摘要
目的:了解慢性前列腺炎和性功能障碍的关系及心理行为干预治疗的效果。方法:对346例伴有性功能障碍的慢性前列腺炎患者进行随机对照研究。对照组(173例)给予常规的药物治疗(抗生素,吲哚美辛,α1受体阻滞剂和中药),治疗组(173例)除上述治疗外,同时给予心理和行为干预治疗。治疗前后采用国际前列腺炎症状评分指数表(NIH-CPSI)和勃起功能国际指数问卷5(IIEF-5)评分进行疗效比较。结果:慢性前列腺炎伴性功能障碍的程度和前列腺炎症状的严重程度不相关;治疗后两组患者前列腺炎症状和性功能障碍均有明显改善,但治疗组改善程度明显优于对照组(P<0.01)。结论:心理因素在慢性前列腺炎所致的性功能障碍中起重要作用。心理治疗不但对慢性前列腺炎相关的性功能障碍有明显的疗效,而且可明显改善前列腺炎的症状。
Objective： To explore the relationship between sexual dysfunction and chronic prostatitis and investigate the effect of psychologic treatment. Methods ： A total number of 346 patients with chronic prostatitis complicated by sexual dysfunction were randomized into two groups, one treated with routine medication （ antibiotic, indomethacin, α1 receptor blocker and Chinese traditional medicine） , and the other with both routine medication and psychologic treatment. Results were analyzed by comparing NIH-CPSI and IIEF-5 between pre-and post-treatment groups. Results： The prostatitis symptoms and sexual dysfunction were improved obviously after treatment in the two groups, but compared with the control , more marked improvement was observed in the combined psychologic treatment group（P〈0.01）. The degree of chronic prostatitis related sexual dysfunction was not correlated with that of prostatitis symptoms. Conclusion：Psychology plays a very important role in chronic prostatitis related sexual dysfunction. Psychologic treatment not only works on the sexual dysfunction, but also improves prostatitis symptoms.
出处
《中华男科学杂志》
CAS
CSCD
2005年第9期658-660,共3页
National Journal of Andrology
关键词
慢性前列腺炎
性功能障碍
心理治疗
行为干预
chronic prostatitis
sexual dysfunction
psychologic treatment
behavioral intervention
