| 摘要 |
【摘要】目的 分析焦虑抑郁对瘢痕子宫不孕症患者解冻胚胎移植预后的影响。方法 选择2021年6月~2023年9月在我院进行治疗的120例瘢痕子宫不孕症患者解冻胚胎移植的临床资料进行回顾性分析，依据预后将其分为预后不良组（n=46）、预后良好组（n=74）。比较两组基线资料、负性情绪。采用多因素Logistic回归分析瘢痕子宫不孕症患者解冻胚胎移植预后不良的影响因素，采用ROC分析优质胚胎数、焦虑自评量表（Self-Rating Axiety Scale,SAS）、抑郁自评量表（Self-rating Depression Scale,SDS）评分预测瘢痕子宫不孕症患者解冻胚胎移植预后不良的价值。结果 预后不良组优质胚胎数低于预后良好组，SAS、SDS评分高于预后良好组（P＜0.05）；经多因素Logistic回归分析证实，优质胚胎数、SAS、SDS评分是瘢痕子宫不孕症患者解冻胚胎移植预后不良的危险因素，均有P＜0.05；经ROC分析证实优质胚胎数、SAS、SDS评分均可用于预测瘢痕子宫不孕症患者解冻胚胎移植预后不良，曲线下面积分别为0.940、0.917、0.841，均有P＜0.05。结论 优质胚胎数、SAS、SDS评分均将影响瘢痕子宫不孕症患者解冻胚胎移植预后结果，临床诊治时可结合以上因素进一步筛查高危患者，及时采取防治措施，改善患者预后。
|
| Abstract |
【Abstract】Objective Analysis of anxiety depression scar uterus thawed embryos transplant outcomes for patients with infertility.Method Choose from June 2021 to September 2023 in our hospital for treatment of 120 cases of scar uterus thawed embryo transfer infertility patients clinical data were retrospectively analyzed, on the basis of its prognosis divided into poor prognosis group (n = 46), good prognosis group (n = 74).Compare two groups of baseline data, negative emotions.The multi-factor Logistic regression analysis of scar uterus infertility patients thawed embryo transfer the influence factors of prognosis,The ROC analysis quality embryo number, anxiety Self Rating Scale (Self - Rating Axiety Scale, SAS), Depression Self Rating Scale (Self - Rating 'Scale, SDS) score predicts scar uterus infertility patients thawed embryo transfer the value of a poor prognosis.Result Poor prognosis group quality embryo number less than good prognosis, SAS, SDS score higher than good prognosis group (P < 0.05);Confirmed by multiariable Logistic regression analysis, the high quality embryo number, SAS, SDS score is thawed embryo transfer of scar uterus infertility patients prognosis of risk factors, both P < 0.05;Confirmed by ROC analysis quality embryo number, SAS and SDS scores can be used to predict scar uterus thawed embryo transfer infertility patients prognosis, the area under the curve were 0.940, 0.917, 0.841, both P < 0.05.Conclusion High quality embryo number, SAS and SDS score will affect the scar uterus thawed embryos transplant outcomes for patients with infertility as a result, the clinical diagnosis and treatment can be combined with the above factors further screening high-risk patients, take timely measures to prevent and control, improve the prognosis of patients.
|