本文關鍵詞：不同類型早泄患者早泄診斷工具與慢性前列腺炎癥狀評分間的相關性分析　出處：《安徽醫(yī)科大學》2017年碩士論文　論文類型：學位論文

  更多相關文章： 原發(fā)性早泄 繼發(fā)性早泄 早泄診斷工具 慢性前列腺炎癥狀評分

【摘要】：背景:早泄(Premature ejaculation,PE)是一種泌尿男科疾病中最常見的男性性功能障礙,其發(fā)病率約占男性人群的20-30%。隨著社會的發(fā)展與進步,人們生活質(zhì)量的不斷提高,導致社會性觀念的改變,生育的需要已不再是人們追求性生活的主要目的,而是變成雙方的享樂,從而使性愛的持續(xù)時間長短顯得重要起來。男性的早泄不單純是男性本身的事情,事實上,早泄與其他疾病不同,是一種相對性的疾病,與其性伴侶同樣密切相關。早泄分為三種程度:1)輕度,陰莖插入陰道內(nèi)1-3分鐘左右,能抽動15次以上,但不能控制性高潮;2)中度,陰莖插入陰道內(nèi)能抽動1-15次,時間少于1分鐘,不能控制射精;3)重度,陰莖不能插入陰道內(nèi),或能插入但不抽動即射精。慢性前列腺炎是常見的泌尿男科疾病之一,發(fā)病率高,且有逐年增高的趨勢。國外的一些調(diào)查結(jié)果表明,前列腺炎大約影響著30%-40%的性活躍期間的男性。目前PE的評估主要分為主觀癥狀和客觀指標評估兩方面,早泄診斷工具作為一種針對PE主觀癥狀的自評工具,因具有較好的實用性和準確性,廣泛地被用于國內(nèi)外相關研究中。與慢性前列腺炎不同的是,早泄的定義則經(jīng)歷了不同的發(fā)展階段。不同的組織機構(gòu)有著不同的定義及不同的標準。雖然既往研究已不同程度地探討早泄與慢性前列腺炎間的聯(lián)系,但研究方法中有關早泄的定義缺乏循證醫(yī)學依據(jù),而且當前早泄主觀癥狀與慢性前列腺炎癥狀間關系的研究數(shù)量較少,研究內(nèi)容缺乏深入。因此本文在PE新分類標準的基礎下,探究PEDT與慢性前列腺炎癥狀評分間的關系,從而為證實和完善早泄與慢性前列腺炎間的關系提供參考。目的分析原發(fā)性早泄(LPE)及繼發(fā)性早泄(APE)患者早泄診斷工具(PEDT)與慢性前列腺炎癥狀評分(NIH-CPSI)之間的相關性。方法選取2015年12月到2016年12月因早泄(PE)就診的門診患者268例,其中LPE 142例;APE 126例,以及來自體檢中心的健康男性80例。調(diào)查內(nèi)容主要包括人口特征學信息、患病史、性生活史以及PEDT和美國國立衛(wèi)生研究院前列腺炎癥狀評分指數(shù)表(NIH-CPSI)。結(jié)果PE組PEDT和NIH-CPSI評分(總分和各分項分)均高于對照組。LPE組和APE組PEDT評分無明顯差異(P=0.452),而APE組NIH-CPSI評分顯著高于LPE組(P0.001),進一步分析發(fā)現(xiàn),APE組PEDT與NIH-CPSI總分相關性最強(r=0.452)。各組PEDT與NIH-CPSI評分中疼痛癥狀分項評分相關性最強。結(jié)論APE與慢性前列腺炎(CP)癥狀密切相關,APE患者較LPE患者可能伴有更嚴重的CP癥狀。CP對疼痛癥狀的影響與PEDT評分密切相關。
[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.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R698

【參考文獻】

相關期刊論文 前2條

1 袁亦銘,辛鐘成;射精功能神經(jīng)調(diào)節(jié)機制研究進展[J];中國男科學雜志;2004年06期

2 袁亦銘,辛鐘成,金泰乙,賀占舉,郭應祿,姜輝,朱積川;中國早泄患者性功能評價表對早泄患者的多維評估[J];中國男科學雜志;2003年05期

，

本文編號：1344027