Status of anxiety and depression in male patients with gonococcal infection in paraurethral ducts before and after paraurethral duct dilatation

中华医学美学美容杂志 Pub Date : 2019-10-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.05.020

Wenge Fan, Jing Zhang, Chao Gu, Qinsong Zhang, Min Mao, X. Ye, Zhijiang Fan, Zhong Yang, Ling-ling Wang, Q. Xue, Xiaoyu Tao, Hao Ding, M. Wei, Jun Zhao

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Abstract

Objective To verify the change of the anxiety and depression of patients anterior-posterior treatment at paraurethral duct dilitation after gonococcal infection of paraurethral duct. Methods Twenty-eight patients of paraurethral duct dilatation after male gonococcal infection of paraurethral duct were enrolled, and the patients were treated in the Department of Dermatology and Venerology, the First People＇s Hospital of Changshu City. The anxiety and depression of patients anterior-posterior treatment were assessed and compared with Hamilton depression scale and Hamilton anxiety scale. Results The total scores of Hamilton depression scale and Hamilton anxiety scale before treatment were positively correlated with course of disease (r=0.481, P=0.0095; r=0.549, P=0.0025). The total scores of Hamilton depression and anxiety before treatment were from 1 to 31 (18.9±7.5) and from 4 to 30 (14.9±6.8). The symptoms of depression and anxiety appeared in 11 patients and 15 patients respectively. The total scores of Hamilton depression andanxiety after treatment were from 0 to 8 (4.3±1.7) and from 0 to 8 (3.3±1.7). There was no symptom of depression and anxiety. The difference of the total score of Hamilton depression and anxiety before and after treatment had statistical significance (t=12.270, P<0.001, t=10.626, P<0.001). The difference of positive rate of depressive and anxious symptom before and after treatment had statistical significance too (χ2=9.05, P=0.003; χ2=13.06, P=0.000). Conclusions The sequelae of gonococcal paraurethral duct infection in male paraurethral duct dilatation can result in the anxiety and depression of patients, which should be treated. Effective therapy can relieve or cure the anxiety and depression of patients without the assistance of psychotropic drugs. Key words: Neisseria gonorrhoeae; Infection; Men; Paraurethral duct dilitation; Anxiety; Depression; Hamilton

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男性尿道旁管淋球菌感染患者扩张前后的焦虑和抑郁状况

目的探讨淋菌性尿道旁管感染后尿道旁管切开术前后患者焦虑、抑郁情绪的变化。方法选择常熟市第一人民医院皮肤性病科男性淋球菌性尿道旁管感染并发尿道旁管扩张患者28例。采用汉密尔顿抑郁量表和汉密尔顿焦虑量表对前后治疗患者的焦虑和抑郁进行评估和比较。结果治疗前汉密尔顿抑郁量表和汉密尔顿焦虑量表总分与病程呈正相关（r=0.481，P=0.0095；r=0.549，P=0.0025），治疗前汉密尔顿焦虑抑郁总分分别为1-31（18.9±7.5）和4-30（14.9±6.8）分别地治疗后汉密尔顿抑郁和焦虑总分分别为0～8分（4.3±1.7）和0～8（3.3±1.7），无抑郁和焦虑症状。汉密尔顿抑郁、焦虑总分治疗前后差异有统计学意义（t=12.270，P<0.001，t=10.626，P<0.001），抑郁、焦虑症状阳性率治疗前后差异也有统计学意义，χ2=9.05，P=0.003；χ2=13.06，P=0.000）男性尿道旁管扩张感染可引起患者的焦虑和抑郁，应予以治疗。有效的治疗可以在没有精神药物帮助的情况下缓解或治愈患者的焦虑和抑郁。关键词：淋球菌；感染；男性；尿道旁导管切开术；焦虑；抑郁症；汉密尔顿

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来源期刊

中华医学美学美容杂志

自引率

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发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.