CAJ | 학술논문

目的：探讨淋巴细胞主动免疫治疗同种免疫因素和不明原因的 RSA 患者过程中，专业的心理疏导治疗对心理评估差的该类患者分娩率的影响。方法：选取2011年至2013年度来我院进行免疫治疗且已知妊娠结局的55位情况相近的 RSA 患者作为研究对象，通过就诊初期专业的心理评估后得到符合条件的心理评估较好的10例和心理评估差的45例患者。心理评估较好的行常规淋巴细胞免疫治疗。心理评估差的一组行淋巴细胞免疫治疗，为常规治疗组，22例；另一组除行淋巴细胞免疫治疗并加以专业的心理疏导治疗，为联合治疗组，23例。比较心理评估较好组、常规治疗组、联合治疗组三组分娩率差异。结果：心理评估较好组分娩100％，常规治疗组分娩率85％，联合治疗组分娩率95％。结论：心理因素对 RSA 患者治愈影响很大，免疫治疗联合专业心理疏导对提高心理评估差的 RSA 患者疗效显著。
목적：탐토림파세포주동면역치료동충면역인소화불명원인적 RSA 환자과정중，전업적심리소도치료대심리평고차적해류환자분면솔적영향。방법：선취2011년지2013년도래아원진행면역치료차이지임신결국적55위정황상근적 RSA 환자작위연구대상，통과취진초기전업적심리평고후득도부합조건적심리평고교호적10례화심리평고차적45례환자。심리평고교호적행상규림파세포면역치료。심리평고차적일조행림파세포면역치료，위상규치료조，22례；령일조제행림파세포면역치료병가이전업적심리소도치료，위연합치료조，23례。비교심리평고교호조、상규치료조、연합치료조삼조분면솔차이。결과：심리평고교호조분면100％，상규치료조분면솔85％，연합치료조분면솔95％。결론：심리인소대 RSA 환자치유영향흔대，면역치료연합전업심리소도대제고심리평고차적 RSA 환자료효현저。
Objectives:To explore the effects of professional psychological counseling on the delivery rate at the process of immunotherapy treatment iso -immunization factor and unexplained RSA patients with poor psycholog-ical assessment results.Methods:55 RSA patients with similar pregnancy outcome after immunotherapy treatment in our hospital between 2011 and 2013 were selected as the research objects.Through the initial professional psy-chological assessment,all the patients were divided into two groups:10 cases with good results and 45 cases with poor result.The 10 patients with good results were treated by routine lymphocyte immunotherapy.22 patients with poor results were treated by routine lymphocyte immunotherapy too;and the other 23 poor result patients were trea-ted by immunotherapy combined professional psychological counseling.The delivery rate of the good result group, routine treatment group and combined treatment group were compared.Results:The delivery rate of the good result group,routine treatment group and combined treatment group was 100%,85% and 95% respectively.Conclu-sion:Psychological factors influence the curative effect of immunotherapy on RSA patients significantly,and immu-notherapy combined with professional psychological counseling can improve the delivery rate of RSA patients with poor psychological assessment results significantly.