高龄不孕症患者护理优化干预的辅助生殖治疗的应用效果分析  

Analysis on the effect of nursing optimization intervention on assisted reproductive therapy for elderly patients with infertility

作　　者：尹玉 YIN Yu(Reproductive Center,Nanjing Drum Tower Hospital,The Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiansu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院生殖医学中心,江苏南京210008

出　　处：《中国优生与遗传杂志》2021年第7期1027-1029,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的研究辅助生殖综合护理干预在高龄不孕患者中的改善效果及临床效应。方法将在南京鼓楼医院经体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)治疗的60例不孕症患者随机分为观察组30例和对照组30例,常规护理措施应用于对照组,综合优化的护理干预措施应用于观察组,比较观察组及对照组护理前后的焦虑状态及受孕情况。结果干预后各评分经评测均有下降,且观察组焦虑自评量表和抑郁量表测验评分下降程度较对照组更为显著(P<0.05);观察组1年内总妊娠率为63.3%(19/30),明显高于对照组的46.6%(14/30),差异有统计学意义(P<0.05);成功妊娠4周后,观察组成功妊娠患者的血β-人绒毛膜促性腺激素、孕酮水平均明显高于对照组(P<0.05)。结论对不孕症高龄患者实施辅助生殖技术过程中,开展综合护理干预在一定程度上能够积极缓解患者的心理压力,对改善孕育生化指标、妊娠率和宫内妊娠率有一定积极价值。Objective To study the effect and clinical value of nursing intervention of assisted reproductive technology in elderly infertile patients. Methods 60 cases of infertility treated by in vitro fertilization and embryo transfer(IVF-ET) in Drum Tower Hospital in Nanjing were randomly divided into two groups with 30 cases each. The control group received routine nursing intervention, and the observation group received comprehensive optimized nursing intervention. Anxiety status and pregnancy status of the two groups before and after nursing were compared. Results After intervention, all scores were evaluated to decrease, and SAS, SDS, decline in observation group was obviously higher than that of control group(P<0.05);The total pregnancy rate was 63.6%(19/30) within 1 year, which was significantly higher than that of the control group(46.6%)(P<0.05). After 4 weeks of successful pregnancy, the blood levels of HCG and progesterone in the observation group were significantly higher than those in the control group(P<0.05). Conclusion In the process of IVF-ET reproductive technology for the elderly patients with infertility, comprehensive nursing intervention can effectively relieve the psychological pressure of the patients, and has certain positive value in improving the biochemical indicators of gestation, pregnancy rate and intrauterine pregnancy rate.

关 键 词：综合优化护理干预 不孕症 体外受精-胚胎移植 焦虑 受孕情况 

分 类 号：R473.71[医药卫生—护理学]