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目的探讨综合性心理干预措施对产前筛查高风险孕妇妊娠结局的影响。方法将300例产前筛查高风险孕妇随机分为干预组与对照组各150例。对照组孕妇于产科优生咨询门诊常规就诊、进行羊水穿刺的预约与实施;干预组孕妇在此基础上由专职人员在羊水穿刺前、中、后及整个孕期进行认知、支持等综合性的心理干预。结果干预组产前诊断率、分娩期并发症发生率及妊娠结局显著优于对照组(P<0.05,P<0.01)。结论综合性心理干预可提高产前诊断率、减少产前筛查高风险孕妇分娩期并发症的发生率,降低社会因素引产手术的发生,提高产前诊断质量及安全性。
Objective To investigate the effect of comprehensive psychological intervention on the pregnancy outcome of prenatal screening high-risk pregnant women. Methods 300 prenatal screening high risk pregnant women were randomly divided into intervention group and control group of 150 cases. The control group of pregnant women in obstetrics and gynecology consultation clinic routine treatment, amniocentesis appointment and implementation; intervention group pregnant women on the basis of full-time staff amniocentesis in the amniotic fluid before, during, and throughout the pregnancy awareness, support and other comprehensive psychological Intervention. Results The rate of prenatal diagnosis, the incidence of complications during childbirth and the outcome of pregnancy in the intervention group were significantly better than those in the control group (P <0.05, P <0.01). Conclusion Comprehensive psychological intervention can increase the rate of prenatal diagnosis, reduce the incidence of complications during labor in prenatal screening of high-risk pregnant women, reduce the incidence of labor induced by social factors, and improve the quality and safety of prenatal diagnosis.