药物联合视听觉刺激诱导阴茎勃起硬度监测1896例勃起功能障碍患者结果分析

目的:总结药物联合视听觉刺激诱导阴茎勃起硬度监测1896例检查结果,比较无相关伴随疾病者与有相关伴随疾病者的结果差异。方法:本组1896例,年龄18~72岁,平均41.3岁,病史2个月~23年,21例无性生活历史。无相关伴随疾病者1067例(I组),有相关伴随疾病者829例(II组)。操作方法:口服西地那非100mg,60min后,以阴茎硬度测试仪(Rigiscan Plus)测试平静状态下阴茎头部及根部基线值。利用辅助眼镜式影像视听觉性刺激仪,监测阴茎勃起状态1h。阴茎头部及根部硬度≥70%,膨胀周径≥20mm,持续时间≥15min为有效勃起;硬度≥40%,膨胀周径≥10mm,持续时间≥10min为部分勃起;其余为无效勃起。结果:全部受试者共检出有效勃起1131例,构成比为1131/1896(59.6%);部分勃起为495例,构成比为495/1896(26.1%);无效勃起270例,构成比为270/1896(14.3%)。I组中:有效勃起为786例,构成比为786/1067(73.7%);部分勃起198例,构成比为198/1067(18.6%);无效勃起83例,构成比为83/1067(7.7%)。II组中:有效勃起为345例,构成比为345/829(41.6%);部分勃起297例,构成比为297/829(35.8%);无效勃起187例,构成比为187/829(22.6%)。卡方检验结果为:Ⅰ组有效勃起明显高于Ⅱ组;Ⅱ组部分勃起和无效勃起明显高于Ⅰ组。结论:既往健康者有效勃起明显高于有相关伴随疾病者,提示有相关伴随疾病者比既往健康者易于发生勃起功能障碍。

Rigiscan Plus detection results of 1896 outpatient ED cases after joint intervention of PDE5i therapy and visual-auditory sexual stimulation

Objectives： To compare the erection hardness results of ED patients with and without other comorbidities under the condition of joint intervention, Method： 1896 cases were included in this research with an average age of 41.3 and the courses of disease ranging from 2 to 23 months. All patients were divided into Group I （1067 patients without other comorbidities） and Group II （829 patients with related complications）. One hour after all patients were given oral sildenafil 100mg, the state of their penis were detected by Rigiscan as the baseline value. Special spectacles with visual - auditory sexual stimulation were applied to help erection. The erection condition of the penis were monitored for 1 hour. Conditions like hardness of the glans penis and the base penis ≥70% , expansion diameter ≥20mm, persistence time ≥15min were defined as effective erection; and the hardness of the glans penis and the base penis ≥40%, expansion diameter ≥10mm, persistence time ≥10min were defined as partly erection. Results： There were 1131 cases of effective erection （59.6%）, 495 cases partly erection （26. 1% ） and 270 invalid erection （14. 3% ）. In group I, 786 out of 1067 erections were effective, accounting for 73.7% while there reported 198 cases of partly erection （ 18.6% ） and 83 cases of invalid erection （7.7%）. In group II, there were 345 cases of effective erection （41.6%）, 297 cases of partly erection （35.8%）, and 187 cases of invalid erection （22. 6% ）. After chi - square test, effective erection ratio in Group I was significantly higher than that of Group II, and partly erection and no erection ratio of Group II were significantly higher than that of Group I. Conclusion： Patients with other related comorbidities were easier to have erection dysfunction.