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目的:探讨难治性慢性前列腺炎患者的精神因素与勃起功能。方法:选取未经心理治疗的232例难治性和非难治性慢性前列腺炎患者分别进行NIH慢性前列腺炎症状评分、焦虑、抑郁评分和勃起功能评分并进行对比。结果:难治性慢性前列腺炎患者的NIH慢性前列腺炎症状评分与非难治性患者无显著性差异,难治性慢性前列腺炎患者焦虑和抑郁评分分别高于非难治性患者焦虑和抑郁评分(P<0.01),难治性慢性前列腺炎患者勃起功能明显低于非难治性患者(P<0.01);慢性前列腺炎的焦虑抑郁评分与勃起功能评分有显著性负相关性。结论:难治性慢性前列腺炎患者会存在明显的心理症状,并且在某种程度上影响到其勃起功能。
Objective: To investigate the mental factors and erectile function in patients with refractory chronic prostatitis. Methods: 232 cases of refractory and non-refractory chronic prostatitis without psychotherapy were divided into NIH chronic prostatitis symptom score, anxiety, depression score and erectile function score and compared. Results: There was no significant difference in NIH chronic prostatitis symptom scores between refractory chronic prostatitis patients and non-refractory patients. The scores of anxiety and depression in patients with refractory chronic prostatitis were significantly higher than those in non-refractory patients (P <0.01). The erectile function of refractory chronic prostatitis patients was significantly lower than that of non-refractory patients (P <0.01). There was a significant negative correlation between anxiety and depression scores of chronic prostatitis and erectile function scores. CONCLUSIONS: Patients with refractory chronic prostatitis have significant psychologic symptoms and, to some extent, their erectile function.