中国早泄患者性功能评价表对早泄患者的多维评估

Chinese index of sexual function for premature ejaculation (CIPE):a multidimensional scale for assessment of premature ejaculation

目的 评估中国早泄患者性功能评价表(CIPE)对早泄诊断的临床意义。方法 以早泄为主诉患者和性功能正常的健康人,分别填写CIPE,进行统计学分析。结果 早泄患者167例,射精潜伏期平均(1.6±1.2)min,正常对照组114例,射精潜伏期平均(10.2±9.5)min,两组,CIPE 10项目平均积分分别为(26.7±4.6)分和(41.9±4.0)分,两组比较差异有显著意义(P<0.001)。回归相关分析结果,CIPE 10项问题中筛选出CIPE-5 5项问题包括射精潜伏期、患者性生活满意度、配偶性生活满意度、射精控制困难程度及焦虑紧张程度等与早泄显著相关(P<0.001)。同时早泄患者可分类轻度20.4％(>13分),中度53.4％(10～13分),重度26.2％(5～9分)。结论 CIPE有利于临床上评估早泄患者性功能,并提供较客观的量化指标。

Objective To investigate the clinical reliability of Chinese index of sexual function for premature ejaculation (CIPE) on evaluation of premature ejaculation (PE). Methods One hundred and sixty seven patients who complained of PE and 114 normal controls were enrolled to this study and assessed sexual function with CIPE. It includes 10 questionnaires, such as sexual libido, ejaculatory latency, sexual satisfaction, difficulty, confidence, depresses, etc and each questionnaire has 5 points of scale. Results The mean latency of PE patients is (1.6±1.2)minutes compared with (10.2±9.5)minutes of normal controls. The mean integral score of CIPE in patients with PE and normal controls were 26.7±4.6 and 41.9±4.0 respectively(P<0.001). The result of Binary logistic Regression demonstrated that PE was significantly related to the domains of the CIPE-5 questionnaires including ejaculatory latency, sexual satisfaction of patients and sexual partner, and difficulty of control over ejaculatory reflex and anxiety or depresses in sexual activity. According to the integral score of CIPE-5, the PE patients could be divided into three groups: the mild (>13 point) was 20.4%, the moderate was (10～13 point) 53.4% and the severe was (<9 point) 26.2%, respectively. Conclusions CIPE is suggested to be a useful method for the evaluation of sexual function in patients with PE clinically.