论文部分内容阅读
目的:探讨统合性房树人心理测验(HTP)对拟诊先兆早产者躯体症状真实性的鉴别诊断作用。方法:利用HTP心理测验将拟诊先兆早产的146例孕妇分组,存在夸大躯体症状表现者为夸大症状组,不存在此项表现者为对照组,比较两组之间的宫缩、宫颈Bishop评分、治疗方案、妊娠结局。结果:夸大症状组28例,对照组118例。①宫缩情况:夸大症状组未观察到明显规则宫缩,对照组均观察到不同程度的规则宫缩;②宫颈Bishop评分:夸大症状组平均达(5.63±0.87)分,对照组平均达(6.22±0.80)分;③治疗方案:夸大症状组接受心理治疗,未再使用宫缩抑制剂。对照组仅使用药物治疗,平均宫缩抑制剂使用时间为(4.25±2.96)d;④妊娠结局:夸大症状组无1例早产发生,对照组仅经积极药物干预,早产发生率为44.61%。两组之间差异性有统计学意义(P<0.001)。结论:HTP对拟诊先兆早产者躯体症状的真实性有很好的鉴别诊断作用,通过应用HTP可以有效减少对存在心理问题的孕妇的误诊误治。
Objective: To investigate the differential diagnosis of the physical symptoms of premenstrual preterm labor in congenital Room Tree Psychological Test (HTP). Methods: One hundred and sixty-six pregnant women with suspected precursor preterm labor were divided into groups according to HTP test. Exaggerated somatic symptoms were exaggerated symptoms group, and those without this group were control group. The contractions between the two groups were compared. The Bishop cervical score , Treatment options, pregnancy outcomes. Results: Exaggerated symptom group 28 cases, control group 118 cases. ① contractions: exaggerated symptom group did not observe obvious rules of contractions, the control group were observed different degrees of regular contractions; ② cervical Bishop score: exaggerated symptom group average (5.63 ± 0.87) points, the control group averaged ( 6.22 ± 0.80) points; ③ treatment options: exaggerated symptoms group receiving psychotherapy, no further use of contractions inhibitors. The control group only treated with drugs, the mean time of tocolytic use was (4.25 ± 2.96) d. ④ Pregnancy outcome: No one pre-exaggerated symptom group occurred. The control group received 44.41% of preterm labor only with active drug intervention. The difference between the two groups was statistically significant (P <0.001). Conclusion: HTP has a good differential diagnosis on the authenticity of somatic symptoms in preterm infants with suspected symptoms. By using HTP, the misdiagnosis and mistreatment of pregnant women with psychological problems can be effectively reduced.