摘要
剖宫产会对产妇机体和心理造成一定的创伤,但近年剖宫产率却在全球范围内持续增长。产后抑郁症(postpartum depression,PPD)对产妇和新生儿危害巨大,是重要的公共卫生问题。剖宫产对PPD的影响逐渐受到广泛关注。当前研究认为,剖宫产尤其是急诊剖宫产可能会加剧产妇的产前焦虑和术后疼痛,并影响产后哺乳等多个方面,进而增加PPD的发生风险。其潜在的生物学机制可能是由于剖宫产影响激素的分泌、促发中枢炎症反应等。本文回顾并总结了相关研究及循证医学证据,分析剖宫产与PPD的关系,为认识剖宫产的潜在危害、探索PPD的有效防控和早期干预提供理论依据。
The rate of cesarean delivery(CD)has increased significantly worldwide in recent years,which can cause certain physical and psychological disturbance to puerpera.Postpartum depression(PPD)is a public health problem that poses significant risks to both mothers and newborns,and the impact of CD on PPD has received widespread attention.Current research suggests that CD,especially emergency CD,may exacerbate prenatal anxiety and postoperative pain,affect postpartum breastfeeding,thereby increasing the risk of PPD.The potential biological mechanism may be due to the influence of CD on hormone secretion and the central inflammatory response.This article reviews relevant research progress and clinical evidences to analyze the relationship between CD and PPD,to provide reference for early prevention and intervention of PPD.
作者
徐振东
刘志强
XU Zhendong;LIU Zhiqiang(Department of Anesthesiology,Obstetrics and Gynecology Hospital,School of Medicine,Tongji University,Shanghai 201204,China)
出处
《同济大学学报（医学版）》
2024年第2期165-169,共5页
Journal of Tongji University(Medical Science)
基金
国家自然科学基金面上项目(81971418,82371533)。
关键词
剖宫产
产后抑郁症
产后疼痛
cesarean delivery
postpartum depression
postoperative pain
