辅助生殖夫妇婚姻状况的影响因素及其对妊娠结局的影响  

Factors influencing marital status in assisted reproduction couples and its impact on pregnancy outcomes

作　　者：程静娴 王春艳[1] 王婕妤 袁兰兰[1] 吴炫烨 王吟霜 罗桂英[1] CHENG Jingxian;WANG Chunyan;WANG Jieyu;YUAN Lanlan;WU Xuanye;WANG Yinshuang;LUO Guiying(The Reproductive Center of the First Affiliated Hospital of Anhui Medical University,Heifei,Anhui 230000,China)

机构地区：[1]安徽医科大学第一附属医院生殖中心,安徽合肥230000

出　　处：《中华全科医学》2023年第5期744-748,共5页Chinese Journal of General Practice

基　　金：安徽省高校自然科学研究项目(KJ2020A0203);安徽省高校人文社会科学研究项目(SK2020A0146)。

摘　　要：目的探讨辅助生殖夫妇婚姻状况的影响因素,分析其对妊娠结局的影响,为提高辅助生殖技术(ART)的成功率提供参考。方法选择安徽医科大学第一附属医院生殖中心2020年3—8月进入试管周期的402对夫妻为研究对象,采用一般资料调查法、Locke-Wollance婚姻调适问卷(MAT)、社会支持评定量表(SSRS)进行调查,分析婚姻状况的影响因素,并随访妊娠结局,探讨辅助生殖夫妇婚姻对妊娠的影响。结果402对夫妻中,男性的婚姻得分为(117.34±20.40)分,高于女性的(109.80±21.90)分(P<0.01)。单因素分析显示,女方的月收入、在职状态、不孕年限、不孕原因、ART压力源以及与长辈同住差异有统计学意义(均P<0.05);男方的年龄、文化程度、在职状态、月收入、不孕年限和不孕原因差异有统计学意义(均P<0.05)。双方的婚姻状况与社会支持均呈正相关关系(r=0.290、0.250,均P<0.01),多元回归分析显示,不孕年限、不孕原因,ART压力源、与长辈同住及社会支持得分是女性婚姻状况的影响因素(均P<0.05),年龄、文化程度、不孕年限及社会支持得分是男性婚姻状况的影响因素(均P<0.05),女性婚姻失调组的临床妊娠率(57.5%)低于婚姻良好组(68.4%),差异有统计学意义(P<0.05)。结论ART夫妇婚姻状况的影响因素不同,女性婚姻状况低于男性且对临床妊娠有影响,临床工作中需根据这些危险因素将夫妻作为一体进行心理疏导,提高辅助生殖的成功率。Objective To study the factors influencing the marital status of assisted reproductive technology(ART)couples and its impact on pregnancy outcomes,in order to provide a reference for improving the success rate of ART.Methods A total of 402 couples who entered the in vitro fertilization(IVF)cycle from March 2020 to August 2020 at the Reproductive Center of the First Affiliated Hospital of Anhui Medical University were selected as the research objects.General data,Locke Wollance marriage adjustment test(MAT)and social support rating scale(SSRS)were used to analyze the influencing factors of marital status and subsequent pregnancy outcomes,and to explore the influence of marriage on pregnancy in ART couples.Results Among the 402 couples,men's marriage score(117.34±20.40)was significantly higher than women's(109.80±21.90,P<0.01).Univariate analysis showed that there were significant differences in women's monthly income,working status during ART,infertility duration,causes of infertility,ART stressors and living with elders(all P<0.05).There were statistically significant differences in the male partner's age,education level,employment status,monthly income,infertility duration and causes of infertility(all P<0.05).There were positive correlation between both marital status and social support(r=0.290,0.250,both P<0.01).The results of multiple regression analysis showed that infertility duration,cause of infertility,ART stressors,living with elders,and social support are risk factors for women's marital status(all P<0.05).Age,culture level,duration of infertility and social support are risk factors for male marital status(all P<0.05).The clinical pregnancy rate of the female marriage disorder group(57.5%)was lower than that of the good marriage group(68.4%),and the difference was statistically significant(P<0.05).Conclusion The marital status of ART couples is affected by different factors,and the marital status of women is lower than that of men and has an impact on clinical pregnancy.In clinical work,couples shoul

关 键 词：辅助生殖 婚姻状况 影响因素 妊娠结局 

分 类 号：R711.6[医药卫生—妇产科学]