Hajiaghababaei M, Javidan A N, Saberi H, Khoei E M, Khalifa D A, Koenig H G, Pakpour A H
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
1] Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran [2] Department of Neurosurgery Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Spinal Cord. 2014 Aug;52(8):646-9. doi: 10.1038/sc.2014.99. Epub 2014 Jun 17.
We assess the prevalence of sexual dysfunction in patients with spinal cord injury (SCI), compare sexual function and sexual distress between female patients with SCI and gender-matched healthy controls, and address risk factors associated with sexual dysfunction among Iranian female patients with SCI.
Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Eligible Iranian female patients with SCI were included in this cross-sectional study. They were asked to provide sociodemographic information, and complete the Female Sexual Function Index, Hospital Anxiety and Depression Scale and Female Sexual Distress Scale-Revised questionnaire.
Of the 105 patients participated in this study, the average age was 41.0 (s.d.=10.1) years. Women with SCI reported significantly higher levels of sexual dysfunction compared with normal controls. Approximately, 88% of SCI patients reported at least one type of sexual dysfunction, whereas only 37% of healthy controls reported sexual dysfunction. Lack of vaginal lubrication was reported more frequent in SCI patients compared with controls. Women with SCI reported a significantly higher level of sexual distress compared with healthy women. Sexual dysfunction was observed to be significantly higher in older patients, those with less education, patients with complete lesions, those with sexual distress and patients who were anxious and depressed.
Sexual dysfunction is highly prevalent among Iranian women with SCI. Sexual dysfunction is associated with age, education, symptoms of depression and anxiety and level of injury. Sexual counseling during the rehabilitation period may help to prevent sexual dysfunction following SCI.
我们评估脊髓损伤（SCI）患者性功能障碍的患病率，比较SCI女性患者与性别匹配的健康对照者之间的性功能和性困扰情况，并探讨伊朗SCI女性患者性功能障碍的相关危险因素。
伊朗德黑兰医科大学神经科学研究所脑与脊髓损伤研究中心。
符合条件的伊朗SCI女性患者纳入本横断面研究。她们被要求提供社会人口学信息，并完成女性性功能指数、医院焦虑抑郁量表和女性性困扰量表修订版问卷。
参与本研究的105例患者中，平均年龄为41.0（标准差=10.1）岁。与正常对照相比，SCI女性患者报告的性功能障碍水平显著更高。约88%的SCI患者报告至少有一种性功能障碍，而健康对照中只有37%报告有性功能障碍。与对照组相比，SCI患者报告阴道润滑不足的情况更频繁。与健康女性相比，SCI女性患者报告的性困扰水平显著更高。在老年患者、受教育程度较低的患者、完全性损伤患者、有性困扰的患者以及焦虑抑郁的患者中，性功能障碍的发生率显著更高。
性功能障碍在伊朗SCI女性中非常普遍。性功能障碍与年龄、教育程度、抑郁和焦虑症状以及损伤程度有关。康复期的性咨询可能有助于预防SCI后的性功能障碍。
