Chen Zhi-Bin, Song Yong-Sheng, Cui Jun, Zhang Hui, Fei Xiang
The Second Department of Urology, Shengfing Hospital Affiliated China Medical University, Shenyang, Liaoning 110004, China.
Zhonghua Nan Ke Xue. 2009 Dec;15(12):1108-11.
To investigate the influence of chronic prostatitis/chronic pelvic pain syndromes (CP/CPPS) on male health.
We conducted investigations among 200 cases of CP/CPPS, aged 20 -59 years and randomly selected from 650 out-patients, using an anonymous questionnaire including such items as the patients'age, height, body weight, disease duration and treatment, the results of EPS and semen determinations, and the scores on NIH-CPSI, IIEF-5 and Symptom Checklist (SCL-90).
According to the 198 valid questionnaires collected, CPSI scores showed 56 (28.3%) cases to be mild, 98 (49.5%) moderate and 44 (22.2%) severe. Sperm density and motility (grade a + b) were reduced in 38 (19.2%) and 47 (23.7%) cases, respectively. IIEF-5 revealed ED in 41 (20.7%) cases, of which 58.5% were mild. Psychological abnormality was found in 94 (47.5%) cases, including anxiety, depression, sensitiveness and so on. NIH-CPSI scores were positively correlated with psychological symptoms and ED (r = 0.25, P < 0.05; r = 0.12, P < 0.05), but not significantly related with sperm density and motility (P > 0.05).
The influence of CP/CPPS is obvious on male psychology but mild on penile erection and not significant on semen. Integrated physiological and psychological therapy is recommended for the treatment of CP/CPPS.
探讨慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS）对男性健康的影响。
我们从650名门诊患者中随机选取200例年龄在20 - 59岁的CP/CPPS患者进行调查，使用一份匿名问卷，内容包括患者的年龄、身高、体重、病程及治疗情况、前列腺液（EPS）和精液检测结果，以及美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）、国际勃起功能指数-5（IIEF-5）和症状自评量表（SCL-90）的评分。
根据收集到的198份有效问卷，NIH-CPSI评分显示，轻度患者56例（28.3%），中度患者98例（49.5%），重度患者44例（22.2%）。精子密度和活力（a + b级）分别在38例（19.2%）和47例（23.7%）患者中降低。IIEF-5显示41例（20.7%）患者存在勃起功能障碍（ED），其中58.5%为轻度。94例（47.5%）患者存在心理异常，包括焦虑、抑郁、敏感等。NIH-CPSI评分与心理症状及ED呈正相关（r = 0.25，P < 0.05；r = 0.12，P < 0.05），但与精子密度和活力无显著相关性（P > 0.05）。
CP/CPPS对男性心理影响明显，对阴茎勃起影响较轻，对精液影响不显著。建议采用综合生理和心理治疗方法治疗CP/CPPS。
