男性直肠癌患者放疗后性功能状况及其的影响因素分析.docVIP

男性直肠癌患者放疗后性功能状况及其的影响因素分析 　　【摘要】目的：调查男性直肠癌患者放疗后性功能状况，分析发生性功能变化的可能因素，探讨防治性功能障碍的对策。方法：采用问卷调查方式，对62例符合条件的直肠癌患者进行调查，并将心理干预前后患者性功能状况进行了比对，统计学方法采用χ2检验。结果：直肠癌患者放疗后性欲减退者29人，占46.8%；勃起功能障碍者20人，占32.3%，两者合计达到79.1%。经过心理干预后，性欲减退和勃起障碍的患者均显著减少，分别为19人（30.6%）和16人（25.8%），在统计学上有显著差异，P0.9和P0.5；身体状况对性功能有显著影响，P0.05。从主观因素对性功能影响来看，在性功能改变的患者中，担心妨碍康复占85.7%（42例）、担心性生活引起肿瘤复发占81.6%（40例）、害怕传染给家人占57.1%（28例）、自觉身体虚弱无力完成性生活者占65.3%（32例）。结论：直肠癌患者放疗后有79.1%病人存在性功能改变，而其中部分病人是对性生活的错误认知（即功能性因素）所致，需要心理干预。 　　【关键词】性功能；直肠癌；放疗 　　Sexual dysfunction and its influencing factors of male rectal cancer after radiotherapyWANG Dan1， YI Fengtao2， TU Xiping1， TU Renbiao3. 1. Department of General Surgery， Hubei Rongjun Hospital， Wuhan 430079， China； 2. Department of Radiation Oncology， Wuhan General Hospital of Guangzhou Command， Wuhan 430070， China； 3. Science and Technology Service Center， Hubei Population and Family Planning Commission， Wuhan 430071， China 　　【Abstract】Objectives： To investigate the sexual function of male rectal cancer after radiotherapy and analyze enabling factors and explore countermeasures. Methods： A questionnaire survey was designed. 62 patients with rectal cancer according with our qualification were inquired. The sexual function pre- and after psychological re-education was compared. Result： After radiotherapy， there were 29 （46.8%） patients of hypophrodisia， 20 （32.3%） patients of erectile disfunction， sum accounting for 79.1%. After psychological re-education， the patients of hypophrodisia and ones of erectile disfunction were 19 （30.6%） and 16 （25.8%） respectively. It was significantly different， P0.9 and P0.5）. However， physical status had a significant impact on sexual dysfunction （P0.05）. In the patients with sexual dysfunction， factors affecting sexual activity included hindering rehabilitation of body （42， 85.7%）； inducing recurrence of rectal cancer （40， 81.6%）； worrying infection to their wives （28， 57.1%）； feeling weakness of body not to finish sexual activity （32， 65.3%）. Conclu