地屈孕酮联合心理干预对复发性流产患者妊娠结局影响的研究  

Dydrogesterone combined with psychological intervention on research of recurrent spontaneous abortion pregnancy outcome influence

作　　者：朱莉 刘琴 刘玉芳 席予凡 

机构地区：[1]广东惠州市第一妇幼保健院,516007

出　　处：《中国社区医师（医学专业）》2014年第15期82-83,共2页

摘　　要：目的:了解地屈孕酮联合心理干预对复发性流产患者妊娠结局的影响。方法:将157例患者随机分为心理干预组79例和对照组78例。心理干预组采用口服地屈孕酮及心理健康疏导,对照组采用口服地屈孕酮及常规指导,观察治疗前后SAS、SDS评分以及妊娠结局。结果:在口服地屈孕酮后通过心理疏导解除患者焦虑、抑郁心理,心理干预组的SAS、SDS评分组明显低于治疗前及对照组的评分,其最终妊娠结局也有明显改善。结论:反复流产对患者在心理上造成很明显焦虑及恐惧,通过药物及心理疏导可以提高复发性流产患者的妊娠结局。Objective:Understanding of dydrogesterone combined with psychological intervention on influence of recurrent spontaneous abortion pregnancy outcome.Method:157 patients were randomly divided into the psychological intervention group with 79 cases and the control group with 78 cases.The psychological intervention group used dydrogesterone orally and mental health counseling.The control group used dydrogesterone orally and conventional guidance.We observed the score of SAS and SDS before and after treatment and the pregnancy outcome.Results:We relieved the anxiety and depression of the patients by psychological counseling after they had progesterone.The score of the group of psychological intervention group was obviously lower than the control group before treatment,and its final pregnancy outcomes have improved significantly.Conclusion:Recurrent abortion can cause obvious anxiety of the patients and fear psychological,and we can improve the outcome of pregnancy in women with recurrent spontaneous abortion by the drug and psychological counseling.

关 键 词：地屈孕酮 复发性流产 心理干预 

分 类 号：R714.21[医药卫生—妇产科学]