摘要
目的 观察输卵管结扎术后患者的心理、生理应激状态.方法 选择2012年11月至2013年6月于我站进行输卵管结扎术的59例患者作为研究对象,比较患者术前、术后的心理、生理应激状态,其中心理应激状态以焦虑自评量表(SAS)、抑郁自评量表(SDS)评估,生理应激状态以血清促黄体生成素(LH)、促卵泡刺激素(FSH)、睾酮(T)、雌二醇(E2)为观察指标.结果 输卵管结扎术后患者均出现不同程度的心理、生理应激反应,术后1个月患者的SDS、SAS评分明显高于术前,LH、FSH、E2水平明显低于术前,差异均有统计学意义(P<0.05),对所有患者跟踪随访3~12个月,术后3个月以上各项指标均有所缓解,趋向正常水平,与术后1个月比较差异均有统计学意义(P<0.05).结论 输卵管结扎术后患者存在不同程度的心理、生理应激反应,术后无明显的不适症状发生,患者的心理、生理应激指标逐渐恢复正常,不影响正常的生活、工作.
Objective To observe the psychological/physiological stress state of patients who received tubal ligation. Methods 59 cases of patients those who received tubal ligation during Nov 2012 and Jun 2013 in our station were employed as the research object, compared the pre -/post - operative psychological/physiological stress state of them. The psychological stress state was assessed by Self - Rating Anxiety Scale ( SAS), Self - rating depression scale (SDS). Physiological stress state was assessed by serum luteotropic hormone (LH), Follicle -stimulating hormone (FSH), Testosterone (T) and Estrodiol (E2) . Results We observed different degrees of psychological, physiological stress response in patients after they received tubal ligation, SDS and SAS score were significantly increased one month preoperative, levels of LH, FSH and E2 were significantly decreased compared"to that preoperative, the differences were statistically significant ( P 〈 0. 05 ). All the patients were followed up for 3 to 12 months, 5 months later these indicators have eased, tend to be normal. Compared with the indicators of 1 months after operation, the differences were statistically significant ( P 〈 0. 05 ). Conclusions Patients have different degree of psychological/physiological stress after tubal ligation reaction , but it will not disturb daily life and work.
出处
《齐齐哈尔医学院学报》
2014年第11期1640-1641,共2页
Journal of Qiqihar Medical University
关键词
输卵管结扎术
心理
生理
应激
Tubal ligation
Psychology
Physiology
Stress