正念减压法在多囊卵巢综合征不孕患者中的应用(1)
【摘要】 目的：探讨正念减压法对多囊卵巢综合征不孕患者的临床干预效果。方法：选取笔者所在医院妇科2016年5月-2017年5月收治的84例多囊卵巢综合征不孕患者为研究对象。采用数字随机分组法将84例患者分为对照组和观察组，各42例。对照组在基础性药物治疗的同时给予患者常规护理，观察组在对照组的基础上给予正念减压疗法。观察两组患者在减压干预前后焦虑情绪、抑郁情绪情况，血清睾酮(T)、黄体生长素(LH)、卵泡刺激素(FSH)及LH/FSH比值情况。结果：两组患者干预后HAMA及HAMD评分均有明显降低，且观察组均明显低于对照组，差异均有统计学意义(P<0.05)。两组患者干预后血清T、LH及LH/FSH水平明显降低，FSH水平无变化，观察组患者干预后T、LH及LH/FSH水平均明显低于对照组，差异均有统计学意义(P<0.05)。结论：正念减压疗法能够有效改善多囊卵巢综合征不孕患者焦虑、抑郁情绪，减轻患者的临床症状，其临床干预效果显著，值得进一步推广应用。
【关键词】 多囊卵巢综合征； 正念减压法； 负面情绪； 激素水平
doi：10.14033/j.cnki.cfmr.2018.13.012 文献标识码 B 文章编号 1674-6805(2018)13-0032-03
【Abstract】 Objective：To investigate the clinical intervention effect of mindfulness decompression on patients with polycystic ovary syndrome (PCOS).Method：Eighty-four cases of polycystic ovarian syndrome (PCOS) infertile patients treated in the author’s department of gynaecology in May 2016 to May 2017 were selected as the subjects.All patients were divided into the control group and the observation group by the digital random grouping method，each of 42 cases.The patients in the control group were given routine care at the same time，while the observation group was given the correct decompression therapy on the basis of the control group.The anxiety and depression，the serum testosterone (T)，luteinizing hormone (LH)， follicle stimulating hormone (FSH) and LH/FSH ratio in the two groups before and after decompression intervention were observed.Result：After intervention，the scores of HAMA and HAMD were significantly decreased in the two groups，and the observation group was significantly lower than that of the control group， the differences were statistically significant(P<0.05).The serum T，LH and LH/FSH levels of the two groups were significantly decreased after intervention， and the FSH level did not change.After intervention，the levels of T，LH and LH/FSH in the observation group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).Conclusion：Mindfulness depressive therapy can effectively improve anxiety and depression in patients with polycystic ovary syndrome， and relieve the clinical symptoms of patients.The effect of clinical intervention is significant，which is worthy of further promotion and application.
【Key words】 Polycystic ovary syndrome； Mindfulness decompression； Negative emotion； Hormone level
First-author’s address：Songzi Maternal and Child Health Care Hospital，Songzi 434200，China
多囊卵巢綜合征是临床以慢性无排卵和高雄激素血症为主要特征的一种复杂内分泌及代谢异常所致的女性疾病，临床主要表现为月经周期不规律、不孕、多毛或痤疮等综合特征[1]。据报道，该病在育龄女性的发生率达到5%～10%，由于该病病因较复杂，虽然通过临床相关治疗能够取得一定的效果，但仍不能彻底治愈而造成患者较大的心理压力，严重影响到患者的日常生活[2-3]。本研究对多囊卵巢综合征不孕患者实施正念减压法干预，探讨正念减压法对患者心理情绪及激素水平的影响，现报道如下。, 百拇医药(周艳妮 吕艳)
【关键词】 多囊卵巢综合征； 正念减压法； 负面情绪； 激素水平
doi：10.14033/j.cnki.cfmr.2018.13.012 文献标识码 B 文章编号 1674-6805(2018)13-0032-03
【Abstract】 Objective：To investigate the clinical intervention effect of mindfulness decompression on patients with polycystic ovary syndrome (PCOS).Method：Eighty-four cases of polycystic ovarian syndrome (PCOS) infertile patients treated in the author’s department of gynaecology in May 2016 to May 2017 were selected as the subjects.All patients were divided into the control group and the observation group by the digital random grouping method，each of 42 cases.The patients in the control group were given routine care at the same time，while the observation group was given the correct decompression therapy on the basis of the control group.The anxiety and depression，the serum testosterone (T)，luteinizing hormone (LH)， follicle stimulating hormone (FSH) and LH/FSH ratio in the two groups before and after decompression intervention were observed.Result：After intervention，the scores of HAMA and HAMD were significantly decreased in the two groups，and the observation group was significantly lower than that of the control group， the differences were statistically significant(P<0.05).The serum T，LH and LH/FSH levels of the two groups were significantly decreased after intervention， and the FSH level did not change.After intervention，the levels of T，LH and LH/FSH in the observation group were significantly lower than those in the control group，the differences were statistically significant(P<0.05).Conclusion：Mindfulness depressive therapy can effectively improve anxiety and depression in patients with polycystic ovary syndrome， and relieve the clinical symptoms of patients.The effect of clinical intervention is significant，which is worthy of further promotion and application.
【Key words】 Polycystic ovary syndrome； Mindfulness decompression； Negative emotion； Hormone level
First-author’s address：Songzi Maternal and Child Health Care Hospital，Songzi 434200，China
多囊卵巢綜合征是临床以慢性无排卵和高雄激素血症为主要特征的一种复杂内分泌及代谢异常所致的女性疾病，临床主要表现为月经周期不规律、不孕、多毛或痤疮等综合特征[1]。据报道，该病在育龄女性的发生率达到5%～10%，由于该病病因较复杂，虽然通过临床相关治疗能够取得一定的效果，但仍不能彻底治愈而造成患者较大的心理压力，严重影响到患者的日常生活[2-3]。本研究对多囊卵巢综合征不孕患者实施正念减压法干预，探讨正念减压法对患者心理情绪及激素水平的影响，现报道如下。, 百拇医药(周艳妮 吕艳)