围绝经期女性情绪障碍与综合干预的疗效分析

发布时间：2018-03-14 07:58

本文选题：围绝经期　切入点：情绪障碍　出处：《中国妇产科临床杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨围绝经期女性情绪障碍与激素补充治疗、心理疏导及抗焦虑干预的临床疗效。方法收集乌鲁木齐市第一人民医院、克拉玛依市人民医院和北京大学人民医院2015年10月至2016年10月妇科门诊围绝经期情绪障碍女性共100例,采用回顾性病例对照的方法,按接受治疗情况分为A、B两组,A组54例,仅给予绝经激素补充治疗;B组46例,在A组基础上给予抗焦虑药物干预;将同期乌鲁木齐市第一人民医院接受门诊体检的围绝经期健康女性50例纳入C组对照;比较三组女性情绪障碍程度,A、B两组用药前后的情绪评分变化及疗效比较。结果三组女性情绪障碍基础评分比较,A、B两组HAMA评分、HAMD评分、SAS评分、SDS评分比较差异均无统计学意义(P0.05),分别与C组比较评分均明显增高(P0.05);接受治疗后A、B两组四项评分均明显低于治疗前,两组治疗后各节点评分比较B组明显优于A组(P0.05)。结论围绝经期女性情绪障碍通过激素补充治疗及抗焦虑综合干预后能有效缓解症状,提高生存质量,在临床上具有积极的实用价值。
[Abstract]:Objective to investigate the clinical efficacy of hormone supplementation therapy, psychological counseling and anti-anxiety intervention in perimenopausal women. Methods the first people's Hospital of Urumqi City was collected. From October 2015 to October 2016, 100 women with perimenopausal mood disorders in the gynecological outpatient department of Karamay people's Hospital and Peking University people's Hospital were divided into two groups: group A (54 cases) and group A (54 cases). 46 cases of menopausal hormone supplement therapy were only given in group B, which were treated with anti-anxiety drugs on the basis of group A, 50 healthy women who were examined in outpatient clinic of the first people's Hospital of Urumqi City in the same period were included in group C as control group. Results there were no significant differences in HAMA scores and Hamd scores between the two groups. After treatment, the scores of four items in group A and B were significantly lower than those in group C, and the scores in group C were significantly higher than those in group C, and the scores of four items in group A and B were significantly lower than those in group C after treatment. After treatment, the scores of each node in group B were significantly better than those in group A. ConclusionThe symptoms and quality of life of postmenopausal women can be effectively alleviated by hormone supplementation therapy and comprehensive intervention of anti-anxiety. It has positive practical value in clinic.
【作者单位】：新疆乌鲁木齐市第一人民医院妇科;新疆克拉玛依市人民医院妇产科;北京大学人民医院妇产科;
【分类号】：R711.75

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