宫颈癌患者治疗后性生活状况临床分析.docVIP

宫颈癌患者治疗后性生活状况临床分析 　　【摘要】目的：分析宫颈癌患者治疗后性生活状况及其影响因素。方法：以2010年2月至2013年1月我院收治的173例宫颈癌患者为研究对象，调查统计患者年龄、FIGO分期、病理类型、手术方式、职业、文化程度，于治疗结束后6个月采用女性性生活评估量表评估宫颈癌患者治疗后性生活频率、性欲、性愉悦感、阴道干涩、阴道疼痛等性生活情况。结果：宫颈癌患者治疗后无性生活29例（16.76%），性生活频率减少116例（67.05%），与治疗前无明显差别28例（16.18%）。宫颈癌患者治疗后影响性生活的相关因素为担心性生活加重病情96例（55.49%），性欲减退86例（49.71%），性交愉悦感降低62例（35.84%），阴道干涩69例（39.88%），阴道疼痛43例（24.86%）。结论：宫颈癌患者治疗后性生活质量明显降低，主要由心理因素和生理因素造成，医护人员及患者家属应进行正确指导、支持和关怀，以提高患者性生活质量。 　　【关键词】宫颈癌；性生活；病理类型；阴道干涩；阴道疼痛 　　Clinical analysis ofthe sexual life status of cervical cancer patients after treatmentLI Huifang1， DING Li2， ZHANG Yulian3， WANG Ying1. 1. Department of Obstetrics and Gynecology， Shangluo Second People’s Hospital， Shangluo 726000， China； 2. Oncology Department， Ziyang People’s Hospital， Ziyang 641300， China； 3. Nursing Department， Shanxi People’s Hospital， Xi’an 710068， China 　　【Abstract】Objectives： To analyze the sexual life status of cervical cancer patients after treatment and its influencing factors. Methods： 173 cervical cancer patients in our hospital from February 2010 to January 2013 were selected， and their age， FIGO stage， hematological type， surgical approach， occupation and education level， surveyed. The frequency of sexual activity， sexual desire， sexual pleasure， vaginal dryness， vaginal pain and others were evaluated with Female Sexual Life Assessment Scale at 6 month after treatment. Results： After treatment of cervical cancer， there were 29 cases （16.76%） having no sexual life， 116 cases of reduced sexual frequency （67.05%） and 28 cases （16.18%） with no significant difference before and after treatment. Factors affecting sex life included fear of aggravating the disease after treatment of 96 cases （55.49%）， loss of libido of 86 cases （49.71%）， reduced sexual pleasure of 62 cases （35.84%）， vaginal dryness of 69 cases （39.88%） and vaginal pain of 43 cases （24.86%）. Conclusions： The treatment of cervical cancer significantly reduces quality of sexual life of patients， mainly due to psychological