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瘀热型慢性前列腺炎与心理性因素及性功能的相关性
引用本文:龙向前,黄杰.瘀热型慢性前列腺炎与心理性因素及性功能的相关性[J].中国临床研究,2022(1).
作者姓名:龙向前  黄杰
作者单位:南京市江宁中医院泌尿外科
摘    要:目的分析瘀热型慢性前列腺炎(CP)临床症状与心理性因素及性功能的相关性。方法收集2020年6月至2021年6月在南京市江宁中医院泌尿外科门诊诊治的91例瘀热型CP患者的临床资料进行回顾性分析,使用美国国立卫生研究院慢性前列腺炎症状指数评分表(NIH-CPSI)、中医证候量表、7项广泛性焦虑障碍量表(GAD-7)、抑郁症筛查量表(PHQ-9)、疼痛灾难化量表(PCS)、国际勃起功能评分表(IIEF-5)和早泄诊断量表(PEDT)对患者进行评估,对量表评定结果进行Pearson相关性分析和多元线性回归分析。结果(1)症状量表:NIH-CPSI总分与中医量表总分、GAD-7总分呈正相关,中医证候量表总分与CPSI、GAD-7、PHQ-9、PCS、PEDT总分呈正相关(P<0.05);CPSI总分随中医量表总分递增而升高,中医证候量表总分随CPSI疼痛症状、PHQ-9总分递增而升高(P<0.05)。(2)情绪量表:GAD-7总分与CPSI、中医证候量表总分、排尿症状、PHQ总分、PEDT总分呈正相关,PHQ-9总分与中医证候量表总分、疼痛及排尿症状、PCS总分、PEDT总分呈正相关,PCS总分与中医证候量表总分及疼痛症状分值呈正相关(P<0.05);GAD-7总分随PHQ-9总分递增而升高;PHQ-9总分随中医证候量表排尿症状、GAD-7、PCS分值递增而升高;PCS总分随中医证候量表疼痛症状、PHQ-9分值递增而升高(P<0.05)。(3)性功能量表:IIEF-5总分与中医证候量表疼痛分值呈负相关,PEDT总分与中医证候量表总分及疼痛症状、GAD-7、PHQ-9分值呈正相关(P<0.05);IIEF-5总分随中医证候量表疼痛症状分值递减而升高(P<0.05)。结论瘀热型CP患者表现为以疼痛为主,伴随排尿异常、情绪异常、认知障碍和性功能障碍的系列症状,同时使用中医证候量表及CPSI评估能较好的反映其病情的严重程度。

关 键 词:慢性前列腺炎  瘀热  慢性前列腺炎症状指数评分表  中医证候量表  症状  心理因素  性功能

Associations of stasis-heat type chronic prostatitis with psychological factors and sexual function
LONG Xiang-qian,HUANG Jie.Associations of stasis-heat type chronic prostatitis with psychological factors and sexual function[J].Chinese Journal of Clinical Research,2022(1).
Authors:LONG Xiang-qian  HUANG Jie
Institution:(Department of Urology,Nanjing Jiangning Hospital of Chinese Medicine,Nanjing,Jiangsu 211100,China)
Abstract:Objective To investigate the correlations among the clinical symptoms,psychosexual factors and sexual function in stasis-heat type chronic prostatitis(CP).Methods Ninety-one patients with stasis-heat type CP treated from June 2020 to June 2021 were evaluated by National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI),TCM Syndrome Scale,7-item generalized anxiety disorder scale(GAD-7),9-item patient health questionnaire(PHQ-9),pain catastrophizing scale(PCS),international index of erectile function-5(IIEF-5)and premature ejaculation diagnostic tool(PEDT).The evaluation results of the scale were analyzed by Pearson correlation and multiple linear regression analysis.Results(1)Symptom scale:NIH-CPSI total scores were positively correlated with TCM syndrome scales and GAD-7 scores,and TCM syndrome scale were positively correlated with CPSI,GAD-7,PHQ-9,PCS,and PEDT scores(P<0.05).CPSI total scores increased with increasing of TCM syndrome scales,and TCM syndrome scales increased with increasing of CPSI scores of pain or discomfort and PHQ-9 scores(P<0.05).(2)Emotion scale:GAD-7 scores were positively correlated with CPSI,TCM syndrome scales and micturition symptoms,PHQ,and PEDT scores.PHQ-9 scores were positively correlated with TCM syndrome scales,pain and micturition symptoms,PCS and PEDT scores,and there was a positive relationship between PCS and TCM syndrome scales(P<0.05).GAD-7 scores increased with increasing of PHQ-9 scores,and PHQ-9 scores increased with increasing of TCM syndrome scales and micturition symptom,GAD-7 and PCS scores.PCS scores increased with increasing of TCM syndrome scale of pain symptoms and PHQ-9 scores(P<0.05).(3)Sexual function scale:IIEF-5 scores were negatively correlated with TCM syndrome scale of pain symptoms,and PEDT scales were positively correlated with TCM syndrome scales and pain symptom,GAD-7 and PHQ-9 scores(P<0.05).IIEF-5 scores increased with decreasing TCM syndrome scale of pain symptom(P<0.05).Conclusions The patients with stasis-heat type CP present with the predominant pain accompanied by abnormal urination,abnormal emotion behaviors,cognitive impairment and sexual dysfunction.Both TCM syndrome scale and CPSI can better reflect the severity of disease.
Keywords:Chronic prostatitis  Stasis-heat  Health chronic prostatitis symptom index  Traditional Chinese medicine syndrome scale  Symptom  Psychological factors  Sexual function
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