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[目的]了解不孕症妇女抑郁、焦虑状况,探讨心理干预对不孕症妇女排卵的影响。[方法]应用焦虑自评量表(SAS)和抑郁自身量表(SDS)对40名排卵障碍的不孕症妇女进行心理评估;对其中20例在促排卵时及排卵期进行心理干预即支持性心理干预、家庭疗法、小组治疗和放松训练,对照组不采用心理干预措施。观察两组治疗前后抑郁、焦虑情绪变化的异同,并进行3个月促排卵周期的排卵率的比较。[结果]不孕症妇女均存在不同程度抑郁、焦虑(48.2±9.4,47.9±10.3),心理干预能明显改善其不良情绪(40.8±10.0,36.9±10.0),差异有统计学意义(t=4.2,t=5.9,P﹤0.01),干预组与对照组比较3个促排卵周期排卵率高于对照组(分别为89%,67%),差异有统计学意义(χ2=7.82,P﹤0.01)。[结论]妇科医生应重视不孕妇女的心理,并进行必要的心理干预,改善其不良情绪,提高排卵率,增加妊娠机会。
[Objective] To understand the status of depression and anxiety in infertile women and explore the effect of psychological intervention on ovulation in infertile women. [Methods] Forty women with infertility with ovulation disorder were evaluated by SAS and SDS. 20 of them were supported by psychological interventions during ovulation and ovulation Sexual psychological intervention, family therapy, group therapy and relaxation training, the control group did not use psychological interventions. The similarities and differences of depression and anxiety before and after treatment were observed and the ovulation rates of ovulation induction during 3 months were compared. [Results] All infertile women had depression and anxiety (48.2 ± 9.4 and 47.9 ± 10.3) in varying degrees, and psychological intervention significantly improved the bad mood (40.8 ± 10.0 and 36.9 ± 10.0), the difference was statistically significant (t = 4.2, t = 5.9, P <0.01). Compared with the control group, the ovulation rate of the three ovulation cycles in the intervention group was significantly higher than that in the control group (89% and 67%, respectively) 0.01). [Conclusion] Gynecologists should pay attention to the psychology of infertile women, and make the necessary psychological intervention to improve their bad mood, improve the ovulation rate and increase the chance of pregnancy.