中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2010年
2期
149-151
,共3页
王少春%陈东风%何敬海%韩友东%梁鲁南
王少春%陳東風%何敬海%韓友東%樑魯南
왕소춘%진동풍%하경해%한우동%량로남
难治性慢性前列腺炎%高强度聚焦超声%自我隐瞒%生命质量
難治性慢性前列腺炎%高彊度聚焦超聲%自我隱瞞%生命質量
난치성만성전렬선염%고강도취초초성%자아은만%생명질량
Refractory chronic prostatitis%High-intensity focused ultrasound%Self-concealment%Quality of life
目的 探讨自我隐瞒水平对高强度聚焦超声(High Intensity Focused Ultrasound,HIFU)治疗难治性慢性前列腺炎患者生命质量及临床疗效的影响.方法 对符合诊断标准的难治性慢性前列腺炎(Refractory Chronic Prostatitis,RCP)患者,进行自我隐瞒表(Self-Concealment Scale,SCS)、TDL生命质量测定表(TDLg Table of Self-Assessing Quality of Life)、慢性前列腺炎症状指数评分(Chronic Prostatitis Symptom Index,CPSI)测评,以SCS的总分高于被试在该量表得分平均数加上一个标准差作为高自我隐瞒组,低于平均数减一个标准差作为低自我隐瞒组.研究2组患者高强度聚焦超声治疗前后CPSI、TDL生命质量测定表评分的变化,并对比临床疗效的差异.结果 RCP患者SCS入组时评分为(35.75±10.34)分,显著高于男性大学生常模的(29.20±8.73)分(t=4.26,P<0.01).HIFU治疗2周、6周后低自我隐瞒组CPSI评分降低显著,与高自我隐瞒组比较差异有显著性(P<0.01);高自我隐瞒组、低自我隐瞒组治疗2周、6周后,分别与入组时比较,CPSI评分显著降低(P<0.01).低自我隐瞒组TDL生命质量测定表评分,入组时及HIFU治疗2周、6周后均高于高自我隐瞒组(P<0.01).低自我隐瞒组治疗2周、6周后,与入组时比较,TDL生命质量测定表评分显著增高(P<0.01);而高自我隐瞒组至HIFU治疗6周后,TDL生命质量测定表评分才显著高于入组时(P<0.05).低自我隐瞒组HIFU治疗6周后,其临床疗效显著好于高自我隐瞒组(P<0.05)自我隐瞒评分与CPSI评分呈显著正相关(P<0.01),而与TDL生命质量测定表评分呈显著负相关(P<0.01).结论 难治性慢性前列腺炎患者自我隐瞒水平高者,其HIFU治疗后症状改善、生活质量、临床疗效均较自我隐瞒水平低者差.
目的 探討自我隱瞞水平對高彊度聚焦超聲(High Intensity Focused Ultrasound,HIFU)治療難治性慢性前列腺炎患者生命質量及臨床療效的影響.方法 對符閤診斷標準的難治性慢性前列腺炎(Refractory Chronic Prostatitis,RCP)患者,進行自我隱瞞錶(Self-Concealment Scale,SCS)、TDL生命質量測定錶(TDLg Table of Self-Assessing Quality of Life)、慢性前列腺炎癥狀指數評分(Chronic Prostatitis Symptom Index,CPSI)測評,以SCS的總分高于被試在該量錶得分平均數加上一箇標準差作為高自我隱瞞組,低于平均數減一箇標準差作為低自我隱瞞組.研究2組患者高彊度聚焦超聲治療前後CPSI、TDL生命質量測定錶評分的變化,併對比臨床療效的差異.結果 RCP患者SCS入組時評分為(35.75±10.34)分,顯著高于男性大學生常模的(29.20±8.73)分(t=4.26,P<0.01).HIFU治療2週、6週後低自我隱瞞組CPSI評分降低顯著,與高自我隱瞞組比較差異有顯著性(P<0.01);高自我隱瞞組、低自我隱瞞組治療2週、6週後,分彆與入組時比較,CPSI評分顯著降低(P<0.01).低自我隱瞞組TDL生命質量測定錶評分,入組時及HIFU治療2週、6週後均高于高自我隱瞞組(P<0.01).低自我隱瞞組治療2週、6週後,與入組時比較,TDL生命質量測定錶評分顯著增高(P<0.01);而高自我隱瞞組至HIFU治療6週後,TDL生命質量測定錶評分纔顯著高于入組時(P<0.05).低自我隱瞞組HIFU治療6週後,其臨床療效顯著好于高自我隱瞞組(P<0.05)自我隱瞞評分與CPSI評分呈顯著正相關(P<0.01),而與TDL生命質量測定錶評分呈顯著負相關(P<0.01).結論 難治性慢性前列腺炎患者自我隱瞞水平高者,其HIFU治療後癥狀改善、生活質量、臨床療效均較自我隱瞞水平低者差.
목적 탐토자아은만수평대고강도취초초성(High Intensity Focused Ultrasound,HIFU)치료난치성만성전렬선염환자생명질량급림상료효적영향.방법 대부합진단표준적난치성만성전렬선염(Refractory Chronic Prostatitis,RCP)환자,진행자아은만표(Self-Concealment Scale,SCS)、TDL생명질량측정표(TDLg Table of Self-Assessing Quality of Life)、만성전렬선염증상지수평분(Chronic Prostatitis Symptom Index,CPSI)측평,이SCS적총분고우피시재해량표득분평균수가상일개표준차작위고자아은만조,저우평균수감일개표준차작위저자아은만조.연구2조환자고강도취초초성치료전후CPSI、TDL생명질량측정표평분적변화,병대비림상료효적차이.결과 RCP환자SCS입조시평분위(35.75±10.34)분,현저고우남성대학생상모적(29.20±8.73)분(t=4.26,P<0.01).HIFU치료2주、6주후저자아은만조CPSI평분강저현저,여고자아은만조비교차이유현저성(P<0.01);고자아은만조、저자아은만조치료2주、6주후,분별여입조시비교,CPSI평분현저강저(P<0.01).저자아은만조TDL생명질량측정표평분,입조시급HIFU치료2주、6주후균고우고자아은만조(P<0.01).저자아은만조치료2주、6주후,여입조시비교,TDL생명질량측정표평분현저증고(P<0.01);이고자아은만조지HIFU치료6주후,TDL생명질량측정표평분재현저고우입조시(P<0.05).저자아은만조HIFU치료6주후,기림상료효현저호우고자아은만조(P<0.05)자아은만평분여CPSI평분정현저정상관(P<0.01),이여TDL생명질량측정표평분정현저부상관(P<0.01).결론 난치성만성전렬선염환자자아은만수평고자,기HIFU치료후증상개선、생활질량、림상료효균교자아은만수평저자차.
Objective To explore the influence of self-concealment level on patients'quality of life and clinical curative effect for curing refractory chronic prostatitis(RCP)by high-intensity focused ultrasound(HIFU). Methods Patients of RCP who meet the diagnostic criteria were assessed with the Self-Concealment Scale(SCS), TDL's table of self-assessing quality of life and National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI).The patients whose SCS score were above the average score plus a standard deviation were taken as the high SCS group,and whose SCS Score were below the average score minus a standard deviation were taken as the low SCS group.The scores for CPSI and TDLs table of self-assessing quality of life and the clinical curative effect of the two groups were determined before and after the treatment by HIFU, respectively.Results The SCS score(35.75±10.34) of the RCP patients before HIFU treatment was significantly higher than the norm for male college students(29.20±8.73)(t=4.26,P<0.01).Two and six weeks after the HIFU application,the CPSI of both the high and the low SCS group decreased significantly(P<0.01),and the CPSI of the low SCS group de-creased more greatly than that of the high SCS group(P<0.01).The scores for TDL Life Quality Scale of low SCS group were significantly higher before and after two and six weeks'HIFU treatment than that of high self-concealment group(P<0.01).The TDL quality of life scale score of thelow SCS group increased respectively after two and six weeks'HIFU treatment (P<0.01),while for the high SCS group,this score increased only after six weeks' HIFU treatment(P<0.05).Six weeks after HIFU treatment,the clinical curative effect for the low SCS group was, observably better than that for high self-concealment(P<0.05).The SCS scores was significantly positive with CPSI scores(P<0.01),and significantly negative with the scores of TDL Life Quality Scale (P<0.01).Conclusion The symptom abatement,quality of life and clinical curative effect the RCP patients with a high self-concealment level were respectively worse after the HIFU treatment than that for whom with a low self-concealment level.
