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目的 不育夫妇占育龄夫妇的 5～ 1 0 % ,心理障碍是不孕症的原因之一。研究对象 1 30例 ,随机取样试管婴儿 ( invitro fertilization,简称 IVF) 39例、人工授精 ( artificial insemination by donor,简称 AID) 37例、粘堵绝育术 ( occlusion offallopian tube,简称 OFT) 54例。方法 以自评量表 SCL-90、生活事件量表 LES和国际量表为指标 ,研究 IVF、AID、OFT心理健康、心理刺激两者的相关性。结果 3组 SCL-90总分与全国常模比较 ,AID总分显著高于常模 ,IVF总分近似常模 ,OFT总分显著低于常模 ,差异极显著。结论 AID心理障碍程度重于 IVF,而 OFT心理障碍较轻 ,不育妇女心理障碍主要是人际关系紧张 ,并由此带来抑郁、焦虑、躯体症状。在躯体治疗的同时 ,也迫切需要提供心理咨询和治疗。
The purpose of infertile couples of reproductive age accounted for 5 to 10%, psychological disorders is one of the causes of infertility. Thirty-nine patients were randomly divided into control group (n = 39), artificial insemination by donor (n = 37) and occlusion of offalopian tube (OFT) Methods The correlation between mental health and psychological stimulation of IVF, AID, OFT was studied by using self-rating scale SCL-90, life event scale LES and international scale as indicators. Results Compared with the national norm, the total score of SCL-90 in the three groups was significantly higher than that of the norm and the IVF total score was similar to that of the norm. The OFT total score was significantly lower than that of the norm and the difference was significant. Conclusions The severity of AID is more severe than that of IVF, while OFT is mild. Psychological disturbances of infertile women are mainly caused by interpersonal tension and depression, anxiety and somatic symptoms. In addition to physical therapy, there is an urgent need to provide psychological counseling and treatment.