婦科手術(shù)對絕經(jīng)前、后女性情感障礙的影響.pdf

1、婦科手術(shù)對絕經(jīng)前、后女性情感障礙的影響後旦大擎碩士學位論文y773117婦科手術(shù)對絕經(jīng)前、后女性情感障礙的影響院系：專業(yè)：姓名：導師：導師組成員：完成日期：婦產(chǎn)科醫(yī)院婦產(chǎn)科學(臨床醫(yī)學七年制1顧超李斌副主任醫(yī)師姚培芬主任醫(yī)師方芳主治醫(yī)師2005年4月27日婦科手術(shù)對絕經(jīng)前、后女JI生情感障礙的影響EffectofHysterectomyorOophorotomyonAffectiveDisorderswithinPerimenopaus

2、alWomenABSTRACTOBJECTIVE：ToinvestigatethechangesofaffectivedisordersandqualityoflifeintheperimenopausalwomenundertakengynecologicaloperationsforbenigndiseasesComparingtocontrolgroupwithoutgynecologicalhistory，thesecretio

3、nofoperativemodalityforthepatients、析thbenigndiseaseandtheeffectofgynecologicaloperationsonaffectivedisordersinperimenopausalwomenhavebeenevaluatedMATERIALSANDMETHODS：Total169womenagedfrom40to60yearsoldwererecruitedanddev

4、idedintohysterectomygroup、hysterectomyoophorotomygroupandcontrolgroupduringthebeginningAllofthemhadfulfilledthefollowingforms，includingsocialdata，DepressionScale(CES—D)sandSelfRatingAnxietyScale(SAS)，completedHamiltondep

5、ressionScale(HAMD)andHamiltonAnxietyScale(HAMA)Meanwhilebloodwascollectedforhormonemeasurement111eoperationgroupwereenrolledintothesecondstagehalfayearafteroperationHAMD，HAMAandhormoneweretestforthesecondtimeRESULTS：1The

6、incidenceofAffectiveDisordersWaSthehighestintheOophorotomyGroup(321％)，thesecondintheHysterectomygroup(203％)andthelowestinthecontrolgroup(123％、TheincidenceofAffectiveDisorderswassignificantlyhigherintheoperationgroupthani

7、ncontrolgroupWhenhalfayearafteroperation，thesymptomsweresignificantlyimprovedintheoperationgroupQ005)CONCLUSIoNS：1SignificantimprovementswereseenaftergynecologicaloperationforsymptomsHysterectomydidn’tcauseovarianfailure