298例精神分裂症患者的性功能状况调查

Sexual Dysfunction of 298 Schizophrenics

目的 :了解精神分裂症患者性功能状况 ,为防治精神分裂症患者的性功能障碍提供资料和信息。方法 :男性共入组 2 2 5例 ,其中正常对照组 30例 ,性功能障碍组 5 0例 ,精神分裂症患者住院组 82例 ,精神分裂症患者门诊组 6 3例。女性共入组 183例 ,正常对照组 30例 ,精神分裂症患者住院组 92例 ,精神分裂症患者门诊组 6 1例。用自编的简明性功能障碍自评量表进行调查 ,男性量表涉及性能力减退、性恐惧及性痛楚三方面内容。女性量表涉及月经紊乱、性能力减退、性痛楚及性恐惧四方面内容。结果 :男性及女性精神分裂症患者均表现出性功能障碍的高发生率 ,男性住院组为 5 7 3 % ,门诊组为 5 2 4% ,女性住院组为2 2 8% ,门诊组为 36 1% ,与正常对照组均有统计学差异。Logistic回归分析显示抗精神病药是主要危险因素。结论 :精神分裂症患者的性功能障碍发生率高 。

Objective: To investigate the sexual dysfunction of schizophrenics Method: In male subjects, 30 were normal control, 50 sexual disorder patients, 63 schizophrenic outpatients and 82 inpatients In female, 30 normal control, 61 schizophrenic outpatients and 92 inpatients All subjects were tested by self-made Brief Sexual Dysfunction Self-rating Scale Scale for male had 3 dimensions: reduction of sexual capability, fear of sex and sexual pain That for female had 4 dimensions: disorder of menses, reduction of sexual capability, sexual pain and fear of sex Results: Both male and female schizophrenics had significantx higher incidence of sexual dysfunction than normal control: 57 3% in male inpatients, 52 4% in male outpatients; 22 8% in female outpatients, 36 1% in female inpatients Logistic regression revealed that main risk factor was antipsychotic drugs Conclusion: Sexual dysfunction is a common problem in both male and female schizophrenics The main risk factor is antipsychotics