| 进入体外受精-胚胎移植周期妇女应激情绪的研究 |
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| 引用本文： | 杨小玉,张云山,狄敏,钱明.进入体外受精-胚胎移植周期妇女应激情绪的研究[J].国外医学(计划生育．生殖健康分册),2009(3). |
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| 作者姓名： | 杨小玉 张云山 狄敏 钱明 |
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| 作者单位： | 天津市中心妇产科医院生殖医学中心;天津医学高等专科学校护理系;天津医科大学; |
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| 基金项目： | 天津医学高等专科学校科研课题(YZ056YB02) |
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| 摘 要： | 目的:探讨进入体外受精-胚胎移植(IVF-ET)周期妇女焦虑和抑郁情绪的变化特点。方法:征集46例将进行IVF-ET/胞浆内单精子注射(ICSI)的不孕症妇女,在进入治疗周期降调当日、取卵前1h、移植后12d等待人绒毛膜促性腺激素β亚单位(β-hCG)结果前这3个时间段的晨8:00～8:30间,在医院门诊采用状态焦虑和BECK抑郁量表进行心理测查并空腹采血。结果:①3个测试点妇女均有抑郁表现,但抑郁程度无差异。②状态焦虑均值在3个测试点有逐渐增高的趋势,测试点3较测试点1焦虑程度明显增高,有统计学差异(P<0.05)。③前3个测试点皮质醇激素水平显著高于正常参考值(P<0.01),测试点2和测试点3血浆皮质醇激素水平明显高于测试点1,并有统计学差异(P<0.05)。结论:进入IVF-EF周期妇女表现出较大的应激反应,并随治疗进展应激程度出现变化。应关注IVF妇女心理状况的变化。应以提高治疗的依从性和成功率。
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| 关 键 词： | 体外受精-胚胎移植 应激 状态焦虑 抑郁 皮质醇激素 |
Study on Emotional Stress of Female in IVF-ET Cycle |
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| Authors: | YANG Xiao-yu ZHANG Yun-shan DI Min QIAN Ming Reproductive Medical Center Tianjin Central Hospital of Gynaecology Obstetrics Tianjin China Nursing |
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| Institution: | YANG Xiao-yu,ZHANG Yun-shan,DI Min,QIAN Ming. Reproductive Medical Center,Tianjin Central Hospital of Gynaecology , Obstetrics,Tianjin 300052,China Nursing Department of Tianjin Medical Junior College,Tianjin 300070,China |
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| Abstract: | Objective: To explore the changing characteristics of female anxiety and depression in in vitro fertilization and embryo transfer (IVF-ET) cycle. Methods: 46 infertile women who expected IVF-ET/ intracytoplasmic sperm injection (ICSI) treatment were enrolled in this study. Fasting blood sampling and psychological tests using state anxiety and BECK depression scale were performed in hospital clinic between 8: 00-8:30 AM. at the following special 3 times: the day of IVF-ET, 1 hour before oocyte retrieval, and... |
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