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| 产科麻醉和镇痛对产后抑郁影响的研究进展 |
| Research progress in impact of obstetric anesthesia and analgesia on postpartum depression |
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| DOI：10.12089/jca.2025.09.014 |
| 中文关键词: 产后抑郁 分娩镇痛 产科麻醉 剖宫产 麻醉药 |
| 英文关键词: Postpartum depression Labor analgesia Obstetric anesthesia Cesarean delivery Anesthetic drugs |
| 基金项目:国家自然科学基金面上项目（82371533） |
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| 中文摘要: |
| 产后抑郁发病率高，严重危害母婴健康，是重要的社会问题。孕产期抑郁症筛查现已纳入常规孕检和产后访视的流程，旨在早期诊断产后抑郁，及时治疗干预。围产期管理中完善的镇痛是降低应激反应、促进母乳喂养、减少产妇焦虑抑郁等不良情绪的有效手段。近年来，随着人们对麻醉药物药理机制认识的不断深入，麻醉药物在产后抑郁防治中的应用价值也越来越受到关注，本文将结合近年来相关研究进展和循证学证据，综述围产期疼痛、产科麻醉和镇痛，以及产科麻醉药物对产后抑郁的影响，为麻醉和镇痛管理用于产后抑郁防治提供参考。 |
| 英文摘要: |
| Postpartum depression has a high incidence rate and seriously endangers the health of both mothers and infants, making it an important social issue. Screening for depression during pregnancy and the postpartum period has now been incorporated into the routine prenatal check-ups and postpartum visits, aiming to diagnose postpartum depression early and provide timely treatment and intervention. Effective pain relief is an effective means during perinatal management to reduce stress responses, promote breastfeeding, and reduce negative emotions such as anxiety and depression in mothers. In recent years, with the deepening understanding of the pharmacological mechanisms of anesthetic drugs, the application value of anesthetic drugs in the prevention and treatment of postpartum depression has also received increasing attention. This article will comprehensively analyze the impact of perinatal pain, obstetric anesthesia and analgesia, and obstetric anesthetic drugs on postpartum depression based on the research progress and evidence-based evidence in recent years, to provide a reference for the management of anesthesia and analgesia in the prevention and treatment of postpartum depression. |
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