慢性前列腺炎患者精神心理症状相关因素分析

Analysis of Related Factors of Psychic symptoms in Patients with Chronic Prostatitis

目的: 探讨慢性前列腺炎患者的精神心理症状的发生情况及相关因素. 方法: 选择符合慢性前列腺炎诊断的315例患者作为研究对象,详细询问并记录病程、以往治疗情况和精神心理症状,进行前列腺炎临床症状评分、前列腺按摩液(EPS)检查,并将诸多因素与精神心理症状进行相关性比较. 结果: 慢性前列腺炎患者中具有精神心理症状者161例(51.1%).慢性前列腺炎患者的精神心理症状与病程无关,病程＜1年、1～2年和＞2年患者的精神心理症状发生率分别为49.1%、48.0%和56.1%;与疾病久治不愈有关,初次就诊、2～3次就诊和多次就诊患者的精神心理症状发生率分别为35.3%、43.5%和62.6%,差异具有显著性(P<0.05);与临床症状的严重程度无关,轻、中程度和重症患者的精神心理症状发生率分别为46.2%、52.4%和55.9%;与EPS内的炎症程度无差异(P>0.05),炎性慢性前列腺炎和非炎性慢性前列腺炎患者的精神心理症状发生率分别为53.8%和47.3%. 结论: 慢性前列腺炎患者精神心理症状与患者的多次就诊直接相关,疾病久治不愈加重了患者的精神心理症状.

Objective： To investigate the incidence and related factors of psychic symptoms in patients with chronic prostatitis. Methods ： Patients diagnosed with chronic prostatitis were selected as research objects, their course of disease, therapeutic process and psychic symptoms were inquired and recorded carefully, clinical symptoms were evaluated, expressed prostatic secretions （EPS） were examined, and many related factors were compared with psychic symptoms. Results： Among the 315 patients selected, 51.1% （161/315） had psychic symptoms. Psychic symptoms in patients with chronic prostatitis had nothing to do with course of disease, the incidence of psychic symptoms in patients with course less than 1 year, 1 to 2year, and more than 2 year were 49.1% ,48.0%, and 56.1% , respectively; had closed relationship with therapeutic process, the incidence of psychic symptoms in patients to see doctors for the first times, the 2 to 3 times and more than 3 times were 35.3% , 43.5% , and 62.6% ,with significant statistical difference （P〈0.05） ; had no relationship with severity of clinical symptoms, the incidence of psychic symptoms in patients with mild, media and severe clinical symptom were 46.2% , 52.4% , and 55.9% ; no statistical difference was noticed in patients with different degrees of inflammation, the incidence of psychic symptoms in patients with inflammatory and non-inflammatory prostatitis were 53.8% and 47.3%. Conclusion ： Psychic symptoms in patients with chronic prostatitis had direct relationship with times patient seeking medical care, and prolonged therapeutic process aggravated the psychic symptoms.