夫精人工授精患者心理应激状况和人格特征及其与受精成功率的关系  

Psychological stress status and personality characteristics of patients with artificial insemination with husband’s semen and its relationship with the success rate of fertilization

作　　者：杨琳 张静 刘燕 YANG Lin;ZHANG Jing;LIU Yan(Department of Reproductive Medicine,Fuyang People’s Hospital,Anhui Province,Fuyang236000,China)

机构地区：[1]安徽省阜阳市人民医院生殖医学科,安徽阜阳236000

出　　处：《中国医药导报》2021年第8期54-57,共4页China Medical Herald

摘　　要：目的观察夫精人工授精患者心理应激状况及人格特征,分析心理应激状况及人格特征与受精成功的关系。方法回顾性收集2018年1月—2020年1月在安徽省阜阳市人民医院接受夫精人工授精的127例不孕症患者临床资料,根据受精成功与否分为成功组(33例)与失败组(94例)。观察两组心理应激状况[采用生活事件量表(LES)评估]及人格特征[采用艾森克人格问卷(EPQ)评估,包括效度量表(L)、心理变态量表(P)、情绪性量表(N)与内外倾向量表(E)],分析心理应激状况及人格特征与夫精人工授精患者受精成功的关系。结果两组LES量表正性生活事件比较,差异无统计学意义(P>0.05)。失败组LES量表负性生活事件、总生活事件评分均高于成功组,差异有统计学意义(P<0.05)。两组EPQ中L评分、P评分、E评分比较,差异无统计学意义(P>0.05);失败组N评分高于成功组,差异有统计学意义(P<0.05)。负性生活事件、总生活事件及N评分是夫精人工授精患者受精成功的影响因素(OR=1.297、1.369、2.453,P<0.05)。结论夫精人工授精患者普遍存在不同程度心理应激及不良人格特征,这可能对夫精人工授精患者受精成功率有一定负面影响,临床应尽早评估夫精人工授精患者的心理应激状况及人格特征表现,并提出合理的干预,帮助患者心理应激及人格特征改善,对提升夫精人工授精患者受精成功率意义重大。Objective To observe the psychological stress and personality characteristics of patients with husband’s artificial insemination,to analyze the relationship between psychological stress and personality characteristics and the success of fertilization.Methods The clinical data of 127 infertility patients who underwent husband’s artificial insemination in Fuyang People’s Hospital from January 2018 to January 2020 were retrospectively collected.According to the success or failure of fertilization,they were divided into successful group(33 cases)and failure group(94 cases).The psychological stress status(assessed by the life event scale[LES])and personality characteristics(assessed by the Eysenck personality questionnaire[EPQ],including the validity scale[L],the psychopath scale[P],the emotional scale[N]and the internal and external tendency scale[E])of the two groups were observed,while the relationship between psychological stress status and personality characteristics and the success of artificial insemination patients were analyzed.Results There was no statistically significant difference between the two groups of positive life events on the LES scale(P>0.05).The scores of negative life events and total life events on the LES scale of the failure group were higher than those of the successful group,and the differences were statistically significant(P<0.05).The comparison of L score,P score and E score between the two groups of EPQ were not statistically significant(P>0.05);while the N score of the failure group was higher than that of the successful group,and the differences were statistically significant(P<0.05).Negative life events,total life events,and N scores were the influencing factors for the fertilization success of artificial insemination patients(OR=1.297,1.369,2.453,P<0.05).Conclusion Patients with artificial insemination of husband’s sperm generally have different degrees of psychological stress and bad personality characteristics,which may have a certain negative impact on the success rate o

关 键 词：夫精人工授精 心理应激状况 人格特征 受精成功 相关性 

分 类 号：R711.7[医药卫生—妇产科学]