腹腔镜检查慢性盆腔疼痛与社会心理因素的相关分析  

Analysis on correlation between chronic pelvic pain checked by laparoscope and social-psychological factor

作　　者：温坚[1] 张震[1] 殷新明[1] 

机构地区：[1]江苏省镇江市第四人民医院,212001

出　　处：《中国妇幼保健》2012年第35期5668-5671,共4页Maternal and Child Health Care of China

基　　金：江苏省镇江市科技局社会发展项目〔SH2007041〕

摘　　要：目的:探讨慢性盆腔疼痛(CPP)与社会心理因素的相关性;方法:以212例CPP患者和295例子宫肌瘤患者为实验对象,对CPP患者142例行腹腔镜检查,自编社会心理变量调查表,入组时完成精神卫生自评量表(SCL-90)的测评,以各社会心理变量及简明精神病评定量表(SCL-90)的抑郁和焦虑因子标准分作为观察数据,采用美国SPSS 11.0版进行独立样本的t检验、χ2检验和逐步回归分析。结果:腹腔镜检查结果阴性的CPP患者的婚姻状况、性伤害史、诊治次数、诱因及SCL-90抑郁因子标准分、焦虑因子标准分与对照组比较差异有统计学意义(P<0.05);而与文化程度、总病程无相关性,差异无统计学意义(P>0.05)。腹腔镜检查结果阴性的CPP患者经心理咨询或抗抑郁治疗后疼痛症状有所减轻。结论:对于腹腔镜检查结果阴性的CPP患者而言,社会心理因素可能是导致其发病的成因之一,提示在诊疗CPP无效时,结合腹腔镜检查对患者实施充分的心理评估、恰当的心理治疗及抗抑郁、抗焦虑治疗是非常有必要的。Objective： To explore the correlation between chronic pelvic pain （CPP） and social -psychological factor. Methods： A total of 212 CPP patients and 295 patients with uterine myoma were selected as experimental objects, 142 CPP patients received laparoseo- py, a self-designed social - psychological variable questionnaire was used in the study, SCL - 90 was finished when the objects entered into group, various social - psychological variables and standard scores of depression and anxiety from SCL - 90 were obtained as observation da- ta, SPSS 11.0 software was used to conduct t test, X2 test, and stepwise regression analysis of independent sample. Results ： There were sta- tistically significant differences in marital status, sexual damage history, times of diagnosis and treatment, inducing factors, standard scores of depression and anxiety between CPP patients with negative result of laparoscopy and control group （ P 〈 O. 05 ） ; but there was no statisti- cally significant difference in educational level and total course of disease （ P 〉 O. 05 ） ; after psychological counseling or antidepressant thera- py, pain of CPP patients with negative result of laparoscopy relieved. Conclusion ： For CPP patients with negative result of laparoscopy, so- cial - psychological factor maybe one of causes of CPP, which indicates that laparoscopy combined with comprehensive psychological counse- ling, appropriate psychotherapy, antidepressant therapy, and antianxiety therapy is very necessary when diagnosis and treatment of CPP are ineffective.

关 键 词：腹腔镜 慢性盆腔疼痛 社会心理因素 

分 类 号：R711[医药卫生—妇产科学]