功能性不射精症患者抑郁状况调查及影响因素分析  

Investigation and influencing factors analysis on the depresion status in patients with psychogenic sanejaculation

作　　者：张恩思 郑淑娟[2] 万婠 崇武 张颖[1] 秦雪 车晓艳[2] ZHANG Ensi;ZHENG Shujuan;WAN Wan;CHONG Wu;ZHANG Ying;QIN Xue;CHE Xiaoyan(Department of Andrology,Nanjing Drum Tower Hospital Clinical College of Jiangsu University,Nanjing 210008,Jiangsu,China;Department of Andrology,Drum Tower Hospital Affiliated to Nanjing University School of Medical,Nanjing 210008,Jiangsu,China)

机构地区：[1]江苏大学鼓楼临床医学院男科,南京210008 [2]南京大学医学院附属鼓楼医院男科,南京210008

出　　处：《中国性科学》2024年第2期1-5,共5页Chinese Journal of Human Sexuality

基　　金：“南京大学中国医院改革发展研究院课题项目”;“南京鼓楼医院医学发展医疗救助基金会资助项目”(NDYG2022069);南京鼓楼医院临床研究专项资金资助项目(2022-LCYJ-PY-22);南京鼓楼医院护理重点课题(2023-R262)。

摘　　要：目的调查功能性不射精症(PAE)患者的抑郁状况,并分析其相关影响因素。方法选取2021年1月至2023年8月前来南京大学医学院附属鼓楼医院进行性咨询的80例PAE患者作为研究对象,采用一般信息量表收集患者基本情况,同时采用患者健康问卷(PHQ-9)调查患者的抑郁状况,采用单因素和多元Logistic回归分析PAE患者抑郁发生的影响因素。结果PAE患者抑郁发生率为68.75%(55/80)。多因素Logistic回归分析显示,病程6~24个月(OR=6.782,95%CI:1.238~37.163)、病程>24个月(OR=7.765,95%CI:1.404~42.951)和有生育压力(OR=3.203,95%CI:1.011~10.150)是PAE患者发生抑郁的危险因素(P<0.05),与性伴侣的性生活满意(OR=0.161,95%CI:0.037~0.706)是抑郁发生的保护因素(P<0.05)。结论PAE患者抑郁发生率高,其影响因素包括病程、是否有生育压力及性生活的满意程度,应针对这些因素采取认知行为疗法、放松训练及合理情绪疗法来改善。Objective To investigate the depression status of patients with psychogenic anejaculation(PAE),and to analyze relevant influencing factors.Methods A total of 80 patients with PAE who came to the Drum Tower Hospital Affiliated to Nanjing University School of Medical for sexual counseling from January 2021 to August 2023 were selected as the research subjects.The general information scale was used to collect patients′basic information,and the patient health questionnaire-9(PHQ-9)was used to investigate patients′depression status.Univariate and multivariate Logistic regression analysis were used to analyze the influencing factors of depression occurence in patients with PAE.Results The incidence of depression in patients with PAE was 68.75%(55/80).Multivariate Logistic regression analysis showed that the 6-24 months course of the disease(OR=6.782,95%CI:1.238-37.163),the>24 months course of the disease(OR=7.765,95%CI:1.404-42.951)and having reproductive pressure(OR=3.203,95%CI:1.011-10.150)were risk factors for depression occurence in patients with PAE(P<0.05),and having sexual satisfaction with sexual partners(OR=0.161,95%CI:0.037-0.706)was the protective factor for depression occurence(P<0.05).Conclusions The incidence of depression in patients with PAE is high,and its influencing factors include the course of disease,reproductive pressure,and sexual satisfaction.Cognitive behavioral therapy,relaxation training,and rational emotional therapy shoulde be taken to improve these factors.

关 键 词：功能性不射精症 抑郁 影响因素 

分 类 号：R698[医药卫生—泌尿科学]