前列腺穿刺活检患者焦虑情绪发生率调查分析

目的探讨行前列腺穿刺活检的疑似前列腺癌患者焦虑情绪的发生情况。方法前列腺穿刺活检的69例疑似前列腺癌患者采取 Zung 焦虑量表（SAS）和抑郁量表（SDS）、国际前列腺症状评分表（IPSS）、生活质量评分表（QOL）、疼痛评分量表等进行问卷调查，统计分析焦虑情绪的发生率以及不同年龄段焦虑的发病情况。结果 IPSS 评分分值为11～34分，平均（23.93±5.85）分；QOL 评分为2～6分，平均（4.29±0.86）分；前列腺穿刺疼痛评分为4～8分，平均（5.40±1.19）分；灌肠疼痛评分为6～9分，平均（5.41±1.21）分。SAS 评分平均（44.41±12.59）分，检出有焦虑情绪15例（21.74％），其中重度焦虑4例，中度焦虑5例，轻度焦虑6例。低龄组（年龄≤60岁，7例）检出焦虑情绪患者6例，发生率为85.71％；中龄组（61～70岁，42例）检出焦虑情绪患者6例，发生率为14.29％；高龄组（＞70岁，20例）检出焦虑情绪患者3例，发生率为15.00％。结论在疑似前列腺癌行穿刺活检患者，有较高的焦虑情绪，尤其是较为年轻的患者，有更高的发生率。

Analysis of incidence of anxiety in patients after prostate biopsy

Objective To investigate the incidence of anxiety after prostate biopsy in patients with suspected prostatic cancer. Methods Zung Self-Anxiety Scale(SAS)and Self-Depression Scale(SDS),international prostate symptom score(IPSS),quality of life (QOL),and pain rating scale were used among 69 suspected prostatic cancer patients after prostate biopsy. Results The value of IPSS ranged from 11 to 34;the mean was(23. 93 ± 5. 85). The value of QOL was among 2 and 6;the mean was(4. 29 ± 0. 86). The pain scores of prostate puncture and enema ranged 4-8 and 6-9 respectively;the means were(5. 40 ± 1. 19)and(5. 41 ± 1. 21)respectively. The mean value of SAS was(44. 41 ± 12. 59). 15 patients(21. 74% )were diagnosed with anxiety disorder,four with severe,five with moderate,and six with mild anxiety. Six of seven patients in low age group(≤60 yr)were diagnosed with anxiety disorder;the incidence was 85. 71% . Six of 42 patients in middle age group( > 60 yr and ≤70 yr)were diagnosed with anxiety disorder;the incidence was 14. 29% . Three of 20 patients in high age group( > 60 yr)were diagnosed with anxiety disorder;the incidence was 15. 00% . Conclusion There is high preva-lence of anxiety in suspected prostatic cancer patients after prostate puncture,especially in patients with relatively younger age.