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是否有必要常规使用男性性健康量表(SHIM)?

Is it necessary to use sexual health inventory for men (SHIM) routinely?

作者信息

Temeltaş G, Gündüz M I, Ceylan Y, Gümüş B H, Büyüksu C

机构信息

University of Celal Bayar, Department of Urology, Manisa, Turkey.

出版信息

Arch Androl. 2005 May-Jun;51(3):207-12. doi: 10.1080/014850190884327.

DOI:10.1080/014850190884327
PMID:16025859
Abstract

This study was conducted to evaluate the prevalence of erectile dysfunction (ED) according to the Sexual Health Inventory for Men (SHIM) and its relationship with age and education. Six hundred and thirty-nine male patients aged > or = 20 years attending a urology clinic were studied. After a detailed history and physical examination, all patients were evaluated with SHIM. Scores were categorized into 5 groups: severe (1-7), moderate (8-11), mild-moderate (12-16), mild (17-21) and normal (22-25). The patients were classified into three groups according to their application to the urology clinic: A--patients attending specifically for ED; B--patients not ED based on SHIM and attending not for ED; C--patients ED based on SHIM, but attending not for ED. In addition, patients were partitioned into 3 age groups according to their age: 20-35, 35-55 and >55 years. Educational levels were of 2 groups: lower education and higher education. Erectile dysfunction was determined in 3.7% in the 20-35 years group, 55% in 35-55 years and 41% in >55 years (P < 0.01). In men having ED through SHIM and attending not for ED, the ratio of ED was higher in the lower education than in the higher education groups (p = 0.01). SHIM is a diagnostic tool used for ED, and routine application of SHIM for patients attending the urology clinic is advisable.

摘要

本研究旨在根据男性性健康量表(SHIM)评估勃起功能障碍(ED)的患病率及其与年龄和教育程度的关系。对639名年龄≥20岁的泌尿外科门诊男性患者进行了研究。在详细询问病史和进行体格检查后,所有患者均接受SHIM评估。分数分为5组:重度(1 - 7分)、中度(8 - 11分)、轻度 - 中度(12 - 16分)、轻度(17 - 21分)和正常(22 - 25分)。根据患者到泌尿外科门诊就诊的原因将其分为三组:A组——专门因ED就诊的患者;B组——根据SHIM评估无ED且非因ED就诊的患者;C组——根据SHIM评估有ED但非因ED就诊的患者。此外,根据年龄将患者分为3个年龄组:20 - 35岁、35 - 55岁和>55岁。教育程度分为两组:低学历和高学历。20 - 35岁组ED的发生率为3.7%,35 - 55岁组为55%,>55岁组为41%(P < 0.01)。在通过SHIM评估有ED且非因ED就诊的男性中,低学历组的ED比例高于高学历组(p = 0.01)。SHIM是一种用于诊断ED的工具,建议对泌尿外科门诊患者常规应用SHIM。

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