宫颈癌治疗后影响患者性功能的因素分析

摘要

Objectives:To explore the risk factors affecting the postoperative sexual function of patients with cervical cancer.Methods:60 patients with cervical cancer treated in our hospital from January 2012 to January 2014 were investigated to collect their general information.The sexual function of these patients was measured before and after treatment,and the marital satisfaction degree was measured by Locke-Wollance scale.Results:Factors affecting the postoperative sexual function of patients with cervical cancer included age (over 40 years),education level (below junior high school),advanced cancer (stage Ⅱ and Ⅳ),treatment (surgery + chemotherapy),mental disorders,marital satisfaction (not very or not satisfied) (P ＜ 0.05).Differences in sexual desire,sexual arousal,vaginal lubrication,orgasm,sexual satisfaction and sexual intercourse pain of patients between before and after treatment were statistically significant (P ＜ 0.05).Logistic multivariate analysis showed that age,educational level,tumor staging,treatment and psychological status were independent risk factors affecting the sexual function of patients with cervical cancer after treatment,and marital satisfaction was the protective factor (P ＜ 0.05).Conclusion:Age,educational level,tumor stage,treatment and psychological status are the independent risk factors affecting the postoperative sexual function of patients with cervical cancer,and marital satisfaction is a protective factor.Therefore,prevention of risk factors should be strengthened to improve the quality of sex life of patients.%目的:探讨宫颈癌治疗后影响患者性功能的危险因素.方法:研究对象为我院2012年1月至2014年1月期间收治的宫颈癌患者60例,进行一般资料调查,女性性功能量表测量患者治疗前后性功能状况,Locke-Wollance婚姻调适量表测量患者婚姻满意度.结果:宫颈癌患者治疗后影响性功能的因素有年龄(≥40岁)、文化程度(初中以下)、肿瘤晚期(Ⅱ期和Ⅳ期)、治疗方式(手术+放化疗)、心理障碍、婚姻满意度(非常不满意或不满意)(均P ＜0.05);患者接受治疗前后性欲望、性唤起、阴道润滑度、性高潮、性满意度和性交疼痛比较,差异显著,均有统计学意义(均P ＜0.05);Logistic多因素分析显示:年龄、文化程度、肿瘤分期、治疗方式、心理状况是宫颈癌患者治疗后影响性功能独立危险因素,而婚姻满意度是保护因素(均P ＜0.05).结论:年龄、文化程度、肿瘤分期、治疗方式、心理状况是宫颈癌患者治疗后影响性功能独立危险因素,而婚姻满意度是保护因素,注重防范危险因素,提高患者性生活质量.