Li Xunhua,Ge Chengguo,Zhou Yang,Wen Wei,Qin Linghui,Yuan Yi,Zhang Ronggui,Xu Guangyong,Lin Yanjun,Yuan Qiuping,Zhang Weili.Hyposexuality related factor analysis in patients with chronic prostatitis[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(15):1534-1538.
Li Xunhua,Ge Chengguo,Zhou Yang,Wen Wei,Qin Linghui,Yuan Yi,Zhang Ronggui,Xu Guangyong,Lin Yanjun,Yuan Qiuping,Zhang Weili.Hyposexuality related factor analysis in patients with chronic prostatitis[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(15):1534-1538.DOI:
Hyposexuality related factor analysis in patients with chronic prostatitis
目的 分析慢性前列腺炎(chronic prostatitis,CP)患者性欲减退(hyposexuality,HS)与慢性前列腺炎症状及心理因素的关系。 方法 2013年9月至2014年11月,本科收治的年龄为20~50岁的CP患者103例,填写美国国立卫生研究院慢性前列腺炎症状积分指数评分表(national institute of the health chronic prostatitis symptom index,NIH-CPSI)、焦虑自评量表(self-rating anxiety scale,SAS)、男性性功能问卷(O’Leary 1995),按有无性欲减退分为观察组与对照组,分析两组间焦虑评分、前列腺炎症状情况。观察组中分为A、B两组,A组予以盐酸坦索罗辛胶囊+前列安栓+前列腺按摩+生活干预+心理治疗,B组予以盐酸坦索罗辛胶囊+前列安栓+前列腺按摩+生活干预。A、B两组中前列腺炎症状明显且前列腺液的白细胞计数+++/HP的患者均使用抗生素
Objective To analyze the relationship of hyposexuality (HS) with the symptoms of chronic prostatitis (CP) and the psychological factors in patients with CP. Methods From September 2013 to November 2014
a total of 103 outpatients with CP
aged of 20-50
were consecutively enrolled in this study. Anonymous questionnaires were used to investigate the scores of the national institute of the health chronic prostatitis symptom index (NIH-CPSI)
self-rating anxiety scale (SAS) and a symptom score system devised for patients with erectile dysfunction (O’Leary 1995). According to HS state
the patients were divided into an observation group and a control group
and the anxiety scores and inflammation state of the prostate gland were analyzed. The observation group was subdivided into group A and group B. Group A was treated with tamsulosin hydrochloride sustained-release tablets + prostate bolt + prostate massage + life intervention + psychological therapy
and group B was treated with tamsulosin hydrochloride sustained-release tablets + prostate bolt + prostate massage + life intervention. In the observation group
the patients with severe symptoms and prostate fluid leukocyte counts+++/HP were prescribed with antibiotics. The questionnaires were rewritten after 8 weeks of treatments
and the scores of the two groups were compared. Results About 57.3% of CP patients accompanied with anxiety and about 43.7% accompanied with HS. There was positive correlation between CPSI score and SAS score (r=0.92
P0.05). HS evaluation was correlated with CPSI evaluation (r=0.69
P0.05)
and was negatively with SAS evaluation (r=-0.73
P0.05). CPSI score and SAS score in the observation group were obviously higher than those in the control group. After treatment
the prostate gland inflammation state
anxiety symptoms
and the loss of libido in group A were alleviated
and the difference was statistically significant (P0.05). In group B
the prostate gland inflammation state was alleviated after treatment
with statistically significant difference (P0.05)
however
the anxiety symptoms and loss of libido had no statistically significant difference (P0.05). Conclusion CP patients with HS are frequently accompanied with more psychological obstacles. The heavier the CP symptoms are
the more noticeable the HS and psychological obstacles are. In order to improve the life quality of the patients
more attention must be paid to the psychological counseling besides conventional drugs and physical therapy in the treatment process.