS）评分均低于对照组（P<0.05），观察组产后抑郁发生率为6.25%，低于对照组的17.50%（P<0.05）。结论 产前麻醉评估联合镇痛干预能够缓解剖宫产产妇围术期焦虑和抑郁情绪，减轻术后疼痛，降低产后抑郁发生率。

Abstract

Objective To explore the effect of prenatal anesthesia assessment combined with analgesic intervention on negative emotions during the postoperative period and postpartum depression of parturients.
Methods A total of 160 primiparous parturients who underwent cesarean section in our hospital were selected and randomly divided into the control group and the observation group. The control group only received routine perinatal care and postoperative analgesia, while the observation group was given prenatal anesthesia assessment and individualized analgesic intervention. The intervention effects of the two groups were compared.
Results The Self-Rating Anxiety Scale (SAS) scores and Self-Rating Depression Scale (SDS) scores of the observation group on the 1st day before surgery and the 3rd day after surgery were lower than those of the control group (P < 0.05). The Edinburgh Postnatal Depression Scale (EPDS) scores of the observation group on the 14th and 42nd days after delivery were lower than those of the control group (P < 0.05). The incidence of postpartum depression in the observation group was 6.25%, which was lower than 17.50% in the control group (P < 0.05).
Conclusion   Prenatal anesthesia assessment combined with analgesic intervention can alleviate the anxiety and depression of parturients during cesarean section, reduce postoperative pain, and lower the incidence of postpartum depression.