颅脑损伤后男性勃起功能障碍的临床调查

目的探讨影响颅脑损伤后男性患者性功能的因素。方法对126例颅脑损伤后男性患者的勃起功能进行回顾性调查,采用SPSS统计分析软件对男性功能障碍进行统计学分析。结果本组颅脑损伤男性患者126例,发生勃起功能障碍者18例,发生率为14.3%。颅脑损伤后综合征、GCS、脑损伤部位和应用抗癫痫药物的OR估计值分别为17.020,3.035,11.153和6.141。血清睾酮水平低于正常的8例中,发生勃起功能障碍5例(62.5%);血清睾酮水平正常的118例中,发生勃起功能障碍13例(11.0%),两组相比较,勃起功能障碍发生率差异非常显著(P0.01)。结论颅脑损伤后综合征、脑损伤的部位、受伤的严重程度、抗癫痫药物的应用和激素水平等因素影响男性颅脑损伤患者的性功能水平,其中以颅脑损伤后综合征的影响最为显著。

Analysis of male sexual erectice dysfunction after traumatic brain injury

Objective To explore the factors influencing the erectile function in the male patients with traumatic brain injury. Methods The inquiry of erectile function was performed by the questionnaires of International Index of Erectile Function-5 (IIEF-5) in 126 male patients after traumatic brain injury, whose clinical data were analyzed retrospectively. The relationship of the erectile dysfunction with some factors including the syndrome of brain injury, serum level of testosterone, injured cerebral regions, GCS...