心理干预疗法在治疗慢性前列腺炎中的应用

目的观察心理干预疗法联合药物治疗慢性前列腺炎（CP）的临床效果，探讨慢性前列腺炎的心理治疗问题。方珐将192例CP患者随机分为两组，对照组96例，采用临床常规方法进行治疗；治疗组96例，在接受临床常规治疗的同时应用心理干预疗法。疗程2个月。治疗前后两组分别应用国际慢性前列腺炎症状评分（NIH—CPSI）测评症状严重程度，国际勃起功能指数-5（IIEF-5）测评患者性功能状况，焦虑自评量表（SAS）、抑郁自评量表（SDS）测评患者焦虑、抑郁等情绪障碍的患病状况。各项结果进行统计学分析。结果治疗后两组患者前列腺炎症状和性功能障碍均有改善，但治疗组改善程度明显优于对照组（P〈0．05）。对照组治疗后SAS、SDS评分无显著性差异（P〉0．05）；而治疗组治疗后SAS、SDS评分有显著性差异（P〈0．005）。结论心理干预可有效改善慢性前列腺炎患者的心理状态和性功能状况。对于CP患者在进行常规治疗的同时应积极应用心理干预治疗。

The application of psychological intervention in the treatment of chronic prostatitis

Objective To explore the issue of psychological treatment for chronic prostatitis by observing the clinical results of psychological intervention therapy combined with drug treatment of chronic prostatitis （CP）. Methods 192 cases of CP were randomly divided into two groups： 96 in the control group treated with conventional methods and 96 in the treatment group treated with conventional method combined with psychological intervention. Both groups were treated for 2 months. Before and after treatment, symptom severity and sexual function of patients were evaluated with NIH-CPSI and HEF-5 respectively. Anxiety depression and other emotional problems were evaluated with self-rating scale （SAS）and self-rating depression scale （SDS）. The results were analyzed statistically. Results The prostatitis symptoms and sexual dysfunction were improved after treatment in both groups, but more significant improvement was observed in the psychological intervention group （P〈0. 05）. In the control group after treatment,SAS and SDS scores had no significant difference （P〉0.05） ;but SAS and SDS scores were significantly different in the psychological intervention group （P 〈0. 005）. Conclusion Psychological intervention can effectively improve the psychological status and sexual function of patients with chronic prostatitis. The routine treatment of chronic prostatitis should be combined with positive application of psychological intervention.