慢性前列腺炎患者性功能及患者与其配偶性生活质量状况临床调查  

Sexual function and sexual life quality of chronic prostatitis patients:A clinical investigation

作　　者：周玉海[1] 梅如冰[2] 赵升田[1] 张晶[2] 

机构地区：[1]山东大学第二医院泌尿外科,山东济南250033 [2]泰安市中心医院泌尿外科,山东泰安271000

出　　处：《中华男科学杂志》2010年第4期336-340,共5页National Journal of Andrology

摘　　要：目的:调查慢性前列腺炎(CP)患者性功能状态、患者及其配偶性生活质量状况,分析患者性功能、患者及其配偶性生活质量的影响因素及对患者生活质量的影响。方法:随机选择有稳定规律性生活的CP患者148例,并随机选择健康中青年已婚男性71例为对照组,以无记名方式填写性功能及性生活质量状况评价量表、CP症状评分量表(NIH-CPSI)及患者的一般临床资料,对照分析患者性功能、患者及其配偶性生活质量评分情况,并分析年龄、病程、CP症状评分、前列腺按摩液(EPS)化验结果等因素对性功能及性生活质量的影响;分析CP症状、患者性功能、患者及其配偶性生活质量等对患者生活质量的影响。结果:CP组与对照组均未随访到逆行射精者;CP组及对照组性功能与性生活质量总评分分别为(38.1±7.9)分、(47.8±3.1)分,两者比较差异有统计学意义(P均<0.05);与对照组比较,患者性欲、勃起及勃起维持能力、射精及射精控制能力、性高潮频度、性生活焦虑紧张程度、性生活自信度等评分、患者及其配偶性生活满意度评分、配偶性高潮频度评分等均明显下降,且差异具有统计学意义(P<0.05);患者年龄与性欲评分有显著相关性,而与性功能其他指标无显著相关性;性功能各项指标及性生活质量评分与患者病程、EPS WBC及卵磷脂数量等无显著相关性,而与CP症状评分显著相关;CP症状对患者的勃起功能维持能力、射精潜伏期、射精控制能力、患者性生活满意度及患者性生活自信度具有明显的影响,患者配偶性生活满意度与患者性功能下降显著相关;患者CP疼痛症状、排尿症状、性功能状况、性生活满意度、配偶性高潮评分等对患者生活质量具有显著的影响;而与患者年龄、病程、EPS检测结果无显著相关性,与配偶性生活满意度评分无显著相关性。结论:CP患者性功能各项指标较对照组均明显Objective：To investigate the sexual function and the quality of sexual life in patients with chronic prostatitis（CP）,and to analyze the correlated factors and their influence on the quality of life（QOL） of the CP patients.Methods：We randomly selected 148 CP patients as the CP group and 71 healthy men as controls,asked them to fill out a questionnaire on sexual function and the quality of sexual life,obtained their scores on NHI-CPSI,and comparatively analyzed the results.We also made analyses on the influence of age,disease course,CP symptom scores and EPS level on sexual function and the quality of sexual life,as well as the impact of CP symptoms,sexual dysfunction and sexual life quality on the QOL of the CP patients.Results：No retro-ejaculation was found in either of the two groups.The mean score on sexual function and sexual life quality was 38.1 ± 7.9 and 47.8 ± 3.1 in the CP and the control group,respectively,with statistically significant differences（P 0.05）.Compared with the controls,the CP patients showed significantly decreased scores on libido,erectile function,ejaculation,orgasm frequency,self-confidence in sexual life,sexual satisfaction,and the partners＇ orgasm frequency and sexual satisfaction（P 0.05）.The indexes of sexual function and the QOL score were significantly correlated with CP symptoms,but not with the disease course and the WBC and lecithin counts in the prostatic fluid.The age of the patients was significantly correlated with the score of libido but not with other indexes of sexual function.CP symptoms,including pain,micturition and reduced sexual function and sexual life quality,along with the decreased orgasm frequency and sexual satisfaction of the patients＇ spouses,remarkably influenced the patients＇ QOL.Conclusion：CP symptoms significantly decrease the indexes of sexual function of the patients and,in turn,their sexual life quality and QOL.Sexual dysfunction and reduced sexual life quality of CP patients are significantly correlated with CP symptoms,

关 键 词：慢性前列腺炎 性功能障碍 性生活质量 配偶 

分 类 号：R697.3[医药卫生—泌尿科学]