Foruzan-Nia Seyed Khalil, Abdollahi Mohammad Hassan, Hekmatimoghaddam Seyed Hossein, Namayandeh Seyedeh Mahdiyeh, Mortazavi Mohammad Hadi
Department of Cardiac Surgery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Anesthesiology, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Reprod Med. 2011 Spring;9(2):89-94.
Successful rehabilitation of cardiac surgery patients should include consideration of their sexual activity, but there is paucity of data regarding this matter.
This study determined the incidence and type of sexual dysfunction in our patients.
Two hundred-seventy nine men with age under 70 years old who had coronary artery bypass graft (CABG), valvular, or other types of cardiac surgery from Dec. 2006 until Dec. 2007 were enrolled in this descriptive-analytical study. They were interviewed before and 12 weeks after the operation in regard to the impact of surgery on their sexuality. The statistical methods used included analysis of variance, Kappa test, and chi-square analysis.
The mean age of the patients was 55.7 ± 10.66 (25-69) years. The incidence of sexual dysfunction was 20.1% before, and76.4%, 12 weeks after the operation. P-valueas tested by Kappa test was 0.0001, which means that cardiac surgery had adverse effect on sexual activity of the patients. Types of sexual dysfunction were impotence, premature ejaculation, and decreased or loss of libido in 6.5%, 4.3% and 9.3%, respectively before operation, and 34.8%, 21.5% and 20.1%, respectively 12 weeks after the operation. Concurrence of more than one dysfunction was not reported.
Sexual dysfunction is common after cardiac surgery, and sexual counseling is still not being addressed adequately. The role and responsibility of the physician and the rehabilitation nurse becomes evident, together with the need for the patient's partner to participate in counseling.
心脏手术患者的成功康复应包括对其性活动的考虑，但关于此事的数据匮乏。
本研究确定了我们患者中性功能障碍的发生率和类型。
本描述性分析研究纳入了2006年12月至2007年12月期间接受冠状动脉搭桥术（CABG）、瓣膜手术或其他类型心脏手术的279名70岁以下男性。在手术前和术后12周对他们进行了访谈，询问手术对其性功能的影响。使用的统计方法包括方差分析、Kappa检验和卡方分析。
患者的平均年龄为55.7±10.66（25 - 69）岁。性功能障碍的发生率在术前为20.1%，术后12周为76.4%。经Kappa检验的P值为0.0001，这意味着心脏手术对患者的性活动有不良影响。性功能障碍的类型在术前分别为阳痿、早泄以及性欲减退或丧失的发生率为6.5%、4.3%和9.3%，术后12周分别为34.8%、21.5%和20.1%。未报告有多种功能障碍同时存在的情况。
心脏手术后性功能障碍很常见，性咨询仍未得到充分解决。医生和康复护士的作用和责任变得明显，同时患者的伴侣也需要参与咨询。
