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目的:探讨慢性盆腔疼痛(CPP)与社会心理因素的相关性;方法:以212例CPP患者和295例子宫肌瘤患者为实验对象,对CPP患者142例行腹腔镜检查,自编社会心理变量调查表,入组时完成精神卫生自评量表(SCL-90)的测评,以各社会心理变量及简明精神病评定量表(SCL-90)的抑郁和焦虑因子标准分作为观察数据,采用美国SPSS 11.0版进行独立样本的t检验、χ2检验和逐步回归分析。结果:腹腔镜检查结果阴性的CPP患者的婚姻状况、性伤害史、诊治次数、诱因及SCL-90抑郁因子标准分、焦虑因子标准分与对照组比较差异有统计学意义(P<0.05);而与文化程度、总病程无相关性,差异无统计学意义(P>0.05)。腹腔镜检查结果阴性的CPP患者经心理咨询或抗抑郁治疗后疼痛症状有所减轻。结论:对于腹腔镜检查结果阴性的CPP患者而言,社会心理因素可能是导致其发病的成因之一,提示在诊疗CPP无效时,结合腹腔镜检查对患者实施充分的心理评估、恰当的心理治疗及抗抑郁、抗焦虑治疗是非常有必要的。
Objective: To investigate the relationship between chronic pelvic pain (CPP) and psychosocial factors. Methods: 212 patients with CPP and 295 patients with uterine fibroids were enrolled in this study. 142 patients with CPP were examined by laparoscopy and their social psychology variables Questionnaire was completed, and mental health self-rating scale (SCL-90) was evaluated at the time of enrollment. The depression and anxiety factor scores of each psychosocial and psychiatric assessment scale (SCL-90) were used as observation data. SPSS 11.0 version of independent samples t test, χ2 test and stepwise regression analysis. Results: Marital status, history of sexual injury, number of diagnosis and treatment, index of causes of SCL-90 depression, standard anxiety factor score of CPL patients with negative result of laparoscopy were significantly different from those of control group (P <0.05). However, there was no significant difference between them and their education level and total disease duration (P> 0.05). CPP patients who had a negative laparoscopy had some relief from pain after psychological counseling or antidepressant treatment. Conclusions: Psychosocial factors may be one of the causes of CPP in patients with negative CPP. It suggests that when CPP is not effective, laparoscopy combined with adequate psychological assessment and appropriate psychotherapy And anti-depression, anti-anxiety treatment is very necessary.