摘要
目的:探索男性不育伴精索静脉曲张患者的精神心理症状的发生情况及其与不育的关系。方法:采用14项症状的医院焦虑抑郁量表(HAD量表)对110例不育伴精索静脉曲张患者进行精神心理因素的评估,分析各相关因素与患者精神心理因素的相关性,筛选鉴别男性不育伴精索静脉曲张患者发生焦虑抑郁症状的危险因素,并与61例已婚生育健康男性作为对照组进行比较分析。对106例不育伴精索静脉曲张患者的精神心理症状进行多因素分析。结果:男性不育伴精索静脉曲张患者和已经生育的健康对照者焦虑症状发生率分别为61.32%和13.79%,抑郁症状发生率分别为37.73%和6.90%,不育伴精索静脉曲张组的焦虑和抑郁症状发生率显著高于已育健康对照组(P<0.05)。Logistic回归分析结果显示,不育患者发生焦虑抑郁的主要危险因素是就诊次数和睾丸病变程度。结论:男性不育伴精索静脉曲张患者合并有明显精神心理症状,值得关注。患者中多次就诊及睾丸病变程度严重者更容易发生焦虑抑郁。
Objective： To study the mental health status of infertility patients with varicocele and its relationship with infertility. Methods： Using Hospital Anxiety and Depression scale （HAD）, we assessed the psychological status of 110 infertility patients with varieocele, identified the risk factors of anxiety and depression in these patients, and analyzed the correlation among psychological and other relevant factors. Meanwhile, we recruited 61 age-matched normal fertile men as controls for comparative analysis. We also con- ducted logistic regression analysis on the mental health status of the 106 infertility patients with varicocele. Results ： The prevalence rates of anxiety were 61.32% and 13.79%, while those of depression 37.73% and 6.90% in the infertile patients and normal fertile controls, respectively, significantly higher in the former than in the latter （ P 〈 0.05 ）. Logistic regression analysis showed that the main risk factors of anxiety and depression of the infertile patients were the number of times they sought medical care and the severity of their testis disorders. Conclusion： Infertility patients with varicocele have psychological disorders, which are particularly associated with the frequency of the patients＂ clinic visit and the severity of their testis disorders.
出处
《中华男科学杂志》
CAS
CSCD
2013年第2期132-136,共5页
National Journal of Andrology
