摘要
目的:探究保守手术治疗和切除输卵管手术对异位妊娠患者负性情绪和生活质量的影响。方法:选取2018年1月~2019年8月确诊异位妊娠患者61例,根据患者意愿和治疗方式进行分组,其中手术组(切除输卵管)33例,保守治疗组(含手术的开窗取胚、非手术的药物保守治疗)28例。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)对两组治疗前、治疗1个月后负性情绪进行评价,采用健康调查简表(SF-36评分)、生活质量综合评定量表(GQOLI-74评分)对两组治疗前后生活质量进行评估。结果:治疗后,两组HAMD、HAMA评分较治疗前均有所下降(P<0.05),保守治疗组评分低于手术组(P<0.05);同时两组生活质量评分较治疗前均有所提高(P<0.05),保守治疗组评分高于手术组(P<0.05)。结论:与切除输卵管手术相比,保守手术治疗能够降低异位妊娠患者负性情绪,提高患者生活质量,值得临床推广应用。
Objective:To explore the influence of conservative operation and salpingectomy on negative emotion and quality of life of ectopic pregnancy patients.Methods:61 cases of ectopic pregnancy confirmed from January 2018 to August 2019 were selected and divided into two groups according to the patients'wishes and treatment methods,including 33 cases in the operation group(salpingectomy),28 cases in the conservative treatment group(including surgical fenestration,non-surgical drug conservative treatment).Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were used to evaluate the negative emotions of the two groups before and one month after treatment,and SF-36 and GQOLI-74 were used to evaluate the quality of life of the two groups before and after treatment.Results:After treatment,the scores of HAMD and HAMA in the two groups were lower than those before treatment(P<0.05),while those in the conservative treatment group were lower than those in the operation group(P<0.05).At the same time,the scores of quality of life in the two groups were higher than those before treatment(P<0.05),and those in the conservative treatment group were higher than those in the operation group(P<0.05).Conclusion:Compared with salpingectomy,conservative operation can reduce the negative emotion and improve the quality of life of patients with ectopic pregnancy,which is worthy of clinical promotion and application.
作者
伍思权
聂水珍
黄翕芬
姚桢苹
WuSiquan;Nie Shuizhen;Huang Xifen;Yao Zhenping(Department of Obstetrics and Gynecology,Gaoyao District Hospital of Traditional Chinese Medicine,Zhaoqing 526100)
出处
《数理医药学杂志》
2021年第2期300-302,共3页
Journal of Mathematical Medicine
关键词
异位妊娠
保守手术治疗
负性情绪
生活质量
ectopic pregnancy
conservative surgery
negative emotion
quality of life
