COVID-19大流行对中国CP/CPPS患者勃起功能的影响
Wei-Jie Song1,2, Ji-Wei Huang1,2, Yuan Liu1,2
1Department of Urology, The Third Xiangya Hospital, Central South University, Changsha 410013, China.
Asian journal of andrology
|September 11, 2023
概括
COVID-19大流行对中国男性慢性前列腺炎/慢性骨盆疼痛综合征 (CP/CPPS) 的勃起功能产生了负面影响,增加了焦虑,抑郁和勃起功能障碍 (ED). 这创造了一个有害的循环,恶化了症状和心理健康.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,人们对其对各种健康状况的影响产生了担忧.
- 慢性前列腺炎/慢性盆腔疼痛综合征 (CP/CPPS) 是影响男性生活质量的普遍疾病.
- 勃起功能障碍 (ED) 是与CP/CPPS相关的常见并发症.
研究的目的:
- 研究COVID-19流行病对中国患者勃起功能的影响,这些患者被诊断患有CP/CPPS.
- 评估大流行,心理困扰 (焦虑和抑郁) 和CP/CPPS患者的ED严重程度之间的关系.
主要方法:
- 一项回顾性研究,从2018年11月到2022年11月,涉及657名CP/CPPS患者.
- 患者被分为COVID-19爆发前和后的组.
- 评估包括NIH-CPSI用于CP/CPPS严重程度,IIEF-5用于勃起功能,GAD-7用于焦虑,PHQ-9用于抑郁.
主要成果:
- 在大流行后的CP/CPPS患者中观察到严重勃起功能障碍 (ED) 的显著增加,这与大流行引起的焦虑和抑郁有关.
- 在CP/CPPS患者中,中度至重度的ED与加剧的焦虑和抑郁症状相关 (P < 0.001和P = 0.001).
- 确定了一个恶性循环,恶化ED加剧了心理痛苦,反之亦然,使患者管理复杂化.
结论:
- COVID-19大流行对CP/CPPS患者的心理健康产生了不利影响,恶化了他们的临床症状和ED.
- 在疫情期间和之后,通过加强心理干预来解决CP/CPPS患者的心理健康问题至关重要.
- 综合管理策略是必要的,以改善患有心理困扰和ED的CP/CPPS患者的治疗结果.
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