宫腔镜手术患者围术期焦虑对术后月经恢复及卵巢功能的影响
The influence of perioperative anxiety in patients undergoing hysteroscopic surgery on postoperative menstrual recovery and ovarian function
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| DOI |
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| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2026, 53(1) |
| 作者 |
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| 作者单位 |
唐山市中医医院，妇产科
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| 摘要 |
【摘要】目的 分析宫腔镜手术患者围术期焦虑对术后月经恢复及卵巢功能的影响。方法 回顾性收集了我院在2023年1月至2025年1月期间实施宫腔镜手术的患者的临床数据共计80例，依据汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）分析患者围术期焦虑状态，将围术期合并焦虑的患者归为焦虑组（HAMA≥7分，n=32），未合并焦虑的患者归为非焦虑组（HAMA＜7分，n=48）。统计两组术后月经恢复情况，观察两组术前及术后6个月卵泡刺激素（follicle-stimulating hormone，FSH）、雌二醇（estradiol，E2)、黄体生成素（luteinizing hormone，LH）、窦卵泡计数（antral follicle count，AFC）。结果 相较于非焦虑组，焦虑组术后首次月经来潮时间更晚、术后6个月月经天数更短、术后6个月月经周期更长、术后6个月月经失血图（pictorial blood loss assessment chart，PBAC）评分更高（P＜0.05）。相较于术前，术后6个月两组FSH水平升高、E2水平及AFC降低，且焦虑组FSH水平高于非焦虑组，E2水平及AFC值低于非焦虑组（P＜0.05）；两组术后LH水平无显著差异（P＞0.05）。结论 宫腔镜手术患者围术期焦虑会延迟术后月经恢复，并对卵巢功能产生不利影响，临床应重视对宫腔镜手术患者的心理干预，以促进其术后身心全面康复。
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| Abstract |
【Abstract】 Objective To analyze the influence of perioperative anxiety in patients undergoing hysteroscopic surgery on postoperative menstrual recovery and ovarian function. Methods A total of 80 clinical data of patients who underwent hysteroscopic surgery in our hospital from January 2023 to January 2025 were retrospectively collected. The perioperative anxiety status of the patients was analyzed based on the Hamilton anxiety scale (HAMA). Patients with perioperative anxiety were classified as the anxiety group (HAMA≥7 points, n=32), and those without anxiety were classified as the non-anxiety group (HAMA < 7 points, n=48). Statistical analysis of postoperative menstrual recovery was conducted in two groups, and follicle stimulating hormone (FSH), estradiol (E2), luteinizing hormone (LH), and antral follicle count (AFC) were observed before and 6 months after surgery. Results Compared with the non-anxiety group, the anxiety group had a later first menstruation after surgery, a shorter menstrual period 6 months after surgery, a longer menstrual cycle 6 months after surgery, and a higher score of the pictorial blood loss assessment chart (PBAC) 6 months after surgery (P<0.05). Compared with that before the operation, the FSH level increased, the E2 level and AFC level decreased in both groups 6 months after the operation. Moreover, the FSH level in the anxiety group was higher than that in the non-anxiety group, while the E2 level and AFC value were lower than those in the non-anxiety group (P<0.05). There was no significant difference in the postoperative LH level between the two groups (P>0.05). Conclusion Perioperative anxiety in patients undergoing hysteroscopic surgery can delay the recovery of menstruation after the operation and have an adverse effect on ovarian function. Clinically, psychological intervention for patients undergoing hysteroscopic surgery should be emphasized to promote their comprehensive physical and mental recovery after the operation.
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| 关键词 |
【关键词】宫腔镜手术；围术期焦虑；术后月经恢复；卵巢功能
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| KeyWord |
【Key words】Hysteroscopic surgery; Perioperative anxiety; Postoperative menstrual recovery; Ovarian function
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| 基金项目 |
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| 页码 |
188-191 |
王瑾.
宫腔镜手术患者围术期焦虑对术后月经恢复及卵巢功能的影响 [J].
国际精神病学杂志.
2026; 53; (1).
188 - 191.