不同类型早泄患者早泄诊断工具与慢性前列腺炎症状评分间的相关性分析

发布时间：2017-12-28 01:27

本文关键词：不同类型早泄患者早泄诊断工具与慢性前列腺炎症状评分间的相关性分析　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：背景:早泄(Premature ejaculation,PE)是一种泌尿男科疾病中最常见的男性性功能障碍,其发病率约占男性人群的20-30%。随着社会的发展与进步,人们生活质量的不断提高,导致社会性观念的改变,生育的需要已不再是人们追求性生活的主要目的,而是变成双方的享乐,从而使性爱的持续时间长短显得重要起来。男性的早泄不单纯是男性本身的事情,事实上,早泄与其他疾病不同,是一种相对性的疾病,与其性伴侣同样密切相关。早泄分为三种程度:1)轻度,阴茎插入阴道内1-3分钟左右,能抽动15次以上,但不能控制性高潮;2)中度,阴茎插入阴道内能抽动1-15次,时间少于1分钟,不能控制射精;3)重度,阴茎不能插入阴道内,或能插入但不抽动即射精。慢性前列腺炎是常见的泌尿男科疾病之一,发病率高,且有逐年增高的趋势。国外的一些调查结果表明,前列腺炎大约影响着30%-40%的性活跃期间的男性。目前PE的评估主要分为主观症状和客观指标评估两方面,早泄诊断工具作为一种针对PE主观症状的自评工具,因具有较好的实用性和准确性,广泛地被用于国内外相关研究中。与慢性前列腺炎不同的是,早泄的定义则经历了不同的发展阶段。不同的组织机构有着不同的定义及不同的标准。虽然既往研究已不同程度地探讨早泄与慢性前列腺炎间的联系,但研究方法中有关早泄的定义缺乏循证医学依据,而且当前早泄主观症状与慢性前列腺炎症状间关系的研究数量较少,研究内容缺乏深入。因此本文在PE新分类标准的基础下,探究PEDT与慢性前列腺炎症状评分间的关系,从而为证实和完善早泄与慢性前列腺炎间的关系提供参考。目的分析原发性早泄(LPE)及继发性早泄(APE)患者早泄诊断工具(PEDT)与慢性前列腺炎症状评分(NIH-CPSI)之间的相关性。方法选取2015年12月到2016年12月因早泄(PE)就诊的门诊患者268例,其中LPE 142例;APE 126例,以及来自体检中心的健康男性80例。调查内容主要包括人口特征学信息、患病史、性生活史以及PEDT和美国国立卫生研究院前列腺炎症状评分指数表(NIH-CPSI)。结果PE组PEDT和NIH-CPSI评分(总分和各分项分)均高于对照组。LPE组和APE组PEDT评分无明显差异(P=0.452),而APE组NIH-CPSI评分显著高于LPE组(P0.001),进一步分析发现,APE组PEDT与NIH-CPSI总分相关性最强(r=0.452)。各组PEDT与NIH-CPSI评分中疼痛症状分项评分相关性最强。结论APE与慢性前列腺炎(CP)症状密切相关,APE患者较LPE患者可能伴有更严重的CP症状。CP对疼痛症状的影响与PEDT评分密切相关。
[Abstract]:Background: Premature ejaculation (PE) is the most common male sexual dysfunction in urology, and its incidence is about 20-30% in the male population. With the development and progress of society, the continuous improvement of people's life quality leads to the change of social attitudes. The need for childbearing is no longer the main purpose of people's pursuit of sexual life, but the enjoyment of both sides, which makes the duration of sexual love seem important. Premature ejaculation in men is not purely a matter of men. In fact, premature ejaculation is a relative disease with other diseases, which is also closely related to sexual partners. Premature ejaculation is divided into three levels: 1) mild, insertion of the penis into the vagina within 1-3 minutes, can twitch 15 times above, but can not control the orgasm; 2) moderate, insertion of the penis into the vagina can Gilles 1-15 times, less than 1 minutes can not control ejaculation; 3) severe, the penis cannot be inserted into the vagina, or can insert but not throbbing ejaculate namely. Chronic prostatitis is one of the common diseases of Urology, which has a high incidence and a trend of increasing year by year. Some survey results from foreign countries show that prostatitis affects men in the period of sexual activity during 30%-40%. At present, the evaluation of PE is mainly divided into two aspects: subjective symptoms and objective indicators. Premature ejaculation diagnostic tool is a self-evaluation tool for PE subjective symptoms. It has been widely used in related research both at home and abroad for its good practicability and accuracy. Unlike chronic prostatitis, the definition of premature ejaculation has undergone a different stage of development. Different organizations have different definitions and different standards. Although previous studies have different degrees of premature ejaculation and chronic prostatitis relation, but the research on the definition of premature ejaculation in lack of evidence based medicine, and the premature ejaculation with subjective symptoms of chronic prostatitis symptom between the small number of studies, the lack of in-depth research content. Therefore, based on the new classification standard of PE, this paper explores the relationship between PEDT and chronic prostatitis symptom score, so as to provide references for confirming and improving the relationship between premature ejaculation and chronic prostatitis. Objective to analyze the correlation between premature ejaculation (PEDT) and the symptom score of chronic prostatitis (NIH-CPSI) in patients with primary premature ejaculation (LPE) and secondary premature ejaculation (APE). Methods from December 2015 to December 2016, 268 cases of outpatients with premature ejaculation (PE) were enrolled, including 142 cases of LPE, 126 cases of APE and 80 cases of healthy men from physical examination center. The contents of the study included demographic characteristics, information history, history of sexual life, PEDT and the National Institutes of health prostatitis symptom score index (NIH-CPSI). Results the scores of PEDT and NIH-CPSI in group PE (total score and sub item score) were higher than those in the control group. There was no significant difference in PEDT score between group LPE and group APE (P=0.452), while NIH-CPSI score in APE group was significantly higher than that in LPE group (P0.001). Further analysis showed that the correlation between PEDT and NIH-CPSI score was the strongest in APE group. The correlation between the scores of pain symptoms in PEDT and NIH-CPSI scores was the strongest. Conclusion APE is closely related to the symptoms of chronic prostatitis (CP), and APE patients may have more serious CP symptoms than those of LPE. The effect of CP on pain symptoms was closely related to the PEDT score.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R698

【参考文献】