摘要
目的:研究与观察前列腺癌患者术后性功能状态及影响因素。方法:选取2016年1月~2017年2月期间鄂东医疗集团黄石中心医院的98例前列腺癌手术患者为研究对象,将其采用IIEF-5问卷进行评估,统计所有患者的总勃起功能障碍发生率,并比较不同年龄、Gleason积分、术后并发症情况、基础疾病情况、吸烟指数、饮酒指数、性生活心理状态及手术方式患者的总勃起功能障碍发生率,并采用多因素Logistic回归分析处理上述因素与前列腺癌患者术后性功能状态的关系。结果:98例患者术后发生勃起功能障碍63例,总勃起功能障碍发生率为64. 29%,年龄较高、Gleason积分较高、术后发生并发症、存在基础疾病、吸烟指数较高、饮酒指数较高及性生活心理状态较差患者的总勃起功能障碍发生率高于年龄较低、Gleason积分较低、术后无并发症、无基础疾病、吸烟指数较低、饮酒指数较低及性生活心理状态较较好的患者,差异有统计学意义(P <0. 05),不同手术方式患者的总勃起功能障碍发生率比较,差异无统计学意义(P>0. 05),多因素Logistic回归分析处理显示,年龄、Gleason积分、术后并发症情况、基础疾病情况、吸烟指数、饮酒指数及性生活心理状态是前列腺癌患者术后性功能状态的重要影响因素。结论:前列腺癌患者术后性功能状态较差,且影响因素较多,应根据影响因素进行干预措施的制定。
Objective：To study and observe the postoperative sexual functioning state of patients with prostatie cancer and its influenee factors. Methods ：98 patients with prostatic cancer in Huangshi Central Hospital from January 2016 to February 2017 were selected as the study object. The total incidence of erectile dysfunction of all patients was analyzed, and the total incidence of erectile dysfunction of patients with different ages, Gleason score, postoperative complications, basic disease situation, smoking index, drinking index, psychological state of sexual life and operation methods were compared, and the relationship between those factors and postoperative sexual functioning state of patients with prostatic cancer were analyzed with multivariate Logistic regression analysis. Results ： Of the 98 patients ,63 cases were with erectile dysfunction, an incidence of 64.29%. The total incidence of erectile dysfunction among patients with elder age, higher Gleason score, postoperative complications, basic disease, higher smoking index, higher drinking index and worse psychological state of sexual life was higher than that of patients with younger age, with lower Gleason score,without postoperative complications,without basic disease, with lower smoking index, with lower drinking index and better psychological state of sexual life, with statistically significant differences （ P 〈 0. 05 ）. Difference in the total incidence of erectile dysfunction between patients adopting different operation methods was not statistically significant （P 〉 0. 05 ）. According to the multivariate Logistic regression analysis, ages, Gleason score, postoperative complications situation,basic disease situation, smoking index, drinking index and psychological state of sexual life were all the ilffluence factors of postoperative sexual functioning state of patients with prostatic cancer. Conclusions：The postoperative sexual functioning state of patients with prostatic cancer is poor, with many influence factors,so intervention m
作者
彭伟
桂定文
PENG Wei;GUI Dingwen(Department of Urology,Huangshi Central Hospital Affiliated to Hubei Polytechnic University,Edong Health Care Group,Huangshi 435000,Hubei,China)
出处
《中国性科学》
2018年第8期8-11,共4页
Chinese Journal of Human Sexuality
关键词
前列腺癌
术后性功能状态
影响因素
Prostatic cancer
Postoperative sexual functioning state
Influence factors
