168例男性淋病性尿道炎患者性功能障礙臨床調(diào)查分析

王增利 趙衛(wèi)紅 孫伍柒 李永煒

【摘要】目的：探討168例男性淋病患者中并發(fā)性功能障礙情況，了解淋病性尿道炎對(duì)性功能的影響。 方法：通過(guò)問(wèn)卷調(diào)查方式對(duì)已確診為淋病尿道炎168例男性患者進(jìn)行調(diào)查，調(diào)查內(nèi)容包括患者的病程、疾病特點(diǎn)、性功能障礙類(lèi)型，了解淋病性尿道炎對(duì)性功能障礙的相關(guān)性。同時(shí)通過(guò)心理評(píng)估調(diào)查問(wèn)卷，分析淋病性尿道炎患者心理狀況。結(jié)果：根據(jù)收集到的調(diào)查問(wèn)卷顯示，168例男性淋病性尿道炎患者中，106例患者表現(xiàn)為性欲淡漠，占比63.1%；30例性交疼痛，占比17.8%；17例患者有早泄現(xiàn)象，占比10.1%；7例患者表現(xiàn)為陽(yáng)痿，占比4.12%；8例患者表現(xiàn)為正常，占比4.8%。心理評(píng)價(jià)量表結(jié)果顯示，絕大部分淋病性尿道炎患者且并發(fā)性功能障礙的患者存在緊張、焦慮狀態(tài)。經(jīng)過(guò)治療后，仍有部分患者存在明顯的焦慮、抑郁情緒。 結(jié)論：大部分淋病性尿道炎患者有著明顯的性功能障礙，其中性欲淡漠患者占大多數(shù)。而大部分并發(fā)性功能障礙的患者有緊張和焦慮狀態(tài)。

【關(guān)鍵詞】淋病性尿道炎；性功能障礙；心理因素；調(diào)查分析

Clinical investigation of sexual dysfunction on 168 cases of male gonococcal urethritisWANG Zengli， ZHAO Weihong， SUN Wuqi， LI Yongwei. Department of Urology， Weinan Central Hospital， Weinan 714000， Shaanxi， China

【Abstract】Objectives： To investigate the sexual function of 168 cases of male gonococcal urethritis to understand its impact on sexual function. Methods： A questionnaire survey was used to investigate 168 male gonorrhea urethritis patients. The survey included the patients course， disease characteristics， sexual dysfunction type to understand the relevance of gonorrhea urethritis and sexual dysfunction. At the same time， through the psychological assessment questionnaire， the psychological status of patients with gonorrhea urethritis was analyzed. Results： According to the collected questionnaires， among 168 cases of gonorrhea urethritis， there were 106 patients with weak libido， accounting for 63.1%； 30 cases of sexual pain， accounting for 17.8%； 17 cases of patients with premature ejaculation phenomenon， accounting for more than 10.1%； 7 cases of impotence， accounting for 4.12%； 8 patients showed normal behavior， accounting for 4.8%. Psychological Assessment Scale results showed that the vast majority of patients with gonococcal urethritis and sexual dysfunction were in the emotion of tension and anxiety. After treatment， some patients were still in significant anxiety and depression. Conclusion： Most patients with gonorrhea urethritis have significant sexual dysfunction， of which patients with a weak libido accounting for the majority. The majority of patients with sexual dysfunction have concurrent stress and anxiety.

【Key words】Gonococcal urethritis； Sexual dysfunction； Psychological factors； Investigation and analysis

【中圖分類(lèi)號(hào)】R759.2【文獻(xiàn)標(biāo)志碼】A

淋病是性傳播疾病中最常見(jiàn)的病原體之一，男性尿道是其最常見(jiàn)的感染部位[1]。淋菌性尿道炎經(jīng)過(guò)規(guī)范治療后預(yù)后較好，否則可引起一系列并發(fā)癥，其中性功能障礙和慢性前列腺炎在門(mén)診中較為常見(jiàn)[2]。而隨著性傳播疾病的不斷蔓延和流行，淋菌性尿道炎的發(fā)病率不斷升高。因此淋病性尿道炎并發(fā)性功能障礙會(huì)嚴(yán)重影響患者的治療質(zhì)量。……