慢性前列腺炎症状严重程度与精神心理因素及勃起功能障碍的临床观察  

Clinical observation of symptom severity psychological factors and erectile dysfunction(ED) on chronic prostatitis

作　　者：庞花从 吴松江 蒋聿瑛 陈静宜 韩子华 

机构地区：[1]浙江省天台县人民医院外科,浙江天台317200 [2]浙江省台州市恩泽医疗中心(集团)路桥医院泌尿科,浙江台州318050

出　　处：《中国现代医生》2015年第6期57-59,64,共4页China Modern Doctor

基　　金：浙江省医学会临床科研基金(2006ZYC23)

摘　　要：目的探讨慢性前列腺炎症状严重程度与精神心理因素及勃起功能障碍的情况。方法分析200例慢性前列腺炎患者临床资料,采用收集资料和调查问卷的方法,观察慢性前列腺炎患者不同症状严重程度的焦虑、抑郁和勃起功能障碍的发生率情况;慢性前列腺炎患者症状严重程度和焦虑、抑郁差异性;症状严重程度和勃起功能障碍的差异性以及焦虑、抑郁和勃起功能障碍的相关性。结果 200例慢性前列腺炎患者中,抑郁患者88例(44%),焦虑患者112例(56%),勃起功能障碍患者150例(75%)。慢性前列腺炎患者症状严重程度和焦虑评分方差分析(F=14.250,P<0.05),慢性前列腺炎患者症状严重程度和抑郁评分方差分析(F=9.001,P<0.05),差异均有统计学意义。慢性前列腺炎患者症状严重程度和勃起功能障碍评分的方差分析,差异无统计学意义(F=1.403,P>0.05)。慢性前列腺炎患者焦虑和勃起功能障碍的相关性分析(r=-0.248,P<0.05),提示慢性前列腺炎患者焦虑评分和勃起功能障碍评分呈现明显的负相关,慢性前列腺炎患者抑郁和勃起功能障碍的相关性分析(r=-0.296,P<0.05),提示慢性前列腺炎患者抑郁评分和勃起功能障碍评分呈现明显的负相关。结论慢性前列腺炎患者的焦虑、抑郁和勃起功能障碍发生率较高,随着前列腺炎病情加重,患者焦虑、抑郁情绪更加明显,而焦虑、抑郁的不良情绪,又会促使勃起功能障碍进一步加重,影响临床治疗效果,形成恶性循环。因此,对慢性前列腺炎治疗的同时要注意加强对于患者心理疏导,改善不良情绪,降低精神心理因素对于勃起功能的不良影响。Objective To discuss clinical observation of symptom severity psychological factors and erectile dysfunction（ED） on chronic prostatitis（CP）. Methods A total of 200 cases of clinical information of patients with CP were analyzed, and collecting information and questionnaire methods were applied to observe the occurrence rates of anxiety,depression and ED of patients with CP with different symptom severity, differences of anxiety and depression of patients with CP with different symptom severity, differences of ED and relationship of anxiety, depression and ED of patients with CP with different symptom severity. Results There were 88 cases of depression patients（44%）, 112 case of anxiety patients（56%） and 150 cases of ED patients（75%） among 200 cases of patients with CP. Variance analysis of symptom severity of patients with CP and anxiety score（F=14.250, P〈0.05）, and variance analysis of symptom severity of CP patients and depression score was used（F=9.001, P〈0.05）. The symptom severity psychological and ED were variance analysised（F=1.403, P〈0.05）,the difference had no statistical significance. The anxiety score and ED score of CP patients showed obvious negative correlation（r =-0.248, P〈 0.05）. The depression score and ED score of CP patients showed obvious negative correlation（r=-0.296, P〈0.05）. Conclusion The occurrence rates of anxiety, depression and ED of patients with CP are high, and with the prostatitis getting worse, the anxiety and depression become more obvious, and further, negative emotion of anxiety and depression are worsen the ED, which influence the clinical curative effect and form the vicious cycle. Thus, with the medical treatment on CP, psychological counseling of patients should be enhanced at the same time, as well as improvement of negative emotion and reducing the influence of psychological factors on ED.

关 键 词：慢性前列腺炎 严重程度 精神心理因素 勃起功能障碍 

分 类 号：R697.33[医药卫生—泌尿科学]