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目的探讨影响围绝经期妇女心理障碍的主要因素及综合康复对其影响。方法回顾性分析感情性心理障碍的围绝经期妇女患者临床资料,采用症状自评量表(SCL-90)对其进行激素补充治疗及心理治疗前后的心理状态进行分析。结果存在感情性心理障碍的围绝经期妇女,通过激素补充治疗及心理康复治疗后,其(SCL-90)各因子均分普遍下降,其中躯体化、焦虑、抑郁和偏执等因子分下降差异有统计学意义(P<0.05)。结论对存在心理障碍的围绝经期妇女进行激素补充治疗及心理康复能有效提高其心理健康水平,改善患者的生活质量,该方法值得临床推广使用。
Objective To explore the main factors influencing psychological disorders in perimenopausal women and the impact of comprehensive rehabilitation on them. Methods The clinical data of patients with perimenopausal women with emotional-psychological disorders were retrospectively analyzed. The symptoms and signs of psychological menopausal women before and after psychological treatment were analyzed by using Symptom Checklist 90 (SCL-90). Results The per-menopausal women with emotional psychological disorder had a general decline in the mean score of SCL-90 after hormone replacement therapy and psychological rehabilitation. The differences among the somatization, anxiety, depression and paranoid factors were as follows: Statistical significance (P <0.05). Conclusions The hormone replacement therapy and psychological rehabilitation for perimenopausal women with psychological disorders can effectively improve their mental health and improve the quality of life of patients. This method is worthy of clinical promotion.