宫颈癌患者治疗后性功能状况变化临床调查分析.docVIP

宫颈癌患者治疗后性功能状况变化临床调查分析 　　【摘要】目的：探讨宫颈癌患者治疗后性功能状况及其影响因素，以期提高临床治疗水平。方法：回顾性分析2011年1月至2013年1月我院收治的130例宫颈癌患者，采用性功能指数进行性功能状况评定，并总结影响因素。结果：治疗后患者在围绝经期症状方面无症状66.94%，轻度占18.18%，中度占9.09%，重度占5.79%；主要表现为性欲望、性兴奋、阴道润滑、性高潮、满意度下降，疼痛感增强。影响因素有年龄（≥45岁）、文化程度低（初中以下）、肿瘤晚期（Ⅳ期）、手术+放化疗、病情严重、心理障碍、配偶配合差、悲观（P均0.05）。其中年龄、文化程度、治疗方法、心理因素、肿瘤分期、性格、病情、配偶态度是宫颈癌治疗后性功能独立危险因素（P均0.05）。结论：宫颈癌患者治疗后会出现性功能障碍，在临床上要注重对性功能康复治疗，并注重防范影响因素，从而提高性生活质量。 　　【关键词】宫颈癌；性功能；影响因素 　　Clinical investigation of the sexual function change of cervical cancer patients after treatmentLIU Yahong， SUN Bei. No.2 Department of Gynecology， The Second Hospital Affiliated to Shanxi Traditional Chinese Medicine University， Xianyang 712000， Shaanxi， China 　　【Abstract】Objectives： To investigate the sexual function after treatment of cervical cancer and its influence factors in order to improve the level of clinical treatment. Methods： A retrospective analysis on the 130 cervical cancer patients in our hospital from January 2011 to January 2013 was conducted， using sexual function index for functional status assessment. Influence factors were summarized. Results： After treatment， in terms of sexual function， there 66.94% areasymptomatic， 18.18%， 9.09% and 5.79% with mild， moderate and severe symptoms， with main symptoms as decreased sexual desire， sexual arousal， vaginal lubrication， orgasm and satisfaction and increased pain. Influence factors included age （≥45 years）， low education level （junior high school）， tumor late （Ⅳ period）， surgery plus radiotherapy and chemotherapy， serious illness， mental disorder， spouses with poor and pessimistic （P0.05）， where age， education， treatment， psychological factors， tumor stage， character， condition， attitude spouse were independent risk factors （P0.05） after treatment of cervical function. Conclusion： There will be sexual dysfunction in clinical rehabilitation for cancer patients. Treatment of sexual function and preventive factors should be paid attention to thus improving the quality of sexual lif