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目的探讨产前风险问卷(The Antenatal Risk Questionnaire,ANRQ)预测产妇产后抑郁的适用性。方法采用ANRQ和爱丁堡产后抑郁量表(EPDS)对439名孕产妇分别进行产前、产后调查,将EPDS作为产后抑郁情绪筛查的金标准。结果 ANRQ预测产妇产后抑郁的临界值为22.5,灵敏度和特异性分别为0.793、0.585,ROC曲线下面积(AUC)为0.626(P<0.01)。风险组与非风险组对产妇产后抑郁的影响差异有统计学意义。结论 ANRQ在产后抑郁的预测中有较好的适用性,可作为早期识别孕妇产后抑郁简单而可靠的预测工具。
Objective To investigate the applicability of The Antenatal Risk Questionnaire (ANRQ) in predicting postpartum depression in maternal age. Methods 439 pregnant women were investigated by ANRQ and Edinburgh Postpartum Depression Scale (EPDS), respectively. Prenatal and postnatal surveys were conducted, and EPDS was taken as the gold standard for postpartum depression screening. Results The predictive value of ANRQ for postpartum depression was 22.5. The sensitivity and specificity were 0.793 and 0.585 respectively. The area under the ROC curve (AUC) was 0.626 (P <0.01). The risk groups and non-risk groups on maternal postpartum depression had significant differences. Conclusion ANRQ has a good applicability in the prediction of postpartum depression, which can be used as a simple and reliable prediction tool for early identification of postpartum depression in pregnant women.