认知行为治疗子宫内膜异位症不孕IVF-ET效果

Effect of cognitive behavioral intervention of infertile patients with endometriosis who experienced IVF-ET

目的:探讨认知行为干预对子宫内膜异位症不孕行体外受精-胚胎移植(IVF-ET)患者心理及妊娠结局的影响。方法:以腹腔镜手术治疗子宫内膜异位症不孕后行IVF-ET治疗患者198例为观察对象,随机分为干预组和对照组,两组均给予常规健康宣教与电热针灸治疗,干预组在此基础上实施认知行为干预,比较两组干预前后心理状态及妊娠结局。结果:干预组干预后焦虑、抑郁得分较对照组明显下降,妊娠率高于对照组(均P<0.05);自然流产与异位妊娠率与对照组比较无差异(P>0.05)。结论:认知行为干预能够减轻内异症不孕行IVF-ET治疗患者不良情绪,有利于提高其妊娠成功率。

Objective:To study the influence cognitive behavioral intervention on negative emotion and pregnancy outcomes of infertile patients with endometriosis who experienced in-vitro fertilization and embryo transfer(IVF-ET).Methods:198 infertile patients with endometriosis who experienced IVF-ET were divided into observation group and control group randomly.The patients in both groups received routine health education and electrothermal acupuncture,and the patients in observation group received cognitive behavioral intervention additionally.Psychological status and pregnancy outcomes of patients were compared between the two groups before and after intervention.Results:The scores of anxiety and depression of patients in observation group was significant lower than those of patients in control group(P<0.05).The rate of pregnancy of patients in observation group was significant higher than that of patients in control group(P<0.05).There were no significant different in rates of spontaneous abortion and ectopic pregnancy between the two groups.Conclusion:The cognitive behavioral intervention can reduce psychological pressure of infertile patients with endometriosis,which is benefit to increase the success rate of pregnancy.