男性直肠癌患者放疗后性功能状况及其影响因素分析  

Sexual dysfunction and its influencing factors of male rectal cancer after radiotherapy

作　　者：王丹 易峰涛[2] 涂希平 涂仁标 

机构地区：[1]湖北省荣军医院普通外科,武汉430079 [2]广州军区武汉总医院放疗科,武汉430070 [3]湖北省卫生计生委科技服务中心,武汉430071

出　　处：《中国性科学》2015年第2期46-48,共3页Chinese Journal of Human Sexuality

摘　　要：目的:调查男性直肠癌患者放疗后性功能状况,分析发生性功能变化的可能因素,探讨防治性功能障碍的对策。方法:采用问卷调查方式,对62例符合条件的直肠癌患者进行调查,并将心理干预前后患者性功能状况进行了比对,统计学方法采用χ2检验。结果:直肠癌患者放疗后性欲减退者29人,占46.8%;勃起功能障碍者20人,占32.3%,两者合计达到79.1%。经过心理干预后,性欲减退和勃起障碍的患者均显著减少,分别为19人(30.6%)和16人(25.8%),在统计学上有显著差异,P<0.025。从客观因素对性功能影响分析来看,文化程度、经济状况与性功能无明显相关性,分别P>0.9和P>0.5;身体状况对性功能有显著影响,P<0.05。从主观因素对性功能影响来看,在性功能改变的患者中,担心妨碍康复占85.7%(42例)、担心性生活引起肿瘤复发占81.6%(40例)、害怕传染给家人占57.1%(28例)、自觉身体虚弱无力完成性生活者占65.3%(32例)。结论:直肠癌患者放疗后有79.1%病人存在性功能改变,而其中部分病人是对性生活的错误认知(即功能性因素)所致,需要心理干预。Objectives： To investigate the sexual function of male rectal cancer after radiotherapy and analyze enabling factors and explore countermeasures. Methods： A questionnaire survey was designed. 62 patients with rectal cancer according with our qualification were inquired. The sexual function pre-and after psychological re-education was compared. Result： After radiotherapy,there were 29（ 46. 8%） patients of hypophrodisia,20（ 32. 3%） patients of erectile disfunction,sum accounting for 79. 1%. After psychological re-education,the patients of hypophrodisia and ones of erectile disfunction were 19（ 30. 6%） and 16（ 25. 8%） respectively. It was significantly different,P〈0. 025. No significant relation was found between education level or economic status and sexual dysfunction（ P〉0. 9 and P〉0. 5）. However,physical status had a significant impact on sexual dysfunction（ P〈0. 05）. In the patients with sexual dysfunction,factors affecting sexual activity included hindering rehabilitation of body（ 42,85. 7%）; inducing recurrence of rectal cancer（ 40,81. 6%）; worrying infection to their wives（ 28,57. 1%）; feeling weakness of body not to finish sexual activity（ 32,65. 3%）. Conclusions： 79. 1% patients have experienced changed sexual function after radiotherapy. For these patients,erroneous subjective perception is common,which may play an important role in their sexual dysfunction. Therefore,psychological re-education after radiotherapy should be paid more attention to.

关 键 词：性功能 直肠癌 放疗 

分 类 号：R167[医药卫生—公共卫生与预防医学]