避孕节育身心状况检测咨询技术应用研究

Development and Exploitation of Technique of Screening or Consulting and Therapy on Psychosomat- ic Reaction Related to Contraception and Birth Control.

目的:对农村育龄妇女避孕节育身心反应易感者进行筛选和干预治疗研究。方法:采用“避孕节育身心状况检测咨询技术”对5481例避孕节育者进行检测(其中女性绝育术2268例、IUD1915例和长效避孕药1298例),并对筛选出的身心反应易感者按成组配对(2:1)和随机的原则分为治疗组(N=427)与对照组(N=262);治疗组在术前和术后一周内,给予相应的心理疏导和短期小剂量抗焦虑抗抑郁药物等综合治疗。观察干预治疗效果。结果:共筛选出689例有轻中度以上身心症状的易感者,平均筛选率为12.6％(其中女性绝育术为368例,筛选率16.2％;IUD为211例,筛选率11.0％;长效避孕药为110例,筛选率为8.7％);术后1年随访,治疗组身心症状恢复正常率为79.2％,明显优于对照组(36.3％),差异有显著性(P<0.01)。结论:临床上应用避孕节育身心状况检测咨询技术能有效筛选出身心症状易感者,且经综合治疗后易感者身心症状恢复正常率高于对照组。本文还探讨了学科技术创新以及跨学科研究与开拓新市场的关系。

Objective;To screen and therapy susceptible women to psychosomatic reaction related to contraception and birth control in rural area of China. Methods : With the technique of test and consulting on psychosomatic condition related to contraception and birth control,we assessed 5481 women (sterilization: 2268 ;IUD: 1915 contraceptive medicine; 1298) before they received the operation of contraception and birth control. The susceptible women were randomly assigned into therapeutic group(427 women)and control one (262 women). The therapeutic effect was compared between two groups. Results ; 689 women susceptible to mild or moderate psychosomatic symptoms were screened out and the mean screening rate was 12. 6% (sterilization: 368,16. 2% ;IUD: 211,11. 0% ;contracep-tive medicine: 110,8. 7%). The subjects in therapeutic group were treated with comprehensive therapy--psychotherapy, anti-anxiety agents and other symptom-oriented measurements one week before and after operation. A one year follow-up study showed that the recovery rate of therapeutic group (79. 2%) was significantly higher than that of control group (36.3%). Conclusion : With the technique of test and consulting on psychosomatic condition related to contraception and birth control, the physician can screen out susceptible women to psychosomatic symptoms related to contraception. The recovery rate of therapeutic group was verified to be higher than that of control group. In this paper we had also disccussed the relation between innovation of knowledge and deploitation of the market.