综合干预对多囊卵巢综合征不孕患者心理状态及体外受精-胚胎移植技术治疗效果的影响  

Effect of comprehensive intervention on psychological status of infertile patients with polycystic ovary syndrome and the curative effect of IVF- ET

作　　者：黄朝霞[1] 卢晓声[1] 黄永刚[1] 吕杰强[1] 

机构地区：[1]温州医科大学附属第二医院,浙江温州325000

出　　处：《中国妇幼保健》2014年第12期1879-1881,共3页Maternal and Child Health Care of China

基　　金：2012年温州市第一期科技计划项目〔Y20120102〕

摘　　要：目的:探讨综合干预对因多囊卵巢综合征(PCOS)而不孕的患者心理状态和体外受精-胚胎移植技术治疗效果的影响。方法:选取178例因PCOS不孕而行体外受精-胚胎移植术的患者,随机分为研究组(88例)和对照组(90例),对患者进行SAS和SDS问卷调查。每月由固定的资深心理咨询师对研究组患者进行系统的心理干预,共6个月,6个月后对两组患者再次进行SAS和SDS问卷调查,了解PCOS患者的心理变化;采用状态-特质焦虑量表对患者治疗前后心理变化进行测评,比较两组的优质胚胎率和临床妊娠率的差异。结果:治疗前两组的状态-特质焦虑得分比较,差异无统计学意义(P>0.05),治疗后干预组状态焦虑、特质焦虑得分明显低于对照组,两组比较,差异有统计学意义(P<0.05);干预组的优质胚胎率和临床妊娠率均明显高于对照组(P<0.05)。结论:综合干预对PCOS不孕患者的心理状况改善和辅助生殖技术的疗效均有一定的积极作用。Objective： To explore the effect of comprehensive intervention on psychological status of infertile patients with polycys- tie ovary syndrome （PCOS） and the curative effect of IVF- ET. Methods： A total of 178 infertile patients because of PCOS scheduled for IVF - ET were randomly divided into study group （88 patients） and control group （90 patients） ; SAS and SDS were performed respectively; the patients in study group received systematically psychological intervention provided by a fixed and professional psychological consultant for 6 months, SAS and SDS were performed after 6 months to understand the psychological changes of the patients; STAI was used to evaluate the psychological changes of patients before and after intervention, the differences of high quality embryo rates and clinical pregnancy rates in the two groups were compared. Results： There was no statistically significant difference in STAI score before intervention between the two groups （ P 〉 O. 05 ） ; after intervention, SAS score and SDS score in study group were statistically significantly lower than those in control group （ P 〈 O. 05 ） ; the high quality embryo rate and clinical pregnancy rate in study group were statistically significantly higher than those in control group （ P 〈 0. 05 ） . Conclusion： Comprehensive intervention plays a certain active role in improving psychological status and cura- tive effect of assisted reproductive technology in infertile patients with PCOS.

关 键 词：心理干预 多囊卵巢综合征 不孕 体外受精-胚胎移植 状态-特质焦虑量表 

分 类 号：R711.75[医药卫生—妇产科学]