非首次接受体外受精-胚胎移植女性心理健康状况对助孕结局的影响  

Impact of women psychological health status on outcomes of a non-first IVF-ET or ICSI treatment

作　　者：朱静静[1] 王俊霞[1] 杨华[2] 王纯[2] 王玉[1] 朱波[1] 孙海翔[1] 

机构地区：[1]南京大学医学院附属鼓楼医院生殖医学中心,江苏省210008 [2]南京医科大学附属脑科医院医学心理科

出　　处：《江苏医药》2016年第8期905-907,共3页Jiangsu Medical Journal

摘　　要：目的调查非首次接受体外受精-胚胎移植(IVF-ET)或卵泡浆内单精子显微注射(ICSI)女性患者的心理健康状况对助孕结局的影响。方法应用症状自评量表(SCL-90)和主观幸福感指数量表(IWB)对39例IVF-ET或ICSI妇女进行问卷调查,分析助孕结果中各指标与心理因素的关系。结果 SCL-90量表评分中,人际关系和偏执因子分低于全国常模(P<0.05)。SCL-90各因子中影响主观幸福感的负性因子是强迫。偏执因子与获卵数、受精数、卵裂数、冷冻胚胎数有相关性(P<0.05),但与妊娠结局的相关性不显著(P>0.05)。结论本中心非首次接受IVF-ET或ICSI助孕的女性患者心理健康状况对妊娠结局无明显影响。Objective To investigate the impact of women psychological health status on the outcomes of a non-first in vitro fertilization-embryo transplantation（IVF-ET）or intracytoplasmic sperm injection（ICSI）.Methods An investigation was performed in 39 momen with IVF-ET or ICSI by symptom checklist 90（SCL-90）and index of well-being（IWB）.The relationship between psychological factors and the outcomes of IVF-ET or ICSI was analyzed.Results The scores of interpersonal sensitivity and paranoid of SCL-90 were all lower than those of the national norm of adult（P〈0.05）.The compellence in the fators of SCL-90 scale was a negative factor influencing subjective well-being.Paranoid was closely related to the number of oocytes,fertilization and cleavage（P〈0.05）,but had no significant correlation to pregnancy outcomes（P〉0.05）.Conclusion The psychological status of momen with a non-first IVF-ET or ICSI has no obvious impact on pregnancy rate.

关 键 词：不孕症 体外受精 心理健康 

分 类 号：R711[医药卫生—妇产科学]