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Infertility And The Correlation Study Of Modern Factors

Posted on:2014-01-15Degree:MasterType:Thesis
Country:ChinaCandidate:H T LiuFull Text:PDF
GTID:2244330398952146Subject:TCM gynecology
Abstract/Summary:PDF Full Text Request
Infertility as a global medical problem and sociological issues, the incidence rate increased year by year, has affected human development and health, with the continuous development of medical science, medical model gradually shift from the traditional biomedical model for biological-medical model of psycho-social, clinical understanding of infertility and treatment ideas gradually from the macro-micro, from probation-quantitative and increasingly scientific and Infertility is one of the psychosomatic diseases, and emotional factors closely Relevance. Infertility patient’s mental state more and more the concern of the whole society, through Integrative Medicine research emotional factors and infertility, to provide guidance for the clinical diagnosis of infertility, treatment, prevention, attention to psychological counseling therapy in the treatment of infertility.Objective:This issue through a clinical questionnaire and in Western literature search and review, research infertility influencing factors influencing factors of TCM syndrome types of infertility patient’s mental state, and infertility, TCM syndrome and psychological factors the relationship between the above statistics, analysis and evaluation, trying to explore the impact of the development of TCM emotional factors of infertility and infertility patient’s mental state by TCM syndrome characteristics and psychological stress response level; which are in clinical emphasis on emotional factors in infertility development in the treatment of attention to the use of Chinese medicine liver qi stagnation and psychological treatment can not be ignored.Methods:In accordance with the randomized study, a unified self-made traditional Chinese medicine symptom questionnaire, the Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Scale (HAMA),96cases of infertility patients meet the criteria for inclusion. General and Chinese medicine symptom analysis and prevalence of anxiety, depression analysis using SPSS17.0statistical analysis of data on the prevalence of group.Results:(1) patients with infertility depression incidence of58.33%, the incidence of anxiety was68.75%;(2) primary infertility and secondary infertility patients no significant difference in depression scores and anxiety scores (P>0.05);(3) infertility patient’s age is greater the higher the educational level, the longer the duration of infertility, depression scores and anxiety scores increased accordingly, and infertility with age, education level, and not pregnant life in depression scores and anxiety scores were significantly different (P<0.05);(4) the incidence of infertility is closely related to the patient’s age, education level, number of abortions, the greater the age. the higher the education level and the number of abortions the more infertility higher the incidence:(5) the cause of infertility in the majority of tubal factor, followed by ovulation disorders, ovulation disorders in depression scores and anxiety scores compared with other causes of significant differences (P<0.05)(6) patients with infertility TCMtype the kidney+Stagnation of the Liver majority;(7) infertility TCM syndromes liver depression syndromes (kidney+hepatic depression syndrome, hepatic depression syndrome and liver depression+blood stasis) and non-liver depression-related syndromes (compared to kidney deficiency, phlegm and blood stasis and related and miscellaneous cards) of depression scores and anxiety scores were significantly different (P<0.05), the presence of liver depression and infertility patients prone to depression and anxiety;Conclusions:Infertility is one of the diseases of psychosomatic disorders, infertility patients, the most common psychological stress reaction is depression and anxiety in patients with infertility depression, anxiety clinical investigation and analysis show that their mental health is poor. The incidence of infertility and the patient’s age, education level, number of abortions has some relevance, the above factors and infertility patient’s mental state is closely related with infertility duration of the extension, the worse the level of mental health. The same time, women in a bad mood for a long time to stimulate, mental status changes, can lead to the occurrence of infertility. Infertility patients between TCM syndrome mostly kidney liver depression, the Liver Depression infertility patients with depression, anxiety scores were significantly higher than in other types of infertility patients, but at the same kidney deficiency, phlegm and blood stasis at least Some of infertility is caused by psychological factors. Infertility patients manifested as anxiety, depression, paranoia, tension and nervousness, hysteria and other personality traits, so infertility and emotional factors closely and influence each other, so in the course of treatment for infertility patients should pay attention to Chinese liver qi stagnation. Regulating Emotions role, at the same time and giving them psychological adjustment, so as to achieve a multiplier effect, an early radical infertility, to bring the Gospel to infertility patients.
Keywords/Search Tags:Infertility, Emotional factors Psychological Liver depression, AnxietyDepression
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