心理干预对输卵管堵塞实施体外受精—胚胎移植患者影响的研究(1)
【摘要】 目的：探讨心理干预对输卵管堵塞实施体外受精-胚胎移植(in vitro fertilization and embryo transfer，IVF-ET)患者的影响。方法：选取2016年4月-2017年2月某院生殖医学科因输卵管堵塞性不孕而接受IVF-ET患者200例，按照入选标准共筛选160例进行问卷调查，进入降调周期前填写焦虑自评量表(SAS)和抑郁自评量表(SDS)。按照入院建档时间用随机数字表法分为干预组80例和对照组80例。干预组患者进行心理干预，对照组采取常规护理，心理干预结束后再次填写SAS和SDS，比较两组患者干预前后评分的变化及两组患者的取卵数、受精率与卵裂率及临床妊娠率。结果：心理干预后，与对照组比较，干预组焦虑、抑郁评分均明显下降(P<0.05)，干预组患者的临床妊娠率明显高于对照组(P<0.05)。结论：心理干预可以明显缓解患者焦虑、抑郁的不良情感，有助于提高临床妊娠率。
【关键词】 心理干预； 输卵管堵塞； 体外受精-胚胎移植
, http://www.100md.com
【Abstract】 Objective：To investigate the effects of psychological intervention on tubal occlusion in vitro fertilization and embryo transfer(IVF-ET).Method：A total of 160 patients with IVF-ET were enrolled in the hospital from April 2016 to February 2017，and the self-rating scale(SAS) and self-rating scale(SDS) were used to evaluate their mental state.They were randomly divided into the intervention group(n=80) and the control group(n=80).The intervention group was responsible for the psychological intervention measures throughout the IVF-ET process，the control group was given regular care.The changes of the scores before and after treatment，the number of eggs taken，the rate of fertilization and the rate of cleavage and clinical pregnancy of two groups were compared.Result：After psychological intervention，the anxiety and depression scores of the intervention group were significantly lower than those of the control group(P<0.05).The clinical pregnancy rate of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion：The implementation of psychological intervention can significantly alleviate the patient’s anxiety and depression of negative emotions，help to improve the clinical pregnancy rate of patients，it is worth of promoting.
, 百拇医药
【Key words】 Psychological intervention； Tubal occlusion； In vitro fertilization embryo transfer
First-author’s address：Weifang Medical College，Weifang 261053，China
doi：10.3969/j.issn.1674-4985.2018.02.019
體外受精-胚胎移植(in vitro fertilization and embryo transfer，IVF-ET)俗称试管婴儿，是借助辅助生殖技术进行IVF-ET而受孕的方法之一，为广大不孕症患者带来了福音[1]。但是因为IVF-ET治疗费用相对比较昂贵，受孕方式的独特性，患者会产生一种特殊的心理应激，而接受试管婴儿技术治疗的不孕症患者会存在不同程度的心理问题[2]。在不孕症的诊断中，原发性不孕症指女性无避孕性生活至少12个月而从未妊娠者。继发性不孕指既往有过妊娠史，而后无避孕连续12个月未孕者[妇产科学(第8版)]。继发性不孕指有至少1次流产或分娩，又经1年没有再受孕[3]。据报道目前不孕症患病人数已超过10%，且人数还在不断增加[4]。尤其是2016年1月二胎政策的公布，更使得接受IVF-ET的不孕患者人数急剧增加。据调查在造成女性不孕症的诸多因素中，约40%为输卵管堵塞性不孕，它有较高的发病率和较为复杂的原因，给患者及她们的生活带来了极大的困扰，因此输卵管堵塞性不孕症近年来成为研究热点。本研究对2016年4月-2017年2月某院生殖中心因输卵管堵塞而接受IVF-ET的200例患者的心理状况进行评估及心理干预，探讨分析输卵管堵塞性不孕症患者的焦虑、抑郁状况对临床妊娠率的影响，以期通过心理干预增加患者的临床妊娠率，现报道如下。, http://www.100md.com(张凤姣 王丽 尹崇高)
【关键词】 心理干预； 输卵管堵塞； 体外受精-胚胎移植
, http://www.100md.com
【Abstract】 Objective：To investigate the effects of psychological intervention on tubal occlusion in vitro fertilization and embryo transfer(IVF-ET).Method：A total of 160 patients with IVF-ET were enrolled in the hospital from April 2016 to February 2017，and the self-rating scale(SAS) and self-rating scale(SDS) were used to evaluate their mental state.They were randomly divided into the intervention group(n=80) and the control group(n=80).The intervention group was responsible for the psychological intervention measures throughout the IVF-ET process，the control group was given regular care.The changes of the scores before and after treatment，the number of eggs taken，the rate of fertilization and the rate of cleavage and clinical pregnancy of two groups were compared.Result：After psychological intervention，the anxiety and depression scores of the intervention group were significantly lower than those of the control group(P<0.05).The clinical pregnancy rate of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion：The implementation of psychological intervention can significantly alleviate the patient’s anxiety and depression of negative emotions，help to improve the clinical pregnancy rate of patients，it is worth of promoting.
, 百拇医药
【Key words】 Psychological intervention； Tubal occlusion； In vitro fertilization embryo transfer
First-author’s address：Weifang Medical College，Weifang 261053，China
doi：10.3969/j.issn.1674-4985.2018.02.019
體外受精-胚胎移植(in vitro fertilization and embryo transfer，IVF-ET)俗称试管婴儿，是借助辅助生殖技术进行IVF-ET而受孕的方法之一，为广大不孕症患者带来了福音[1]。但是因为IVF-ET治疗费用相对比较昂贵，受孕方式的独特性，患者会产生一种特殊的心理应激，而接受试管婴儿技术治疗的不孕症患者会存在不同程度的心理问题[2]。在不孕症的诊断中，原发性不孕症指女性无避孕性生活至少12个月而从未妊娠者。继发性不孕指既往有过妊娠史，而后无避孕连续12个月未孕者[妇产科学(第8版)]。继发性不孕指有至少1次流产或分娩，又经1年没有再受孕[3]。据报道目前不孕症患病人数已超过10%，且人数还在不断增加[4]。尤其是2016年1月二胎政策的公布，更使得接受IVF-ET的不孕患者人数急剧增加。据调查在造成女性不孕症的诸多因素中，约40%为输卵管堵塞性不孕，它有较高的发病率和较为复杂的原因，给患者及她们的生活带来了极大的困扰，因此输卵管堵塞性不孕症近年来成为研究热点。本研究对2016年4月-2017年2月某院生殖中心因输卵管堵塞而接受IVF-ET的200例患者的心理状况进行评估及心理干预，探讨分析输卵管堵塞性不孕症患者的焦虑、抑郁状况对临床妊娠率的影响，以期通过心理干预增加患者的临床妊娠率，现报道如下。, http://www.100md.com(张凤姣 王丽 尹崇高)