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目的探讨产褥期精神病的发病因素、临床特点、预后及防治方法。方法对我院1992～2006年收治住院产褥期精神病患者56例,进行临床分析、治疗,对治疗效果进行观察。结果经抗精神病药物治疗、心理治疗、对症治疗。达临床痊愈和显著进步者48例,进步8例。结论本病发生于育龄期妇女,常与内向性格、家族史以及病前负性生活事件有关,临床症状多样化,选用抗精神病药物治疗、心理治疗及对症治疗。一般疗效佳,疗程短。预防产褥期精神病的发生,应引起社会及医务工作者的关注。
Objective To explore the causes, clinical features, prognosis and prevention and treatment of puerperal psychosis. Methods From January 1992 to December 2006, 56 cases of psychiatric patients admitted to the hospital during the puerperium were enrolled in this study. Clinical analysis and treatment were performed. The therapeutic effect was observed. Results of antipsychotics, psychological treatment, symptomatic treatment. Up to clinical recovery and significant improvement in 48 cases, improved in 8 cases. Conclusion The disease occurs in women of childbearing age, often associated with introverted personality, family history and pre-existing negative life events. The clinical symptoms are diversified. Antipsychotics, psychotherapy and symptomatic treatment are used. Good general effect, short course of treatment. Prevention of puerperal psychosis should arouse the concern of the community and medical workers.