發(fā)布時間：2018-09-12 17:25

【摘要】：目的:通過分析男科特需門診不育癥患者的勃起功能障礙(ED)發(fā)生情況與精神心理狀態(tài),探討不育癥、勃起功能障礙與精神心理因素的相互關(guān)系。方法:選擇男科特需門診不育癥患者252例,進行問卷調(diào)查,內(nèi)容包括患者的一般情況、精液常規(guī)結(jié)果、性生活情況、國際勃起功能指數(shù)評分(IIEF-5)、患者抑郁自評工具(PHQ-9)和廣泛性焦慮障礙量表(GAD-7)。調(diào)查不育癥患者的勃起功能及抑郁、焦慮狀況,統(tǒng)計其發(fā)生率,分析各癥狀間的相關(guān)性。以100例正常生育男性志愿者為對照組。結(jié)果:不育組245例、對照組97例完成調(diào)查。不育組患者中,"感覺疲憊或沒有活力"和"變得很容易煩惱或急躁"分別成為抑郁和焦慮中最普遍的癥狀,其中,20.4%患者存在抑郁障礙,42.9%的患者存在焦慮障礙。不育組患者的PHQ-9、GAD-7評分明顯高于對照組(P0.05);不育組患者的ED發(fā)生率為28.6%,明顯高于對照組12.4%,且IIEF-5評分均較對照組明顯降低(P0.01),其性生活頻率、對性生活的滿意度均較對照組下降(P0.05);不育癥伴有ED患者,其PHQ-9、GAD-7評分明顯高于不伴有ED的患者(P0.01)。Logistic回歸分析顯示:不育癥伴ED組患者性欲的強弱、精液檢查結(jié)果為抑郁障礙的危險因素;年齡、受教育程度、疾病病程及是否進行過輔助生殖為焦慮障礙的危險因素。結(jié)論:男科特需門診不育癥患者的心理健康水平較差,ED發(fā)生率較正常人群高,且與精神心理癥狀存在相互影響。
[Abstract]:Objective: to investigate the relationship between infertility, erectile dysfunction and psycho psychological factors by analyzing the incidence of erectile dysfunction (ED) and mental state of infertile patients in special outpatient department of andrology. Methods: 252 infertile patients with special needs of andrology were investigated by questionnaire, including the general condition of the patients, the results of semen routine, and the sexual life. International erectile function Index (IIEF-5), self-rating Depression scale (PHQ-9) and General anxiety Disorder (GAD-7). To investigate the erectile function, depression and anxiety in infertile patients, the incidence rate and the correlation between symptoms were analyzed. 100 normal male volunteers were taken as control group. Results: 245 cases of infertility group and 97 cases of control group completed the investigation. In infertile patients, "feeling tired or not active" and "becoming irritable or irritable" were the most common symptoms of depression and anxiety respectively. Among them, 20.4% of patients had depression disorder and 42.9% of them had anxiety disorder. The PHQ-9,GAD-7 score of the infertile patients was significantly higher than that of the control group (P0.05), the incidence of ED in the infertile patients was 28.6, which was significantly higher than that in the control group (12.4b), and the IIEF-5 score was significantly lower than that in the control group (P0.01). The PHQ-9,GAD-7 score of infertility with ED was significantly higher than that of patients without ED (P0.01). Logistic regression analysis showed that the sexual desire of infertility with ED group was stronger than that of the control group (P0.05), and the PHQ-9,GAD-7 score of infertility patients with ED was significantly higher than that of patients without ED (P0.01) .Logistic regression analysis showed that: the sexual desire of patients with infertility with ED was strong and weak. The results of semen examination were risk factors of depression, age, education level, course of disease and whether assisted reproduction were the risk factors of anxiety disorder. Conclusion: the incidence of Ed in infertile patients with special needs in andrology is higher than that in normal subjects, and there is an interaction between Ed and psychosomatic symptoms.
【作者單位】： 北京中醫(yī)藥大學東直門醫(yī)院男科;南昌市生殖醫(yī)院;廣州中醫(yī)藥大學附屬深圳市寶安中醫(yī)院(集團)男科;
【分類號】：R698.2

【參考文獻】

相關(guān)期刊論文 前3條

1 李宏軍;;抗抑郁藥物在男科疾病中的應用[J];臨床藥物治療雜志;2008年06期

2 張旭賓;方小武;杜彥;葉云;廖月嬋;吳嘉齊;吳日然;;中山市男性不育癥患者心理健康調(diào)查[J];臨床醫(yī)學;2008年07期

3 陶淑貞;;不孕不育癥患者心理因素及干預措施的探討[J];現(xiàn)代生物醫(yī)學進展;2006年05期

【共引文獻】

相關(guān)期刊論文 前10條

1 馬健雄;王彬;黨進;李香斌;丁勁;祝雨田;王繼升;李海松;;男性不育癥患者勃起功能狀況與精神心理狀態(tài)的相關(guān)性研究[J];中華男科學雜志;2017年07期

2 謝蕓;李紅霞;;心理支持治療在不孕不育中的作用分析[J];中國現(xiàn)代藥物應用;2017年08期

3 萬黎萍;;心理因素和心理疏導與不孕癥[J];中國醫(yī)藥科學;2016年18期

4 萬Z`;沈慶蓮;車曉艷;張正;陳建淮;楊海龍;徐鳳瑩;吳靚;劉菲;;無精子癥患者心理健康狀況調(diào)查及人格關(guān)系分析[J];中華男科學雜志;2016年06期

5 萬Z`;張正;楊海龍;李敏;施艷;周芳;鄭淑娟;吳靚;崇武;車曉艷;;無精子癥病人心理健康狀況調(diào)查及相關(guān)因素分析[J];護理研究;2016年15期

6 歐陽海;謝勝;康照鵬;王萬榮;謝子平;王澍弘;李韜;譚艷;;鹽酸帕羅西汀聯(lián)合艾司唑侖治療伴有情緒反應和睡眠問題的Ⅲ型前列腺炎的臨床研究[J];中國性科學;2016年04期

7 李春偉;金宗蘭;申振;胡元泉;;精索靜脈曲張伴不育癥患者抑郁的原因分析及護理干預[J];當代護士(中旬刊);2016年02期

8 高為;;752例男性不育患者焦慮與抑郁的調(diào)查[J];航空航天醫(yī)學雜志;2015年11期

9 李曉琴;吳鷹;郭梅;;優(yōu)質(zhì)護理服務在生殖中心門診工作中的應用[J];江蘇衛(wèi)生事業(yè)管理;2015年04期

10 黃朝霞;盧曉聲;黃永剛;呂杰強;;綜合干預對多囊卵巢綜合征不孕患者心理狀態(tài)及體外受精-胚胎移植技術(shù)治療效果的影響[J];中國婦幼保健;2014年12期

【二級參考文獻】

相關(guān)期刊論文 前10條

1 孫祥宙;鄧春華;戴宇平;;舍曲林和伐地那非治療合并勃起功能障礙的早泄患者的臨床觀察[J];中華男科學雜志;2007年07期

2 李宏軍;李漢忠;張學斌;金偉;;男性更年期綜合征的臨床特點——112例臨床病例報告[J];中國男科學雜志;2006年12期

3 王晶,廉玉蘭;臨床護患溝通的原則和技巧[J];生物磁學;2005年03期

4 張銳強,謝q，

本文編號：2239717