罗伯逊易位患者行胚胎植入前遗传学诊断的护理

Experience in nursing of patients with Robertsonian translocation receiving pre-implantation genet- ic diagnosis

目的总结罗伯逊易位患者行胚胎植入前遗传学诊断治疗的护理体会。方法对入选的38例罗伯逊易位行胚胎植入前遗传学诊断治疗的患者予以全面健康教育和心理护理。结果38例患者无明显负性情绪，积极配合治疗。9例成功妊娠，妊娠率为23．7％，7例分娩健康新生儿。结论对罗伯逊易位接受胚胎植入前遗传学诊断治疗的患者实施全面的健康教育、心理护理、超促排卵、取卵术和胚胎移植术前后的护理，可以有效降低患者的负性情绪，改善治疗的依从性和心理状态，有利于罗伯逊易位行植入前遗传学诊断的顺利进行，对临床结局有积极的影响。

Objective We sought to summarize the experience in nursing the patients of Robertsoni- an translocation receiving pre-implantation genetic diagnosis （PGD）. Methods Thirty-eight patients with Robertsonian translocation received PGD. These patients received health education and psychological nurs- ing except for routine therapy and nursing. Results All these patients had no obvious negative emotion and complied with the therapy. Nine patients were successfully pregnant and pregnancy rate was 23.7%, 7 of them delivered healthy neonates. Conclusions Health education, psychology nursing together with con- trolled ovarian stimulation, egg retrieval and embryonic transplantation can reduce negative emotion, im- prove compliance of therapy, and benefit the process of PGD and clinical outcomes.