摘要
目的:探讨心理治疗对骨盆骨折合并后尿道损伤术后性功能和生活质量的影响。方法:选择2010年1月至2014年6月我院收治的骨盆骨折合并尿道损伤患者共44例,随机分为对照组及观察组(各22例)。对照组手术前后接受常规治疗;观察组在常规治疗基础上,于术前及术后对患者及其家属进行综合心理行为干预治疗。记录并比较两组患者伤前、术后第3个月和第12个月性生活情况、IIEF-5评分和SF-36生活质量调查表评分。结果:两组患者伤前每个月性生活频率、勃起功能障碍发生率和IIEF-5评分比较均无明显差异(P>0.05)。与伤前相比,两组患者伤后的勃起功能障碍发生率均明显升高(P<0.05),性生活频率和IIEF-5评分均明显减少(P<0.05)。术后12个月,与对照组相比,观察组的性生活频率和IIEF-5评分明显升高,SF-36生活质量调查表各维度评分中,生理职能、总体健康、情感职能和精神健康评分均显著高于对照组。结论:针对性的综合心理行为干预治疗有助于骨盆骨折合并尿道损伤患者恢复勃起功能,有效解除心理障碍,改善生活质量。
Objectives： To explore the influence of psychotherapy on postoperative sexual function and quality of life in patients with pelvic fracture and urethral injury. Methods： A total of 44 patients with pelvic fracture and urethral injury in our hospital from January 2010 to June 2014 were included and randomized into the control group and the observation group（ n = 22 in each group）. The patients in control group received usual care. The patients in observation group received both usual care and comprehensive psychological and behavioral therapy pre-and postoperatively. The sexual behaviors,the IIEF- 5 scores and the SF- 36 questionnaire scores before injury,3- and 12- month postoperatively were recorded and compared. Results： Before injury,the difference of comparative sexual behavior rate,erectile dysfunction rate and the IIEF- 5 scores in both groups had no significant difference（ P〉0. 05）. Compared with pre- operation,postoperative erectile dysfunction rates in the two groups were significantly higher,while sexual behavior rate and the IIEF- 5 scores were significantly lower. Twelve months potoperativly,the sexual behavior rate,the IIEF- 5 scores as well as the scores of SF- 36 questionnaire of the patients in the observation group were significantly higher than those of control group（ P〈0. 05）. Conclusions： Comprehensive psychological and behavioral therapy is helpful for the recovery of erectile function and mental disorder,which can improve the quality of life in patients with pelvic fracture and urethral injury.
出处
《中国性科学》
2016年第3期142-145,共4页
Chinese Journal of Human Sexuality
基金
国家自然科学基金青年科学基金项目(81402107)
关键词
心理治疗
骨盆骨折
尿道损伤
勃起功能障碍
生活质量
Psychotherapy
Pelvic fracture
Urethral injury
Erectile dysfunction
Quality of life
