不同方案治疗男性慢性盆底疼痛综合征对性功能影响的临床研究  

Clinical study on the effects of different treatments on sexual function in patients with chronic pelvic floor pain syndrome

作　　者：余向东[1] 贺桂文[2] 胡凤霞[3] 王才英[3] 

机构地区：[1]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)质量管理部,湖北黄石435000 [2]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)麻醉科,湖北黄石435000 [3]鄂东医疗集团黄石市中心医院(湖北理工学院附属医院)护理部,湖北黄石435000

出　　处：《中国性科学》2018年第1期17-20,共4页Chinese Journal of Human Sexuality

摘　　要：目的:分析不同方案治疗男性慢性盆底疼痛综合征的临床疗效及对性功能的影响,为给男性慢性盆底疼痛综合征患者临床治疗方案选择提供参考。方法:随机选择2014年10月至2015年3月来我院就诊的84例前列腺炎/男性慢性盆底疼痛综合征患者作为研究对象,随机分为对照组(药物+盆腔生物电刺激治疗)和观察组(药物+盆腔生物电刺激+心理治疗)。每组42例,两组患者均治疗1个月为1疗程,治疗1疗程后比较两组患者治疗前、治疗后疼痛评分(VAS)、最大尿流率(MFR)、最大尿道压(MUP)、焦虑评分(SAS)、抑郁评分(SDS)、勃起功能评分(IIEF-5)及射精功能评分(CIPE)。结果:两组患者治疗前VAS评分、MFR、MUP、SAS评分、SDS评分、IIEF-5评分及CIPE评分比较差异均无统计学意义(P>0.05)。治疗一个疗程后,两组患者VAS评分、SAS评分、SDS评分、MUP均较治疗前明显降低(P<0.05),且治疗后观察组患者上述评分均低于对照组(P<0.05);两组患者MFR、IIEF-5评分及CIPE评分均较治疗前升高(P<0.05),且观察组明显高于对照组(P<0.05)。结论:身心兼顾的综合治疗方案对前列腺/男性慢性盆底疼痛综合征患者临床症状改善效果更佳,提升患者性功能的效果更好,对改善患者的整体生活质量具有较高的临床价值。Objectives： To analyze the clinical curative effect of different treatments on chronic pelvic painsyndrome,and to provide reference for the clinical treatment of patients with chronic pelvic pain syndrome.Methods： 84 cases of prostatitis from October 2014 to March 2015 in our hospital for treatment of chronic pelvic pain syndrome were randomly selected and divided into control group（ drug and biological pelvic electrical stimulation treatment） and observation group（ drug,pelvic electric stimulation and psychotherapy）,with 42 cases in each group. The two group were treated for a month for a course of treatment. Pain scores（ VAS）,maximum urinary flow rate（ MFR）,maximum urethral pressure（ MUP）,anxiety（ SAS） score,depression score（ SDS）,the evaluation of erectile function points（ IIEF-5） and ejaculatory function score（ CIPE） of the two groups were compared between and after a course of treatment. Results： Pain scores（ VAS）,maximum urinary flow rate（ MFR）,maximum urethral pressure（ MUP）,anxiety（ SAS） score,depression score（ SDS）,the evaluation of erectile function points（ IIEF-5） and ejaculatory function score（ CIPE） of the two groups before treatment were not statistically different（ P 0. 05）. After a course of treatment,VAS score,the SAS score and SDS score in observation group was significantly lower than these before treatment（ P 0. 05）. The VAS score,SAS score and SDS score in observation group were lower than these of control group（ P 0. 05）; after treatment,MFR,MUP,IIEF-5 and CIPE scores in two groups were significant increased（ P 0. 05）,and more significant in the observation group than that of control group（ P 0. 05）. Conclusion： Both the physical and mental treatment of prostate/chronic pelvic pain syndrome in patients with clinical symptoms has better treatment effect,and can enhance the sexual function of patients,with the clinical value of improving the overall quality of life of patients.

关 键 词：男性慢性盆底疼痛综合征 药物 心理干预 临床疗效 性功能 

分 类 号：R697.33[医药卫生—泌尿科学]