不育女性心理压力对子宫内膜及内膜下血流的影响

Influence of psychological stress on endometrium and endometrial blood flow in infertile women

目的探讨不育女性的心理压力对子宫内膜及内膜下血流的影响。方法选取2015年4~9月在我院生殖中心门诊就诊的初诊不育女性155例,采用三维能量多普勒超声测量子宫内膜及内膜下容积、血管化指数（VI）、血流指数（FI）及血管化血流指数（VFI）;采用中文版FPI量表对其进行心理压力的测评,分析心理压力大小对子宫内膜及内膜下血流的影响。结果有无子女生活方式的取舍与子宫内膜下FI（r=-0.163）、性关注与子宫内膜FI（r=-0.171）、FPI总分与子宫内膜FI（r=-0.163）、FPI总分与子宫内膜下FI（r=-0.178）具有相关性（P均〈0.05）。结论心理压力与子宫内膜及内膜下血流相关指数存在相关性,心理干预能否改善子宫内膜血流有待进一步研究。

Objective： To investigate the influence of psychological stress on endometrium and endometrial blood flow in infertile women. Methods： A total of 155 infertile women visited the reproductive center in the First Affiliated Hospital of Zhengzhou University at the first time from April to September 2015 were included in the study. The 3-dimesional power Doppler sonography was performed to measure the endometrium and subendometria volume, vascularization index （VI）, flow index （FI） and vascularization flow index （VFI）. The Chinese-FPI was adopted to evaluate influence of psychological stress on endometrium and endometrial blood flow. Results： There were significant correlation between choice of with/without children lifestyle and subendometrialFI （r=-0.163）,sex concern and endometrial FI （r=-0.171）,FPI total score and endometrial FI （r= -0. 163） ,FPI total score and subendometrial FI （r= -0. 178） （P〈0.05）. Conclusions： Psychological stress is associated with endometrial blood flow. Whether psychological intervention can improve endometrial blood flow needs further investigation.