不同胰岛素强化治疗对糖尿病性勃起功能障碍的疗效研究

目的探讨胰岛素强化治疗对糖尿病性勃起功能障碍（ED）的治疗效果。方法使用勃起功能国际问卷（IIEF-5）诊断ED，将60例糖尿病性ED患者分为胰岛素泵组、常规胰岛素强化组和口服药组，治疗前、治疗3个月后及治疗6个月后测定血糖、血清睾酮，并进行IIEF-5评分。结果治疗后三组IIEF-5评分明显升高。胰岛素组患者IIEF-5评分较口服药组明显升高。治疗3个月后，胰岛素泵组患者的IIEF-5评分较胰岛素组更高，治疗6个月后两组的FBG、HbAllc、IIEF-5无明显差异。结论胰岛素强化治疗能明显提高糖尿病性ED患者的勃起功能，其疗效优于口服药，胰岛素泵治疗能更早地改善糖尿病性ED患者的勃起功能。

The efficacy of different intensive insulin treatments on diabetes related erectile dysfunction

Objective To study the possible efficacy of intensive insulin treatment on diabetes related erectile dys- function. Methods ED was diagnosed by the International Inquiry of Erectile Function-5 （IIEF-5）. A total of 60 pa- tients with diabetes related erectile dysfunction were divided into three groups treating respectively with insulin pump, conventional insulin and oral medicine for six months. Blood glucose and serum testosterone were detected before and after the treatments for three months and six months. IIEF-5 assessment were given to all patients. Results IIEF-5 scores of all patients were higher after the treatments. The IIEF-5 scores were higher in patients treated with insulin. After treatments for three months, the IIEF-5 scores were higher in patients treated with insulin pump than those with conventional insulin. After treatments for six months, there was no statistically significant difference on FBG, HbAlc and IIEF-5 between the two groups, Conclusion The erectile function was improved in patients treated with insulin. Patients treated with insulin had a better result in erectile function than those treated with oral medicine. The erectile function was improved earlier in patients treated with insulin pump.