發(fā)布時(shí)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(jìn)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(píng)分(IIEF-5)、患者抑郁自評(píng)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(jì)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(duì)照組。結(jié)果:不育組245例、對(duì)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(píng)分明顯高于對(duì)照組(P0.05);不育組患者的ED發(fā)生率為28.6%,明顯高于對(duì)照組12.4%,且IIEF-5評(píng)分均較對(duì)照組明顯降低(P0.01),其性生活頻率、對(duì)性生活的滿意度均較對(duì)照組下降(P0.05);不育癥伴有ED患者,其PHQ-9、GAD-7評(píng)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(qiáng)弱、精液檢查結(jié)果為抑郁障礙的危險(xiǎn)因素;年齡、受教育程度、疾病病程及是否進(jìn)行過輔助生殖為焦慮障礙的危險(xiǎn)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(xué)東直門醫(yī)院男科;南昌市生殖醫(yī)院;廣州中醫(yī)藥大學(xué)附屬深圳市寶安中醫(yī)院(集團(tuán))男科;
【分類號(hào)】：R698.2

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