多囊卵巢综合征合并不孕患者行腹腔镜术前焦虑的影响因素

Analysis of Influencing Factors of Preoperative Anxiety in Patients with Polycystic Ovary Syndrome and Infertility before Laparoscopy

目的:探讨多囊卵巢综合征(PCOS)合并不孕患者行腹腔镜术前焦虑的影响因素。方法:选取150例PCOS合并不孕患者作为PCOS不孕组,150例非PCOS不孕患者作为非PCOS不孕组,110例身体健康、行孕期检查、做孕前准备的孕妇作为对照组;2组不孕患者行腹腔镜术前、对照组产检时分别采用医院焦虑自评量表(SAS)评估焦虑状况,比较3组受试者年龄、体质指数(BMI)、生长环境、受教育程度、经济情况、痛经、睡眠情况、生活紧张度、生气情况、夫妻关系不和、亲属关系不和、就业状况、不孕年限、流产次数及性生活频率,采用多因素Logistic回归分析PCOS不孕患者腹腔镜术前焦虑的影响因素。结果:3组受试者SAS评分PCOS不孕组>非PCOS不孕组>对照组、中重度焦虑患者比例PCOS不孕组>非PCOS不孕组>对照组(P<0.05);3组受试者BMI、就业状态、痛经、流产次数、不孕年限、工作压力、生气频率、夫妻关系不和、亲属关系不和等方面比较,差异均有统计学意义(P<0.05);多因素Logistic回归分析显示,流产次数、不孕年限、BMI、易怒频率、亲属关系失和与腹腔镜PCOS不孕患者的SAS评分存在相关性(P<0.05)。结论:腹腔镜PCOS不孕术前的焦虑情绪受多种因素影响。

Objective: To investigate the influencing factors of preoperative anxiety in patients with polycystic ovary syndrome (PCOS) and infertility before laparoscopy. Methods: 150 PCOS patients with infertility were selected as PCOS infertility group;150 non-PCOS infertility patients as non-PCOS infertility group;110 healthy pregnant and pre-pregnancy women were selected as control group.Self-rating anxiety scale (SAS) was used to assess anxiety status of infertility patients before laparoscopic surgery and the control group during antenatal examination respectively.Age,body mass index (BMI),growth environment,education level,economic status,dysmenorrhea,sleep status,life tension,anger,marital discord,kinship discord,employment status,infertility years,number of abortions and frequency of sexual life were compared among the three groups.Multivariate Logistic regression was used to analyze the influencing factors of anxiety before laparoscopy in infertility patients with PCOS. Results: The SAS scores of the three groups were PCOS infertility group>non-PCOS infertility group>control group;the proportion of moderate and severe anxiety patients was PCOS infertility group>non-PCOS infertility group>control group ( P <0.05). BMI,employment status,dysmenorrhea,number of abortions,infertility,work pressure,frequency of anger,discord between husband and wife,and discord between relatives were compared among the three groups.( P <0.05).Multivariate logistic regression analysis showed that the number of abortions,infertility years,BMI,irritability frequency,loss of kinship and laparoscopic PCOS infertility patients with SAS score were correlated ( P <0.05). Conclusion: Anxiety before laparoscopic PCOS infertility surgery is affected by many factors.