摘要
目的探讨慢性前列腺炎(CP)伴发的勃起功能障碍(ED)与心理因素的相关性。方法观察门诊86例CP患者,勃起功能国际问卷(IIEF-5)均小于21分,且除外有影响勃起功能的器质性病变。将86例患者分为A组(43例)和B组(43例)。两组患者同时给予抗生素、α-受体阻滞剂和前列安栓等中西药结合治疗。同时对A组患者暗示:CP与ED有着密切的关系,如治疗不当会导致ED、早泄等性功能障碍。对B组患者则告知:CP与ED没有必然联系,并给予适当的心理综合治疗。采用SPSS10.0软件,进行组内与组间CPSI和IIEF-5均值比较,采用t检验分析。结果A组治疗前后CPSI评分分别为14.61±4.96和10.26±4.28,IIEF-5问卷调查分别为12.72±2.73和15.67±3.62。B组治疗前后CPSI评分分别为13.49±4.06和8.35±3.25,IIEF-5问卷调查治疗前、后分别为13.09±2.96和19.67±3.28。A、B两组治疗前后CPSI和IIEF-5评分自身对照统计学显示,各组CPSI和IIEF-5治疗后较治疗前均有明显改善(P<0.01)。治疗后A、B两组的CPSI结果比较无显著性差异(P>0.05),而B组IIEF-5改善情况明显好于A组(P<0.01)。结论药物治疗可改善CP及其伴发的ED症状,同时接受心理综合治疗,其ED改善明显好于单纯的药物治疗。说明在CP伴发ED患者的治疗过程中,心理因素治疗是不可缺少的重要手段。
Objective To evaluate the relation of erectile dysfunction （ED） with psychological factor in chronic prostatitis （CP） patients. Methods Eighty six prostatitis patients from in clinic were included, all of them were conformed to diagnostic standard of NIH. IIEF-5 of the patients were lower than 21. The patients were divided into two groups, All the patients accepted the antibiotics, a -blockers and some traditional Chinese medicine. The patients in group A were suggested that there is close relation between the CP and ED. Unless it could be cured, it will be a serous problem. The patients in group B were told there were no relation between CP and ED. T test were used for statistics. Results Mean NIH-CPSI score in group A is 14.61±4.96 before the therapy and 10.26±4.28 after it. The score in group B is 13.49±4.06 and 8.35±3.25 respectively. The mean IIEF-5 score in group A is 12.72±2.73 before the therapy and 15.67±3.62 after it. The score in group B is 13.09±2.96 and 19.67±3.28 respectively. There is significant discrepancy of these two scores before and after the therapy. There is significant discrepancy of IIEF-5 score between group A and B after the therapy （P〈0.01）, although no discrepancy is found in CPSI score （P〉0.05）. Conclusion Medical therapy could treat the prostatitis and erectile dysfunction. Psychological therapy could significantly improve the effect in ED treatment.
出处
《中国男科学杂志》
CAS
CSCD
2008年第2期31-33,36,共4页
Chinese Journal of Andrology
