摘要
目的:探讨男性慢性头痛患者性欲状况,并分析其与头痛症状、睡眠、焦虑和抑郁的关系,为男性慢性头痛的综合治疗提供借鉴。方法:选择2022年1月至2023年2月齐齐哈尔医学院附属第三医院就诊的179例慢性头痛患者,采用男性自评性欲量表、疼痛数字评分法、偏头痛失能程度量表、匹茨堡睡眠质量量表、广泛性焦虑障碍量表-7、患者健康问卷-9分别对研究对象性欲状况、头痛程度、失能程度、睡眠、焦虑和抑郁进行评价。结果:179例男性慢性头痛患者中慢性偏头痛(CM)患者97例、慢性紧张型(CTT)患者82例,筛查出性欲低下者47例。男性慢性头痛患者性欲的影响因素有年龄、吸烟、运动频次、病程、疼痛严重程度、头痛频次、失能程度评分、睡眠质量、焦虑和抑郁状况(P均<0.05)。与男性CTT患者相比,男性CM患者的疼痛严重程度、头痛频次、失能程度评分和焦虑评分更高,而性欲评分更低(P均<0.05)。多因素分析结果,年龄、运动频次、病程、疼痛严重程度、头痛频次、失能程度、睡眠质量、焦虑和抑郁状况是男性慢性头痛患者性欲下降的影响因素。结论:男性慢性头痛患者伴发性欲下降较为普遍,男性CM患者性欲低下更为严重,高龄、运动频次下降、病程较长、疼痛程度严重、头痛频繁、失能程度较高、睡眠差、焦虑和抑郁是男性慢性头痛患者性欲下降的危险因素。
Objective:Exploring the libido status of male chronic headache patients and analyzing its relationship with headache symptoms,sleep,anxiety,and depression,providing reference for the comprehensive treatment of male chronic headache.Methods:179 patients with chronic headache who visited the Third Affiliated Hospital of Qiqihar Medical College from January 2022 to February 2023 were selected.The male Self Rated Libido Scale,Visual Analog Scale for Pain,Migraine Disability Assessment Scale,Pittsburgh Sleep Quality Index,Generalized Anxiety Disorder Scale-7,and Patient Health Questionnaire-9 were used to evaluate the libido status,headache severity,disability level,sleep quality,anxiety,and depression of the research subjects,respectively.Results:Among 179 male chronic headache patients,97 were chronic migraine(CM)patients and 82 were chronic tension type(CTT)patients,and 47 were screened for low libido.The influencing factors of libido in male chronic headache patients include age,smoking,frequency of exercise,course of disease,severity of pain,frequency of headache,disability score,sleep quality,anxiety and depression(all P<0.05).Compared with male CTT patients,male CM patients have higher pain severity,headache frequency,disability score,and anxiety score,while lower libido score(all P<0.05).The results of multivariate analysis showed that age,frequency of exercise,course of disease,severity of pain,frequency of headache,degree of disability,sleep quality,anxiety,and depression were the influencing factors for the decline of libido in male chronic headache patients.Conclusion:It is common for male chronic headache patients to experience decreased libido,with male chronic migraine(CM)patients exhibiting more severe reductions.Advanced age,decreased physical activity,longer disease duration,severe pain intensity,frequent headaches,higher disability levels,poor sleep,anxiety,and depression are risk factors for decreased libido in male chronic headache patients.
作者
傅增辉
金艳
李志超
刘松涛
林再红
张广萍
刘旸
于绘丽
FU Zeng-hui;JIN Yan;LI Zhi-chao;LIU Song-tao;LIN Zai-hong;ZHANG Guang-ping;LIU Yang;YU Hui-li(Department of Neurology,The Third Affiliated Hospital of Qiqihar Medical University,Qiqihar,Heilongjiang 161002,China;Department of Urology,The Third Affiliated Hospital of Qiqihar Medical University,Qiqihar,Heilongjiang 161002,China;Department of Urology,The Second Affiliated Hospital of Qiqihar Medical University,Qiqihar,Heilongjiang 161002,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2023年第6期505-510,共6页
National Journal of Andrology
基金
黑龙江省卫生健康委科研课题(20220303070603)
关键词
慢性头痛
偏头痛
紧张性头痛
男性
性欲
chronic headache
migraine
tension-type headache
male
libido
