期刊文献+

鼻咽癌患者放射治疗后性功能减退吗? 被引量:3

Is there a sexual function decline in nasopharyngeal carcinoma survivors treated with radiotherapy?
原文传递
导出
摘要 目的 调查鼻咽癌患者放射治疗后的性功能状态 ,了解发生性功能改变的可能影响因素 ,探讨防治性功能障碍、提高放射治疗后生活质量的对策。方法 根据SOMA/LENT表有关性功能内容和研究需要制作统一问卷 ,对 90例 (男性 6 6例 ,女性 2 4例 )符合条件的鼻咽癌患者进行调查。结果 治疗后完全停止性生活 4例 ( 4.4% ) ,1年后才恢复性生活 15例 ( 16 .7% ) ;性欲减退占 37.8% ,满意度低占 40 .0 % ,勃起障碍占 7.6 % ,高潮减退占 30 .0 % ,频率减少占 71.1%。患者主观上认为治疗后不宜性生活的主要原因有 :妨碍身体康复 5 7例 ( 6 3.3 % ) ;容易引起肿瘤复发 44例 ( 48.8% ) ;肿瘤会传染爱人 45例 ( 5 0 .0 % ) ;治疗后身体虚弱 2 7例 ( 30 .0 % )。职业、文化程度和经济状况与放射治疗后性功能的改变无明显关系。结论 在放射治疗后的鼻咽癌患者中 ,相当一部分存在明显的性功能障碍 ,普遍存在对性生活的错误认知 ,需要予以心理干预。 Objective The want of study about the effect of definitive radiotherapy (RT) on sexual function for nasopharyngeal carcinoma (NPC) led to this investigation. This was designed as a pilot study to assess the patterns of sexual dysfunction and its prevention. Methods Based on the SOMA/LENT toxicity criteria, a standardized questionnaire was designed to investigate the following sexual performances: desire, satisfaction, erectability, orgasm and frequency of sex in the two years before and after radiotherapy with each patient serving as his or her own control. Ninety patients(66 male,24 female) were included into this study. Reduction of libido, satisfaction with sex, erectability, resumption of sex after radiotherapy, intensity of orgasm, frequency of sex and the subjective assumption of sex dysfunction by the patient were all entered and analyzed by the SOMA/LENT .Occupation: 27 workers, 39 farmers, 10 civil servants and 14 businessmen. Thirteen patients had had high school education or above, while the other 77 were on lower level. Results All patients could remember the time of first sexual activity after treatment, 45 of them after 3 months, 71 after one year and 4 patients ceased sex at all. Fifteen patients were able to resume sex one year after radiotherapy. As for the quality of the sexual activity, 34 (37.8%) patients noted a decline in libido, 36 (40.0%) were dissatisfied with their sex and 5(7.6%) of the 66 male patients developed new impotence and 27 (30.0%) complained of lowered intensity of orgasm. The sexual frequency in this cohort was (1.271±0.877)times/week before and ( 0.691±0.854 )times/week after the treatment. Sixty-four (71.1%) patients experienced a frequency diminution. Only 15 experienced no change in their sex. Statistical analysis did not show any significant relation between kinds of profession, education level or economic status and sexual dysfunction, subjective perception. However, subjective perception had a significant impact on the decrease of libido, satisfaction, erec
出处 《中华放射肿瘤学杂志》 CSCD 北大核心 2003年第B02期52-55,共4页 Chinese Journal of Radiation Oncology
关键词 鼻咽癌 放射疗法 性功能障碍 Nasopharyngeal neoplasms/radiotherapy Sex disorders
  • 相关文献

参考文献12

二级参考文献16

共引文献212

同被引文献23

  • 1邓卫警,沙立民,吴华琼,林秀英,胡秀娟.癌症患者及亲属对知情权需求的调查分析[J].实用全科医学,2004,2(4):349-350. 被引量:9
  • 2白守民,马超,刘宜敏,薛卫平,罗铭,区正红.认知行为干预和运动疗法对鼻咽癌患者放射治疗后生活质量的影响[J].中国临床康复,2004,8(29):6312-6313. 被引量:7
  • 3Razavi D, Delvaux N. The psychiatrist's perspective on quality of life and quality of care in oncology: concepts, symptom management, communication issues. Eur J Cancer. 1995:31 (Suppl A) : 25 -29. 被引量:1
  • 4Seematter-Bagnoud L, Santos-Eggimann B. Sources and level of information about health issues and preventive services among young-old persons in Switzerland. Int J Public Health. 2007; 52 (5): 313-316. 被引量:1
  • 5Newton-Howes PA, Bedford ND, Dobbs BR, et al. Informed consent: what do patients want to know? N Z Med J. 1998, 111 (1073): 340-342. 被引量:1
  • 6Kubota K. Informed consent, QOL and cost benefit in the treatment of lung cancer. Nippon Rinsho. 2000, 58 (5): 1153 -1157. 被引量:1
  • 7Luce JM. Is the concept of informed consent applicable to clinical research involving critically ill patients? Crit Care Med, 2003, 31 (Suppl3): 153-160. 被引量:1
  • 8Krukemeyer MG, Pflugmacher I, Spiegel HU. Legally effective consent with minors and incompetent patients. Zentralbl Chir, 2007, 132 (5) : 468 -471. 被引量:1
  • 9O'Leary MP, Fowler F J, Lenderking WR, et al. A brief male sexual function inventory for urology [J]. Urology, 1996, 47(5):782-783. 被引量:1
  • 10Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function[J]. J Sex Marital Ther, 2000, 26(2):191-208. 被引量:1

引证文献3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部