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目的研究产科女医师的精神紧张和女性内分泌功能紊乱状况,探讨干预治疗对精神紧张和女性内分泌功能紊乱的影响。方法采用整群随机抽样的方法,抽取9家二级以上医院及妇幼保健院精神紧张问卷[12项一般健康问卷(General Health Questionnaire,GHQ-12)]得分≥15分的产科女医师317名,随机分为干预组160名,对照组157名。入组时两组精神紧张(问卷及血压、肾上腺素、去甲肾上腺素)评定及女性内分泌功能紊乱(泌乳素、睾酮、雌激素、孕激素、临床症状)水平无差异(P>0.05)。对比干预治疗前后(10个月)上述内容,观察干预治疗效果。结果干预后,干预组的精神紧张明显减轻(P<0.05),女性内分泌功能紊乱好转(P<0.05)。结论干预治疗可缓解产科女医师的精神紧张程度,改善女性内分泌功能紊乱状态及临床症状。
Objective To study the mental stress and female endocrine dysfunction status of obstetric female physicians and explore the effect of intervention on mental stress and female endocrine disorders. Methods A total of 317 obstetric female doctors who scored ≥15 were enrolled in the questionnaire of mental health of 9 secondary and above hospitals and MCH hospitals by cluster random sampling method [12 General Health Questionnaires (GHQ-12)], Randomly divided into intervention group 160, control group 157. There was no difference in the level of stress (questionnaires and blood pressure, epinephrine, norepinephrine) and female endocrine disorders (prolactin, testosterone, estrogen, progesterone, clinical symptoms) in the two groups at the time of enrollment (P> 0.05). Compare intervention before and after treatment (10 months) above, observe the effect of intervention. Results After the intervention, the mental stress in the intervention group was significantly reduced (P <0.05), and the endocrine disorders in women were improved (P <0.05). Conclusion Intervention can relieve the mental stress of obstetric female physicians and improve the endocrine disorders and clinical symptoms in women.