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目的:分析剖宫产后创伤后应激障碍(PTSD)发生情况，并探讨其影响因素。方法:收集2016年3月至2019年3月本院收治的1 064例剖宫产产妇，采用PTSD检查量表平民版测评PTSD发生情况，采用心理一致感量表(SOC)、爱丁堡产后抑郁量表(EPDS)调查产妇心理一致感水平、产后抑郁等相关信息，并采用logistics回归分析筛选产后PTSD发生的影响因素。结果:PTSD筛查阳性者56例，占5.26%。其中，独生女产后PTSD发生率低于非独生女，有精神创伤史者PTSD发生率高于无精神创伤史者，睡眠情况好者PTSD发生率低于睡眠情况差者，意外怀孕者PTSD发生率高于非意外怀孕者，心理一致感水平低者(SOC得分<64分)PTSD发生率高于中高水平者，有产后抑郁者PTSD发生率(EPDS得分≥10分)高于无产后抑郁者，上述差异均有统计学意义(n P<0.05)。Logistics回归分析结果显示：精神创伤史、心理一致感及产后抑郁是剖宫产后PTSD的独立风险因素(n P<0.05)。n 结论:产妇剖宫产后PTSD发生率较高，临床应重视精神创伤史、产后抑郁症状、心理一致感的参考价值，以降低PTSD发生风险。“,”Objective:To investigate the incidence of postpartum post-traumatic stress disorder (PTSD) after cesarean delivery and analyze its influencing factors.Methods:Totally 1 064 women underwent cesarean delivery from March 2016 to March 2019 were enrolled into this study. The incidence of PTSD was assessed by the PTSD Checklist-Civilian Version. The level of psychological coherence and postpartum depression were investigated by the Sense of Coherence Scale (SOC) and Edinburgh Postpartum Depression Scale (EPDS). The influencing factors of postpartum PTSD were screened by logistic regression analysis.Results:There were 56 positive cases in PTSD screening, accounting for 5.26%. The incidence of PTSD in women from only-child family was lower than that of non-only-child family; the incidence of PTSD with psychologically traumatic history was higher than that of non-psychologically traumatic history; the incidence of PTSD with good sleep quality was lower than that of poor sleep quality; the incidence of PTSD in unplanned pregnancy was higher than that of planned pregnancy; the incidence of PTSD with low level of psychological coherence (SOC<64 score) was higher than those of moderate and high level; the incidence of PTSD with postpartum depression (EPDS≥10 score) was higher than that of non-postpartum depression. The differences of above comparisons were significant (n P<0.05). Logistic regression analysis showed that the psychologically traumatic history sychological coherence and postpartum depression were independent influencing factors for postpartum PTSD (n P<0.05).n Conclusions:The incidence of postpartum PTSD after cesarean delivery is a little higher, the reference values of psychologically traumatic history, postpartum depression and psychological coherence should be attached more importance to reduce the risk of PTSD.