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目的:调查高原环境下慢性前列腺炎(CP)患者性功能障碍状况。方法:随机抽查CP患者共637例,按不同海拔分为4组。调查问卷包括:①国际前列腺炎症状评分指数表(NIH-CPSI);②中国早泄患者性功能评分表(C-ISFPE);③勃起功能国际指数问卷-5(IIEF-5);④华盛顿大学性功能问卷中的射精困难调查表。结果:637例慢性前列腺炎患者早泄(PE)患病率为28.4%,勃起功能障碍(ED)的患病率为17.6%,射精困难患病率为23.9%,同时患有上述疾病的患病率为9.9%。各组IIEF-5(P=0.032)和C-ISFPE(P=0.047)分值不同,有按海拔高度逐渐下降趋势,结果有统计学意义。各组PE(P=0.047)、ED(P=0.046)和射精困难(P=0.019)患病率不同,有按海拔高度逐渐增高趋势,结果有统计学意义。各海拔组PE、ED症状的严重程度不同,与海拔高度相关(r=0.249和0.267,P<0.05),结果有统计学意义。结论:慢性前列腺炎患者性功能障碍的患病率及其症状严重程度与海拔高度呈正相关。
Objective: To investigate the status of sexual dysfunction in chronic prostatitis (CP) patients in high altitude environment. Methods: A total of 637 CP patients were randomly selected and divided into 4 groups according to different altitude. Questionnaires include: ① International Prostatitis Symptom Score Index (NIH-CPSI); ② Chinese Premature Ejaculation Sexual Function Scale (C-ISFPE); ③ International Index of Erectile Function Questionnaire-5 (IIEF-5); ④ University of Washington Sex Erectile dysfunction questionnaire in the functional questionnaire. Results: The prevalence of premature ejaculation (PE) in 637 patients with chronic prostatitis was 28.4%. The prevalence of erectile dysfunction (ED) was 17.6%. The erectile dysfunction rate was 23.9%. The prevalence of these diseases The rate is 9.9%. The scores of IIEF-5 (P = 0.032) and C-ISFPE (P = 0.047) were different in each group, and gradually decreased with altitude. The results were statistically significant. The prevalences of PE (P = 0.047), ED (P = 0.046), and ejaculation difficulties (P = 0.019) were different in each group, with a trend of increasing gradually according to altitude. The results were statistically significant. The severity of PE and ED symptoms at different altitudes were different, and were related to altitude (r = 0.249 and 0.267, P <0.05). The results were statistically significant. Conclusion: The prevalence of sexual dysfunction and the severity of symptoms in patients with chronic prostatitis are positively correlated with altitude.