皮下埋植避孕剂治疗子宫内膜异位症患者一年生存质量评价  

An evaluation on the life quality for endometriosis patients treated with subdermal contraceptive implant

作　　者：柳金梅 马旭鸿 张文辉 董瑞 杜蔚云 Liu Jinmei;Ma Xuhong;Zhang Wenhui;Dong Rui;Du Weiyun(Gansu Family Planning Research Institute, Lanzhou 730000, Chin)

机构地区：[1]甘肃省计划生育科学技术研究所,兰州730000

出　　处：《中华生殖与避孕杂志》2017年第11期900-903,共4页Chinese Journal of Reproduction and Contraception

基　　金：甘肃省卫生和计划生育委员会资助基金(GSWSKY-2014-45)~~

摘　　要：目的评价皮下埋植避孕剂治疗子宫内膜异位症(EMS)患者的生存质量。方法在60例确诊为EMS的患者中,选择接受放置Ⅱ型皮下埋植避孕剂治疗的30例患者纳入试验组;选择腹腔镜保守手术和接受促性腺激素释放激素激动剂(Gn RH-a)治疗的30例患者纳入对照组,比较治疗前、治疗6个月和12个月时的疗效。结果治疗后6个月,两组患者在痛经、盆腔痛、性交痛方面的疼痛均有缓解。试验组在减缓盆腔痛和性交痛方面显著优于对照组(P<0.05),对照组在减缓痛经方面显著优于试验组(P<0.05);EMS患者生存质量调查表(EHP-5)自评分数评估结果显示,与治疗前相比,两组在治疗后均改善了相应的症状,其中试验组在情绪状态、社会支持、自我形象、完成工作、照顾孩子、性生活、医学专业人员、治疗效果、不孕等9个方面的效果均显著优于对照组(P<0.05)。结论皮下埋植避孕剂能有效缓解EMS患者的疼痛,提高患者的生存质量。Objective To evaluate the life quality of one year of endometriosis （EMS） patients treated with subdermal contraceptive implant. Methods Thirty EMS patients who refused to treat surgically and were treated subdermal contraceptive implant （experimental group）, while another 30 EMS patients who had undergone conservative laparoscopic surgery in laparoscopic surgery plus gonadotropin release hormone agonist （GnRH-a） group were treated as control group. Results Dysmenorrheal, pelvic pain and sexual pain were relieved in two groups after treating 6 months. The relief of pelvic pain and sexual pain of EMS patients in experimental group were significantly better than those in control group （P〈0.05）, but the relief of dysmenorrheal of control group was significantly better than that in experimental group （P〈0.05）. After treatment, the self- rated score assessed in a survery of life quality in EMS patients （EHP-5） was improved significantly as compared with that before treatment in the two groups. The emotional state, social support, self-image, completing work, care for children, sex, medical professionals, sterility and therapeutic effect of experimental group were significantly better than those in control group （P〈0.05）. Conclusion The pain was relieved and the life quality was improved in EMS patients treated with subdermai contraceptive implant.

关 键 词：皮下埋植避孕剂 子宫内膜异位症(EMs) 生存质量 

分 类 号：R711.71[医药卫生—妇产科学]