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目的研究心理疏导在围绝经期综合征中的应用及对患者内分泌的影响。方法选取2014年8月-2015年8月接诊的160例围绝经期患者作为研究对象,分为两组,每组80例。对照组采用安慰剂进行治疗;观察组采用心理疏导进行治疗。观察两组患者治疗前后雌二醇(E2)、卵泡刺激素(FSH)、黄体生成素(LH)水平,主要症状改善时间,治疗前后Kupperman评分,治疗后临床疗效。结果治疗后,观察组患者E2水平为(109.34±21.17)pmol/L,优于对照组的(82.26±20.18)pmol/L,FSH与LH水平分别为(16.82±3.63)U/L和(11.76±3.62)U/L,均低于对照组[(42.17±5.39)U/L和(29.91±4.28)U/L],差异均有统计学意义(P<0.05);观察组烦热出汗、失眠、情绪烦躁、心神不宁改善时间均短于对照组,差异均有统计学意义(P<0.05);观察组Kupperman评分为(3.14±1.01)分,低于对照组[(11.29±3.02)分],差异有统计学意义(P<0.05);观察组总有效率为95.00%(76/80),优于对照组(81.25%,65/80),差异具有统计学意义(P<0.05)。结论心理疏导治疗围绝经期综合征的疗效显著,能够改善患者的内分泌紊乱情况及临床症状。
Objective To study the application of psychological counseling in perimenopausal syndrome and its effect on endocrinology. Methods A total of 160 perimenopausal patients admitted from August 2014 to August 2015 were enrolled in this study. The patients were divided into two groups (n = 80 in each group). The control group was treated with placebo. The observation group was treated with psychological counseling. The levels of estradiol (E2), follicle stimulating hormone (FSH), luteinizing hormone (LH), the time of improvement of main symptoms, Kupperman score before and after treatment and the clinical effect after treatment were observed before and after treatment. Results After treatment, the level of E2 in the observation group was (109.34 ± 21.17) pmol / L, which was significantly higher than that in the control group (82.26 ± 20.18 pmol / L), and the levels of FSH and LH were (16.82 ± 3.63) U / L and ± 3.62) U / L were lower than those in the control group [(42.17 ± 5.39) U / L and (29.91 ± 4.28) U / L], respectively, with statistical significance (P <0.05) (P <0.05). The Kupperman score of the observation group was (3.14 ± 1.01) points, which was lower than that of the control group [(11.29 ± 3.02), and the improvement time of insomnia, ), The difference was statistically significant (P <0.05). The total effective rate was 95.00% (76/80) in the observation group, which was significantly higher than that in the control group (81.25%, 65/80) (P < 0.05). Conclusion Psychological counseling treatment of perimenopausal syndrome significant effect, can improve the patient’s endocrine disorders and clinical symptoms.