子宫内膜异位症与非子宫内膜异位症不孕患者的心理状况分析

Psychological status analysis of endometriosis and non endometriosis with infertile women

目的探讨子宫内膜异位症与非子宫内膜异位症不孕患者的心理状况。方法 130例不孕不育妇女经由临床检查确诊,将子宫内膜异位症不育46例作为观察组,其余84例作为对照组,采用广泛性精神症状量表SCL-90评价患者的心理情况。结果观察组与对照组的躯体化评分为(1.56±0.34分vs1.58±0.36分),人际关系敏感(1.81±0.54分vs1.79±0.64分),敌对(1.60±0.79分vs1.62±0.85分),偏执(1.63±0.36分vs1.61±0.28分),睡眠及饮食情况(1.79±0.54分vs1.74±0.51分)比较无统计学差异,P>0.05,而在抑郁(1.83±0.62分vs1.69±0.50分),焦虑(1.72±0.44分vs 1.58±0.36分)两组比较,子宫内膜异位症妇女显著高于非子宫内膜异位症妇女,P<0.05。结论不孕妇女普遍存在明显的焦虑及抑郁心理问题,且子宫内膜异位症妇女的焦虑及抑郁情况要显著高于以月经不调、盆腔手术史、输卵管病变、盆腔炎为代表的非子宫内膜异位症妇女。

Objective To analysis the psychological status of endometriosis and non endometriosis with infertile women. Methods 130 patients with infertile diagnosed by clinical examination. 46 patients with endometriosis infertility as the observation grou. and the 84 patients as the control group. the generalized psychiatric symptoms SCL-90 scale was used to evaluted psychological status. Results Somatization score of SCL-90 in the observation group and the control group somatization score was（ 1. 56 score ± 0. 34vs1. 58 ± 0. 36 score）,interpersonal sensitivity was（ 1. 81 ± 0. 54 score vs 1. 79 ± 0. 64 score）,hostility was（ 1. 60 ± 0. 79 score vs 1. 62 ± 0. 85 score）,paranoid was（ 1. 63 ± 0. 36 score vs 1. 61 ± 0. 28 score）,sleep and diet was（ 1. 79 ± 0. 54 score vs 1. 74 ± 0. 51 score）,there was no significant difference between two groups,P 〉 0. 05,while in depression（ 1. 83 ± 0. 62 score vs 1. 69 ±0. 50 score）,anxiety（ 1. 72 ± 0. 44 score vs 1. 58 ± 0. 36 score） compared with significant difference,the endometriosis women were higher than non endometriosis,P 〈 0. 05. Conclusion s infertile women with obvious anxiety and depression,and that in the Endometriosis with infertile women were significant higher than secondary infertility women that conclude Irregular menstruation,pelvic surgery,tubal disease,non endometriosis women.