CP/CPPS患者中UPOINT因子与早泄的相关性分析

Correlation between chronic prostatitis/chronic pelvic pain syndrome patients' UPOINT domains and premature ejaculation

目的探讨慢性前列腺炎/慢性盆底疼痛综合征(CP/CPPS)患者的临床表型分类系统(UPOINT)因子与早泄(PE)病情的相关性。方法对186名CP/CPPS患者进行UPOINT分类,记录其中确诊为PE患者的阴道内射精潜伏时间(IELT)并使用早泄诊断量表(PEDT)评估症状严重程度。结果 186名CP/CPPS患者中,79名确诊为PE(42.4%),多元Logistic回归分析显示,排尿症状(U因子,OR=2.890,95%CI 1.348-4.083,P<0.05)、精神心理障碍(P因子,OR=4.432,95%CI 2.857-7.691,P<0.05)是CP/CPPS患者发生PE的独立危险因素,PEDT评分与患者UPOINT因子数呈正相关。结论PE在CP/CPPS患者中发生率较高。UPOINT中的泌尿系统症状(U)和社会心理症状(P)因子是CP/CPPS患者出现PE的独立危险因素。

Objective To investigate the correlation between chronic prostatitis/chronic pelvic pain syndrome （CP/CPPS） patients＆#39; UPOINT domains and premature ejaculation（PE）.Methods Total of 186 CP/CPPS patients were enrolled and evaluated by UPOINT system. The intravaginal ejaculatory latency time and PEDT were recorded. Results Among 186 CP/CPPS patients, 42.4%were diagnosed as PE. Multivariate logistic regression showed urinary （U） domain（OR=2.890, 95%CI 1.348-4.083, P〈0.05） and psychological （P） domain（OR=4.432, 95%CI 2.857-7.691, P〈0.05） were independent risk factor for PE in CP/CPPS, the number of positive domains was closely correlated with PEDT. Conclusion CP/CPPS patients had a higher rate of PE occurrence.Urinary domain and psychological domain was independent risk factors of PE in CP/CPPS.