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目的比较分析夫精人工授精(IUI)治疗后妊娠妇女与未妊娠妇女在治疗前后个性特征和心理状态测试结果,探讨IUI治疗结局与患者个性特征和心理状态之间的相互关系。方法选取2007年1月至2008年7月在浙江省舟山市妇幼保健院生殖中心接受IUI治疗的84例不孕妇女,以IUI治疗后是否妊娠为标准分为妊娠组和未妊娠两组,比较其在治疗前进行的艾森克人格调查表(EPQ)、90项症状自评量表(SCL-90)测试及焦虑自评量表(SAS)和抑郁自评量表(SDS)测试数据。结果IUI治疗后,妊娠组妇女与未妊娠组妇女的EPQ测定及SAS评分结果比较,差异无统计学意义;SCL-90测试结果显示:未妊娠组妇女的强迫症状、人际关系障碍、抑郁得分明显高于妊娠组妇女,P均<0.05。未妊娠组妇女SDS评分明显高于妊娠组妇女(P<0.05)。结论本研究发现,在相同治疗条件下,治疗前抑郁水平高、人际关系障碍及强迫症状明显的患者IUI妊娠率低。
Objective To compare and analyze the personality traits and psychological status of pregnant women and non-pregnant women before and after treatment with artificial insemination (IUI), and to explore the relationship between IUI treatment outcome and personality characteristics and psychological status of patients. Methods From January 2007 to July 2008, 84 infertile women receiving IUI at the Reproductive Center of Zhoushan Maternal and Child Health Hospital of Zhejiang Province were divided into pregnancy group and non-pregnancy group according to whether pregnancy was the standard of IUI treatment. The EPQ, the 90 Symptom Checklist 90 (SCL-90), the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) test were performed prior to treatment. Results After IUI treatment, there were no significant differences in EPQ and SAS scores between pregnant women and nonpregnant women; SCL-90 test showed that obsessive-compulsive disorder, interpersonal disorders and depression scores were significantly higher in non-pregnant women P value higher than pregnancy group, P <0.05. The SDS scores of non-pregnant women were significantly higher than those of pregnant women (P <0.05). Conclusions This study found that under the same treatment conditions, IUI pregnancy rates were low in patients with pre-treatment depression, interpersonal disorders and obsessive-compulsive symptoms.