腹腔镜保留输卵管治疗联合心理干预对宫外孕患者生活质量及负性情绪的影响  

The effect of laparoscopic tubal preservation therapy combined with psychological intervention on the quality of life and negative emotions in patients with ectopic pregnancy

作　　者：陈井丽 张继[1] CHEN Jingli;ZHANG Ji(Zhengzhou Seventh People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院妇产科,郑州450000

出　　处：《国际精神病学杂志》2023年第6期1454-1457,共4页Journal Of International Psychiatry

基　　金：二0一八年度河南省医学科技攻关计划项目(编号:2018020913)。

摘　　要：目的探讨在宫外孕治疗中,选择腹腔镜保留输卵管术联合心理干预的价值,并分析该方案对患者生活质量、情绪状态的影响。方法选择2021年5月~2023年2月,在我院确诊为宫外孕的98例患者,以入院单双数分组后每组49例,一组接受开腹保留输卵管术(对照组),一组接受腹腔镜保留输卵管术+心理干预方案治疗(观察组)。统计治疗后输卵管通畅率,并对比手术情况、人绒毛膜促性腺激素(Human chorionic gonadotropin levels,β-HCG),分析治疗前后患者生活质量及负性情绪变化。结果观察组49例患者经腹腔镜保留输卵管术联合心理干预方案治疗后,记录的输卵管通畅率为95.92%,较对照组升高(P<0.05);观察组记录的术中出血量、手术时间、住院时间、排气时间、下床时间、疼痛消失时间低于对照组(P<0.05);观察组记录的β-HCG低于对照组(P<0.05);观察组记录的生活质量评分、焦虑及抑郁评分与对照组比差异显著(P<0.05)。结论在宫外孕治疗中选择腹腔镜保留输卵管术联合心理干预方案既可提高输卵管通畅率,亦可降低术中出血量,达到改善患者生活质量及情绪状态的目的。Objective To explore the value of laparoscopic tubal preservation surgery combined with psychological intervention in the treatment of ectopic pregnancy,and to analyze the impact of this plan on patients'quality of life and emotional state.Methods 98 patients diagnosed with ectopic pregnancy in our hospital from May 2021 to February 2023 were selected.After admission,there were 49 patients in each group,with one group receiving open tubal preservation surgery(control group)and the other receiving laparoscopic tubal preservation surgery+psychological intervention(observation group).Calculate the patency rate of fallopian tubes after treatment,and compare the surgical situation and human chorionic gonadotropin levels(β-HCG),analyze changes in patient quality of life and negative emotions before and after treatment.Results After laparoscopic tubal preservation surgery combined with psychological intervention,the recorded tubal patency rate of 49 patients in the observation group was 95.92%,which was higher than that in the control group(P<0.05).The intraoperative bleeding volume,surgical time,hospitalization time,exhaust time,bedtime,and pain relief time recorded in the observation group were lower than those in the control group(P<0.05).Recorded by the observation groupβ-HCG was lower than that of the control group(P<0.05).The quality of life scores,anxiety and depression scores recorded in the observation group showed significant differences compared to the control group(P<0.05).Conclusion Choosing laparoscopic tubal preservation surgery combined with psychological intervention in the treatment of ectopic pregnancy can not only improve the patency rate of the fallopian tubes,but also reduce intraoperative bleeding,achieving the goal of improving patients'quality of life and emotional state.

关 键 词：腹腔镜保留输卵管 宫外孕 生活质量 负性情绪 心理干预 

分 类 号：R749.99[医药卫生—神经病学与精神病学]