摘要
目的:通过分析泌尿男科门诊包皮过长或包茎患者的性功能状况与心理状态,探讨性功能障碍与心理异常之间的相互关系。方法:随机选择包皮过长或包茎患者216例,问卷调查患者的一般情况、中国早泄患者性功能评价表、国际勃起功能指数问卷、症状自评量表。调查研究患者的早泄与勃起功能障碍情况,心理状态抑郁、焦虑等症状,统计其发生率,分析各症状间的相互关系。85例健康男性志愿者为正常对照组。结果:病例组的症状自评量表总分、躯体化因子分、强迫症状因子分、抑郁因子分、焦虑因子分、其他因子分明显高于正常对照组(P<0.05)。相关分析显示:早泄评分与症状自评量表总分、躯体化因子分、强迫症状因子分、人际关系敏感因子分、抑郁因子分、焦虑因子分及其他因子分有显著相关性。勃起功能障碍评分与症状自评量表总分及各项因子分无相关性。结论:泌尿男科门诊包皮过长或包茎患者的心理健康水平较差,早泄与心理状态存在相互影响。
Objective：To investigate the correlation of sexual dysfunction with psychological abnormalities by analyzing the sexual function and mental state of the patients with redundant prepuce or phimosis.Methods：This study included 216 randomly selected patients with redundant prepuce or phimosis and 85 normal male controls.We conducted investigations among the subjects using a questionnaire on the general data of the patients,Chinese Index of Sexual Function for Premature Ejaculation（CIPE）,International Index of Erectile Function（IIEF）,and Symptom Checklist 90（SCL-90）.Then we assessed the status of premature ejaculation（PE） and erectile dysfunction（ED）,calculated the incidence of psychological abnormalities,such as depression and anxiety,and analyzed the correlation of PE and ED with the mental state of the patients.Results：The PE and ED patients scored significantly higher than normal controls on SCL-90,somatization,compulsion,depression,anxiety and other factors（P〈0.05）.CIPE scores were correlated with the scores on SCL-90,somatization,compulsion,interpersonal sensitivity,depression,anxiety and other factors,while ED-related scores showed no correlation with the scores on SCL-90 and other factors.Conclusion：Patients with redundant prepuce or phimosis have poor mental health,and there is an interaction between PE and the mental state of the patient.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2010年第12期1095-1097,共3页
National Journal of Andrology
关键词
包皮过长
包茎
早泄
勃起功能障碍
心理状态
redundant prepuce
phimosis
premature ejaculation
erectile dysfunction
mental state
