慢性前列腺炎与心理因素的相关性研究

发布时间：2018-05-01 03:26

本文选题：慢性前列腺炎 + 情志因素　；参考：《广州中医药大学》2008年硕士论文

【摘要】： 目的:探讨情志心理因素与慢性前列腺炎之间的关系。慢性前列腺炎可伴随有焦虑、抑郁、强迫等精神症状,调查研究焦虑、抑郁、强迫等精神症状是否是慢性前列腺炎的一个诱因。方法:随机抽取广州中医药大学第一附属医院男科门诊患者90例,运用慢性前列腺炎症状积分指数(NIH-CPSI)和身心症状自评量表(SCL-90)测量,调查慢性前列腺炎患者的躯体症状、心理状况,行前列腺直肠指检并取前列腺液(EPS)常规镜检,按个体情况分组:有慢性前列腺炎症状+实验室阳性组病人30例(A组);无慢性前列腺炎症状+实验室检查阳性组纳入实验研究人员30例(B组);无慢性前列腺炎症状+实验室检查阴性组纳入实验研究人员30例(C组)。比较分析三组之间SCL-90因子分的差异。结果:有慢性前列腺症状和无慢性前列腺炎症状+实验室阳性组,即第一、B组患者SCL—90的因子分((?)x±s)无显著性差异,但无症状组的因子分、阳性项目((?)x±s)较小。而慢性前列腺症状和无慢性前列腺炎症状+实验室阳性组与无慢性前列腺炎症状+实验室检查阴性(正常)组因子分及阳性项目数比较,有显著性的差异(p＜0.05),且躯体化、强迫、抑郁、焦虑、敌意、精神病性的因子分比较有极显著性的差异(p＜0.01)。慢性前列腺炎症状+实验室检查阳性组及无慢性前列腺炎症状+实验室检查阳性组的SCL—90因子异常及中度异常发生率(3.33%～33.33%)明显高于无慢性前列腺炎+实验室检查阴性组(3.33%～13.33%),而慢性前列腺炎症状+实验室检查阳性组及无慢性前列腺炎症状+实验室检查阳性组与无慢性前列腺炎+实验室检查阴性组的因子异常及中度异常发生率比较,无显著性差异(p＞0.05)。这与以往报道不尽相同,考虑可能与本研究病例样本不大有关。结论:①本研究通过调查量表分析显示慢性前列腺炎患者容易出现抑郁、焦虑、偏执等心理障碍,分析可能与慢性前列腺炎病程长,部分患者治疗效果不甚理想,部分患者自觉症状明显,影响工作、生活、睡眠等有关。②本研究显示内向、焦虑、抑郁、强迫型等心理障碍性格者易发慢性前列腺炎病,推测焦虑、抑郁、强迫等心理障碍是发作慢性前列腺炎的一个诱发因素。③推测焦虑、抑郁、强迫等心理因素诱发慢性前列腺炎,首先是出现前列腺实验室指标的异常。④本调查研究显示,慢性前列腺患者中,躯体症状和心理症状同时存在,且躯体症状与精神症状常常互为因果。因此,在治疗预防慢性前列腺炎的过程中,应加强心理辅助治疗,做到躯体症状和心理症状一起治疗。
[Abstract]:Objective: to investigate the relationship between emotional psychological factors and chronic prostatitis. Chronic prostatitis may be accompanied by anxiety, depression, compulsion and other mental symptoms, to investigate whether anxiety, depression, compulsion and other mental symptoms are a cause of chronic prostatitis. Methods: 90 outpatients in Department of andrology of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine were randomly selected. The symptom score index of chronic prostatitis (NIH-CPSI) and SCL-90 were measured to investigate the somatic symptoms of patients with chronic prostatitis. Psychologically, the prostate and rectum digital examination was performed and the prostatic fluid was taken from the prostatic fluid (EPS) routine microscopic examination. According to the individual situation: 30 patients with chronic prostatitis symptoms in laboratory positive group, 30 patients with chronic prostatitis symptom laboratory test positive group, 30 patients with chronic prostatitis symptom laboratory test positive group included in experimental researcher group B; no chronic prostatic inflammation The negative group of laboratory examination was included in group C of 30 experimental researchers. The differences of SCL-90 factor scores among the three groups were compared and analyzed. Results: there was no significant difference in the factor scores of SCL-90 between the patients with chronic prostatic symptoms and those without chronic prostatitis symptoms in laboratory positive group, I. E. group B, but the factor scores of the asymptomatic group were smaller than those of the asymptomatic group. However, there were significant differences in factor scores and positive items between the laboratory positive group of chronic prostatic symptoms and those without chronic prostatitis symptoms in laboratory test (normal) group (P < 0.05), and somatization and compulsion. The factor scores of depression, anxiety, hostility and psychosis were significantly different (P < 0.01). The incidence of SCL-90 factor abnormality and moderate abnormality in chronic prostatitis symptom positive group and non-chronic prostatitis symptom positive group were significantly higher than those without chronic prostatitis laboratory examination. The incidence of factor abnormality and moderate abnormality in chronic prostatitis symptom positive group and no chronic prostatitis symptom laboratory test group was compared with that in non-chronic prostatitis laboratory negative group, and the incidence of factor abnormality in chronic prostatitis symptom positive group and non-chronic prostatitis laboratory negative group was higher than that in non-chronic prostatitis laboratory test negative group. There was no significant difference (P > 0.05). This is different from previous reports, and the consideration may not be relevant to the case sample in this study. Conclusion the investigation scale analysis shows that the patients with chronic prostatitis are prone to depression, anxiety, paranoid ideation and other psychological disorders. The analysis may be related to the long course of chronic prostatitis, and some of the patients are not very effective in treatment. Some patients have obvious symptoms, affect work, life, sleep and so on. 2. This study shows that people with mental disorders such as introversion, anxiety, depression, obsessive-compulsive personality are prone to chronic prostatitis, conjecture anxiety, depression, etc. Obsessive-compulsive psychological disorder is a predisposing factor of chronic prostatitis. 3. Conjecture anxiety, depression, compulsion and other psychological factors induce chronic prostatitis. In patients with chronic prostate, both physical and psychological symptoms are present, and physical and mental symptoms are often causality. Therefore, in the course of treatment and prevention of chronic prostatitis, psychological adjuvant treatment should be strengthened so as to treat somatic symptoms and psychological symptoms together.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R277.5;R395.1

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