慢性前列腺炎/慢性骨盆疼痛综合征对男性健康的影响

目的:探讨慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)对男性健康的影响。方法:在650例门诊CP/CPPS患者中随机选择200例,年龄20～59岁,无记名填写调查表,内容包括年龄、身高、体重、病程、治疗情况、前列腺按摩液(EPS)及精液检测结果、国际前列腺炎症状评分指数表(NIH-CPSI)、勃起功能国际指数问卷(IIEF-5)及症状自评量表(SCL-90)。结果:200例CP/CPPS患者中,回收有效问卷198份,回收率99.0%。CPSI评分轻度56例(28.3%),中度98例(49.5%),重度44例(22.2%)。精液中精子密度及活动率降低者分别为38例(19.2%)和47例(23.7%)。IIEF-5评分显示ED者41例(20.7%),其中58.5%为轻度ED;94例(47.5%)患者出现心理异常包括抑郁、焦虑、敏感等。患者前列腺炎症状与心理异常、ED发生率存在正相关性(r=0.25,P<0.05;r=0.12,P<0.05),与精子密度及活动率降低无明显相关性(P>0.05)。结论:CP/CPPS对男性健康的影响主要是对心理产生明显的负面影响,对勃起功能影响轻微,对精液检测结果的影响不明显,治疗方法应是病理和心理的综合治疗为主。

Influence of Chronic Prostatitis/Chronic Pelvic Pain Syndromes on Male Health

Objective:To investigate the influence of chronic prostatitis/chronic pelvic pain syndromes(CP/CPPS)on male health.Methods:We conducted investigations among 200 cases of CP/CPPS,aged 20-59 years and randomly selected from 650 out-patients,using an anonymous questionnaire including such items as the patients'age,height,body weight,disease duration and treatment,the results of EPS and semen determinations,and the scores on NIH-CPSI,IIEF-5 and Symptom Checklist(SCL-90). Results:Accord-ing to the 198 valid questionnaires collected,CPSI scores showed 56(28.3%)cases to be mild,98(49.5%)moderate and 44 (22.2%)severe.Sperm density and motility(grade a+b)were reduced in 38(19.2%)and 47(23.7%)cases,respectively.IIEF-5 revealed ED in 41(20.7%)cases,of which 58.5% were mild.Psychological abnormality was found in 94(47.5%)cases,including anxiety,depression,sensitiveness and so on.NIH-CPSI scores were positively correlated with psychological symptoms and ED (r=0.25,P<0.05;r=0.12,P<0.05),but not significantly related with sperm density and motility(P>0.05). Conclusion:The influence of CP/CPPS is obvious on male psychology but mild on penile erection and not significant on semen.Integrated physiological and psychological therapy is recommended for the treatment of CP/CPPS.