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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 investigate the psychological status of endometriosis and non-endometriosis infertility patients. Methods 130 cases of infertility women diagnosed by clinical examination, 46 cases of endometriosis infertility as the observation group, and the remaining 84 cases as a control group, using the General Psychiatric Symptom Scale SCL-90 to evaluate the patient’s psychological condition . Results The scores of somatization in observation group and control group were (1.56 ± 0.34 vs 1.58 ± 0.36), interpersonal sensitivity (1.81 ± 0.54 vs 1.79 ± 0.64), hostile (1.60 ± 0.79 vs1.62 ± 0.85), paranoid (1.63 ± 0.36 vs1.61 ± 0.28), sleep and diet (1.79 ± 0.54 vs1.74 ± 0.51), P> 0.05, but not in depression 0.62 vs1.69 ± 0.50), anxiety (1.72 ± 0.44 vs 1.58 ± 0.36), women with endometriosis were significantly higher than those with non-endometriosis (P <0.05). Conclusions Obvious anxiety and depressive psychological problems are common in infertile women, and the anxiety and depression in women with endometriosis are significantly higher than those in non-uterus, which are represented by irregular menstruation, pelvic surgery, tubal disease and pelvic inflammatory disease Endometriosis women.