623例慢性前列腺炎患者的性功能状况调查

目的:了解慢性前列腺炎对早泄(PE)和勃起功能障碍(ED)的影响,探讨它们之间的关系。方法:依据美国国立卫生研究院慢性前列腺炎症状指数评分表(NIH-CPSI)、中国早泄患者性功能评分表(C ISFPE)、国际勃起功能问卷评分表(IIEF-5);采用和患者面对面交谈、询问,并分别记录623例慢性前列腺炎患者的NIH-CPSI评分、C ISFPE评分、IIEF-5评分。结果:623例18~57岁的慢性前列腺炎患者中,PE发生率为39.0%,其中轻度占26.2%、中度占12.0%、重度占0.8%;ED发生率为16.9%,其中轻度占14.9%、中度占1.0%、重度占1.0%。慢性前列腺炎患者PE的发生率以年轻者为多,18~29岁组为42.9%(103/240)、30~39岁为37.0%(95/257)、40~57岁组为35.7%(45/126);ED发生率以年龄高者为多,18~29岁组为13.8%(33/240)、30~39岁为11.3%(29/257)、40~57岁组为34.1%(43/126)。统计学分析发现,NIH-CPSI评分与早泄评分以及与IIEF-5评分均无明显相关性。结论:慢性前列腺炎的症状轻重与PE和ED的轻重程度无明显的相关性。

Investigation of Sexual Function in 623 Patients with Chronic Prostatitis

Objective: To investigate the influence of chronic prostatitis on premature ejaculation(PE) and erectile dysfunction(ED) and the correlation of chronic prostatitis with PE and ED.Methods: We adopted NIH-CPSI,CISFPE and IIEF-5,interviewed 623 patients with chronic prostatitis,and recorded their scores on the above systems.Results: The incidence of PE was 39.0% and the rates of the mild,moderate and severe types were 26.2%,12.0% and 0.8%,respectively.It developed mostly among the younger patients,accounting for 42.9%(103/240),37.0%(95/257) and 35.7%(45/126) in the 18-30,30-40 and 40-57 yr age groups,respectively.The incidence of ED was 16.9% and the rates of the mild,moderate and severe types were 14.9%,1.0% and 1.0%,respectively.It occurred mostly among the older patients,accounting for 13.8%(33/240),11.3%(29/257) and 34.1%(43/126) in the 18-30,30-40 and 40-57 yr age groups,respectively.Analyses revealed no significant correlation among the scores on NIH-CPSI,CISFPE and IIEF-5.Conclusion: There is a high incidence of PE and ED among patients with chronic prostatitis,but without significant correlation between the severity of chronic prostatitis and that of PE and ED.