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糖尿病患者勃起功能障碍的流行病学调查
引用本文:何新洲,王晓峰,孙玉成. 糖尿病患者勃起功能障碍的流行病学调查[J]. 现代泌尿外科杂志, 2002, 7(3): 127-129,156
作者姓名:何新洲  王晓峰  孙玉成
作者单位:100053,北京首都医学院宣武医院泌尿外科
摘    要:目的:研究勃起功能障碍在糖尿病人群中的分布及其危险因子,探讨勃起功能障碍(ED)的病因、发病机制和和病理生理。方法:采用国际勃起功能评分-5(IIEF-5)作为判断有无勃起功能障碍的标准,共调查了187例分泌门诊糖尿病成年已婚男性,比较该人群中暴露于不同危险因子下勃起功能的变化。并同时对可能引起ED患病率增加的多个危险因子分别进行研究。结果:发病与糖尿病患者的年龄,吸烟,文化教育水平,病程、血糖控制水平以及是否合并神经,视网膜病变和糖尿病足综合征等因素密切相关,与糖尿病患者的糖尿病分型,治疗方案、BMI指数,既往有无高血压病,冠心病史,饮酒,是否合并轻度肾功能损害等因素无显著性关联。结论:糖尿病人应该注意控制血糖水平,戒烟,加强对糖尿病了解及配合医生系统有效治疗减少并发症,以达到降低ED发病水平及提高生活质量的目的。

关 键 词:糖尿病 勃起功能障碍 流行病学 调查 患病率 危险因子

Investigation on epidemiology of erectile dysfunction in patients with diabetes
HE Xinzhou,WANG Xiaofeng,SUN Yucheng. Investigation on epidemiology of erectile dysfunction in patients with diabetes[J]. Journal of MOdern Urology, 2002, 7(3): 127-129,156
Authors:HE Xinzhou  WANG Xiaofeng  SUN Yucheng
Affiliation:HE Xinzhou,WANG Xiaofeng,SUN Yucheng. Department of Urology,Xuanwu Hospital,Beijing Capital Medical College,Beijing 100053.
Abstract:Objective To investigate the prevalence and the tisk factors of erectile dysfunction in patients with diabetes and discuss its etiology and pathogenesis. Methods 187 male patients with diabetes were investigated using IIEF - 5 and several risk factors related to erectile dysfinction were also studied in the men. Results Erectile dysfunction in diabetes was significantly related to the patients' age,frequency of smoking,background of education,duration of the di-aease,level of plasma glycemia and complicated neuropathy, rectinopathy and diabetic foot (P<0. 05) ,respectively. It was not markedly associated with types of diabetes, merhod of treatment,index of BMI, history of hypertention and coronary heart disease,alcohol consumption and complicated gross proteinuria (P >0. 05),respectinely. Conclusion The prevalence of ED in patients with diabetes is 54. 5% and its risk factors include age, smoking education, glycemia level, duration of diabetes and varous complications.
Keywords:Ercctile dysfunction  Diabetes mellitus  Epidemiology  Prevalence  Risk Eactors
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