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目的分析库区奉节县心因性勃起功能障碍(ED)的心理致病因素。方法 76例于库区奉节县泌尿外科就诊的心因性ED患者为病例组,152例非心因性ED患者为对照组,采用中国科学院心理研究所修订的明尼苏达多项人格量表(MMPI)-2(1989年版)对研究对象进行测验,通过单因素和多因素分析鉴定库区奉节县心因性ED的心理致病因素。结果单因素分析结果显示,两组癔症性格倾向、人格变异倾向、抑郁性格倾向、强迫性格倾向、内向性格倾向和疑病性格倾向患者例数比较差异具有统计学意义(χ~2=11.335、4.746、8.964、8.526、8.797、6.806,P<0.05),而躁狂性格倾向、分裂性格倾向和偏执性格倾向例数比较差异无统计学意义(P>0.05)。多因素分析结果显示,癔症性格倾向、抑郁性格倾向、强迫性格倾向和疑病性格倾向是库区奉节县心因性ED的心理致病因素(Wald-χ~2=6.081、6.754、12.684、11.254,P<0.05),其危险度排序为(调整OR值):强迫性格倾向>疑病性格倾向>抑郁性格倾向>癔症性格倾向(OR=5.914、5.247、4.738、4.173)。且癔症性格倾向、人格变异倾向、抑郁性格倾向、强迫性格倾向、内向性格倾向和疑病性格倾向相互之间均不存在交互作用。结论癔症性格倾向、抑郁性格倾向、强迫性格倾向和疑病性格倾向是库区奉节县心因性ED的心理致病因素。在心因性ED的临床治疗过程中,应注意改善和治疗ED患者的心理致病因素,通过详细的病史询问及心理沟通,透彻了解患者的性心理活动并予以纠正,并结合女方的配合完成最终的治疗。
Objective To analyze the psychological risk factors of cardiac erectile dysfunction (ED) in Fengjie County. Methods A total of 76 cases of ED patients treated with urology at Fengjie County in the reservoir area were enrolled in this study. 152 non-cardiac ED patients were selected as control group. The Minnesota Multiple Personality Inventory (MMPI), as amended by Institute of Psychology, Chinese Academy of Sciences, - 2 (1989 Edition) test subjects were tested by single factor and multivariate analysis identified Fengjie County psychogenic ED cause of psychological risk factors. Results The results of univariate analysis showed that there was significant difference between the two groups in the incidence of hysteria personality tendency, personality variation tendency, depression personality tendency, obsessive-personality disorder, introverted personality tendency and suspicion personality disorder patients (χ ~ 2 = 11.335,4.746 , 8.964,8.526,8.797,6.806, P <0.05). There was no significant difference in manic personality tendency, schizophrenia tendency and paranoid personality tendency (P> 0.05). Multivariate analysis showed that Hysteria personality tendency, depression personality tendency, obsessive-compulsive personality tendency and suspicion personality tendency were the psychological risk factors of cardiac ED in Fengjie County (Wald-χ ~ 2 = 6.081,6.754,12.684,11.254 , P <0.05). The risk rank was (adjusted OR): obsessive-compulsive personality disorder> suspicion disposition tendency> depression disposition tendency> hysterical personality tendency (OR = 5.914,5.247,4.738,4.173). There was no interaction between hysteria personality tendency, personality variation tendency, depression personality tendency, forced personality tendency, introversion tendency and suspicion personality tendency. Conclusions Hysteric personality predisposition, depressive personality tendency, obsessive-compulsive personality tendency and suspicion personality tendency are the psychological causative factors of cardiac ED in Fengjie County. In the course of clinical treatment of psychogenic ED, attention should be paid to improving and treating the psychological risk factors of ED patients. Through thorough medical history inquiry and psychological communication, the patient’s psychological activity can be thoroughly understood and corrected, and finally the patients’ Treatment.