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纸质出版:2015
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李勋华,葛成国,周洋,文伟,秦凌辉,袁毅,张荣贵,徐光勇,林艳君,袁秋平,张唯力.慢性前列腺炎患者性欲减退相关因素分析[J].陆军军医大学学报(原第三军医大学学报),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.
李勋华,葛成国,周洋,文伟,秦凌辉,袁毅,张荣贵,徐光勇,林艳君,袁秋平,张唯力.慢性前列腺炎患者性欲减退相关因素分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(15):1534-1538. DOI:
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:
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
治疗8周后再次填写上述问卷,比较治疗后A、B两组各项评分情况。 结果 103例CP患者有57.3%伴有焦虑,43.7%伴有性欲减退。CPSI与SAS之间相关性r=0.92,P0.05;CPSI与HS两组之间:r=0.69,P0.05;SAS与HS两组之间r=-0.73,P0.05。观察组CPSI评分及SAS评分明显高于对照组。A组治疗前后前列腺炎症状、焦虑症状、性欲减退情况改善差异有统计学意义(P0.05)。而B组治疗前后前列腺炎症状较治疗前有改善,差异有统计学意义(P0.05),但是焦虑症状、性欲减退情况较前改善情况无明显统计学差异(P0.05)。 结论 CP伴性欲减退患者多伴有心理障碍,且CP症状越重,性欲减退越明显,心理障碍越显著。治疗过程中除进行常规药物及物理等治疗,还应予以心理疏导,加强心理治疗,以提高患者生活质量。
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.
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