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目的探讨慢性前列腺炎/慢性盆底疼痛综合征(CP/CPPS)患者的临床表型分类系统(UPOINT)因子与早泄(PE)病情的相关性。方法对186名CP/CPPS患者进行UPOINT分类,记录其中确诊为PE患者的阴道内射精潜伏时间(IELT)并使用早泄诊断量表(PEDT)评估症状严重程度。结果 186名CP/CPPS患者中,79名确诊为PE(42.4%),多元Logistic回归分析显示,排尿症状(U因子,OR=2.890,95%CI 1.348-4.083,P<0.05)、精神心理障碍(P因子,OR=4.432,95%CI 2.857-7.691,P<0.05)是CP/CPPS患者发生PE的独立危险因素,PEDT评分与患者UPOINT因子数呈正相关。结论PE在CP/CPPS患者中发生率较高。UPOINT中的泌尿系统症状(U)和社会心理症状(P)因子是CP/CPPS患者出现PE的独立危险因素。
Objective To investigate the relationship between UPOINT and premature ejaculation (PE) in patients with chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS). Methods A total of 186 CP / CPPS patients were enrolled in the UPOINT classification. The intravaginal ejaculation latency (IELT) of PE patients was recorded and the severity of symptoms was assessed using Premature ejaculation Diagnostic Questionnaire (PEDT). Results Of 186 CP / CPPS patients, 79 were diagnosed with PE (42.4%). Multivariate Logistic regression analysis showed that urinary symptoms (U factor, OR = 2.890, 95% CI 1.348-4.083, P <0.05) (P factor, OR = 4.432, 95% CI 2.857-7.691, P <0.05) were independent risk factors for PE in CP / CPPS patients. PEDT score was positively correlated with UPOINT factors. Conclusion The incidence of PE in CP / CPPS patients is high. Urological symptoms (U) and psychosocial symptoms (P) in UPOINT are independent risk factors for PE in CP / CPPS patients.