慢性前列腺炎相关性性功能障碍的研究

目的：通过对已确诊为慢性前列腺炎（CP）的患者性功能及焦虑等调查,了解CP对性功能的影响。方法：通过对已经确诊为CP患者进行问卷式调查,包括文化程度、焦虑自评量表（SAS）、性功能障碍采用勃起功能国际指数问卷（IIEF）调查,进一步了解患者确诊慢性前列腺炎后性功能障碍的因素,找出其中的相关性。结果：调查160例患者,回收有效问卷152份。在有效的152问卷中,存在着不同程度的焦虑。SAS评分40～55分者43例（28.3%）,56～66分者89例（58.55%）,〉67分者20例（13.16%）;而性功能障碍类型分布情况如下：所有患者均有性欲障碍及性满意度下降,勃起功能障碍41例（26.63%）,插入障碍12例（7.9%）,射精障碍79例（51.97%）,早泄63例（41.45%）,逆行射精13例,不射精3例。SAS测评程度与文化程度呈负相关（r=0.72,P〈0.05）,而与性功能障碍呈正相关（r=1.23,P〈0.05）。结论：慢性前列腺炎后焦虑是导致前列腺炎相关性性功能障碍的主要因素之一。

Sexual dysfunction related to chronic prostatitis

Objectives：To probe into the underlying relations between CP and sexual function by investigating the sexual function and anxiety of CP patients.Methods：Questionnaire were administered to CP patients to understand the risk factors for their sexual dysfunction.The Questionnaire included the survey on patients’ education level,Self-Rating Anxiety Scale（SAS） and the International Index of Erectile Function questionnaire（IIEF）.All the questions are designed to understand the factors of chronic prostatitis-related sexual dysfunction and the relationships among them.Results：A total of 152 valid questionnaires suggested that all CP patients had varying degrees of anxiety.SAS score showed that 43（28.29%） cases reporting mild anxiety,89（58.55%） cases showing moderate anxiety and 20（13.16%） cases indicating severe anxiety.The distribution of the types of sexual dysfunction is as follows：all patients had sexual desire disorder and decreased sexual satisfaction;41（26.97%） cases showed erectile dysfunction;12（7.9%） cases had insertion obstacle;and 79（51.97%） cases suffered from ejaculation disorder,including 63 cases of premature ejaculation（41.45%）,13 cases of retrograde ejaculation,3 cases without ejaculation.SAS evaluation was negatively correlated with the patients’ education level（r=0.72,P＆lt;0.05）,and was positively correlated with sexual dysfunction（r=1.23,P＆lt;0.05）.Conclusion：Anxiety caused by chronic prostatitis is the main factor for CP patients’ sexual dysfunction.