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目的观察心理治疗对多囊卵巢综合征(PCOS)所致排卵障碍的临床疗效。方法选取门诊PCOS所致排卵障碍不孕患者200例,随机分为两组,治疗组与对照组各100例,两组患者均经二甲双胍+达英-35调内分泌治疗三个周期后用来曲唑促排卵,并同时进行精神状态评分,其中治疗组同时给予心理治疗。结果两组患者治疗前均患有焦虑或抑郁症状倾向,相比差异无统计学意义(P>0.05),治疗组在进行心理治疗后焦虑或抑郁症状评分均明显低于治疗前,差异有统计学意义(P<0.05),在成熟卵泡出现率、排卵率、妊娠率方面,治疗组高于对照组,相比差异有统计学意义(P<0.05),在流产率方面,治疗组低于对照组,相比差异有统计学意义(P<0.05)。结论心理治疗对PCOS所致排卵障碍不孕排卵率、妊娠率高,流产率低。此方法简单、方便、经济。
Objective To observe the clinical effect of psychotherapy on ovulation disorder induced by polycystic ovarian syndrome (PCOS). Methods 200 outpatients with ovulation disorder due to outpatient PCOS were randomly divided into treatment group and control group, with 100 cases in each group. Both groups were treated with endocrine therapy with Metformin + Ovulation ovulation, and mental status at the same time score, which treatment group also given psychotherapy. Results Both groups had the tendency of anxiety or depression before treatment, the difference was not statistically significant (P> 0.05). The score of anxiety or depression in the treatment group after psychotherapy was significantly lower than that before treatment, the difference was statistically (P <0.05), the incidence of mature follicles, ovulation rate, pregnancy rate, the treatment group higher than the control group, the difference was statistically significant (P <0.05), abortion rate in the treatment group was lower than The difference between the two groups was statistically significant (P <0.05). Conclusion Psychological treatment of ovulation induced by PCOS infertility ovulation rate, high pregnancy rate, low abortion rate. This method is simple, convenient and economical.