宫颈癌患者治疗后性生活状况的临床分析

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1、宫颈癌患者治疗后性生活状况的临床分析【摘要】目的：分析宫颈癌患者治疗后性生活状况及其影响因素。方法：以2010年2月至2013年1月我院收治的173例宫颈癌患者为研究对象,调查统计患者年龄、FIG0分期、病理类型、手术方式、职业、文化程度，于治疗结束后6个月采用女性性生活评估量表评估宫颈癌患者治疗后性生活频率、性欲、性愉悦感、阴道干涩、阴道疼痛等性生活情况。结果：宫颈癌患者治疗后无性生活29例（16.76%）,性生活频率减少116例（67.05%）,与治疗前无明显差别28例（16.18%）。宫颈癌患者治疗后影响

2、性生活的相关因素为担心性生活加重病情96例（55.49%）,性欲减退86例（49.71%）,性交愉悦感降低62例（35.84%）,阴道干涩69例（39.88%）,阴道疼痛43例（24.86%）。结论：宫颈癌患者治疗后性生活质量明显降低，主要由心理因素和生理因素造成，医护人员及患者家属应进行正确指导、支持和关怀，以提高患者性生活质量。【关键词】宫颈癌；性生活；病理类型；阴道干涩；阴道疼痛Clinicalanalysisofthesexuallifestatusofcervicalcancerpatientsaft

3、ertreatmentLIHuifangl,DINGLi2,ZHANGYulian3,WANGYingl・1.DepartmentofObstetricsandGynecology,ShangluoSecondPeople，sHospital,Shangluo726000,China；2.OncologyDepartment,ZiyangPeople，sHospital,Ziyang641300,China；3.NursingDepartment，ShanxiPeople，sHospital,Xi，an7100

4、68,China[Abstract]Objectives：Toanalyzethesexuallifestatusofcervicalcancerpatientsaftertreatmentanditsinfluencingfactors.Methods：173cervicalcancerpatientsinourhospitalfromFebruary2010toJanuary2013wereselected,andtheirage,FIGOstage,hematologicaltype,surgicalap

5、proach,occupationandeducationlevel,surveyed.Thefrequencyofsexualactivity,sexualdesire,sexualpleasure,vaginaldryness,vaginalpainandotherswereevaluatedwithFemaleSexualLifeAssessmentScaleat6monthaftertreatment.Results:Aftertreatmentofcervicalcancer,therewere29c

6、ases(16.76%)havingnosexuallife,116casesofreducedsexualfrequency(67.05%)and28cases(16.18%)withnosignificantdifferencebeforeandaftertreatment.Factorsaffectingsexlifeineludedfearofaggravatingthediseaseaftertreatmentof96cases(55.49%),lossoflibidoof86cases(49.71%

7、),reducedsexualpleasureof62cases(35.84%),vaginaldrynessof69cases(39.88%)andvaginalpainof43cases(24.86%)・Conclusions：Thetreatmentofcervicalcancersignificantlyreducesqualityofsexuallifeofpatients,mainlyduetopsychologicalandphysiologicalfactors,thereforehea1thc

8、areworkersandfamilymembersofpatientsshouldprovideproperguidance,supportandcare,tohelpimprovethequalityofsexuallifeofpatients.［Keywords］Cervicalcancer；Sexuallife；Pathology；Vaginaldryness；Vaginalp