性病后勃起功能障碍120例临床剖析.docVIP

性病后勃起功能障碍120例临床剖析 　　【摘 要】 目的:观察性病后勃起功能障碍患者的国际勃起障碍功能问卷评分与患者焦虑、抑郁等因素的关系。方法：对120例性病后勃起功能障碍患者采用Zung编制的焦虑自评量表、抑郁自评量表及一般健康问卷调查进行评分，并用Logistic回归分析方法对勃起功能障碍各相关因素进行分析。结果：性病后勃起功能障碍患者焦虑情绪的发生率为64.1%（77/120）,抑郁情绪的发生率为75.8%（91/120）,焦虑和抑郁得分均较国人常模明显升高（P0.01）；回归分析显示国际勃起功能问卷评分与婚否、病程、一般健康状况、抑郁、焦虑密切相关。结论：性病后勃起功能障碍患者中焦虑、抑郁情感障碍发生率较高，焦虑、抑郁、病程与疾病严重程度密切相关。这提示性病后勃起功能障碍是社会心理学因素和神经生物学因素共同作用的结果。 　　【关键词】 性传播疾病； 勃起功能障碍； 抑郁； 焦虑 　　 　　Erectile dysfunction in STD patients: an analysis of 120 cases 　　YANG Yuxin, JIA Xufeng, ZENG Jianzhong 　　Department of Dermatology, Peoples Hospital of JianYang City,Jianyang 641400, China 　　【Abstract】 Objectives: to observe the relationship between International Index of Erectile Function Questionnaire score and anxiety, depression factors of STD patients. Methods: One hundred and twenty cases of erectile dysfunction patients with STD have been evaluated with Zungs Self-Rating Anxiety Scale, depression scale and the general health questionnaire survey. Logistic regression analysis was used to analyze all relevant factors for erectile dysfunction. Results: There was 64.1%(77/120) incidence of anxiety for STD patients with erectile dysfunction, and 75.8%(91/120) incidence of depression. (The anxiety and depression scores were significantly higher than those of Chinese norm (P0.01); Regression analysis showed that the questionnaire International Index of Erectile Function score were closely correlated with marital status, course of disease, general health status, depression, anxiety. Conclusion: STD patients with erectile dysfunction showed a higher incidence of anxiety, depression, and affective disorder. Anxiety and depression are closely correlated with course of disease and disease severity. This suggests that erectile dysfunction of STD patients resulted from social psychological factors, biological factors and neurological effects. 　　【Key words】 Sexually transmitted diseases; Erectile dysfunction; Depression; Anxiety 　　 　　随着医学模式的转变，社会心理因素在疾病发生中的作用日益受到人们