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接受透析治疗的慢性肾衰竭患者的阳痿:发生率及病因

Impotence in patients with chronic renal failure on dialysis: its frequency and etiology.

作者信息

Sherman F P

出版信息

Fertil Steril. 1975 Mar;26(3):221-3. doi: 10.1016/s0015-0282(16)40989-1.

DOI:10.1016/s0015-0282(16)40989-1
PMID:163773
Abstract

Fourteen patients with chronic renal failure and on a hemodialysis program underwent neurologic, psychiatric, and endocrine studies to determine the frequency and etiology of impotence in uremics. The data suggest that impotence is more frequent in the chronic dialysis group than in the general population. All seven of the impotent men were found to have prolonged nerve conduct on velocity and absent bulbocavernosus reflexes. Several of the impotent men also had clinical depression and low plasma testosterone levels. Neuropathy may be a significant factor in the pathogenesis of impotence in the uremic, but the importance of both psychiatric and endocrine influences must be strongly considered.

摘要

14名接受血液透析治疗的慢性肾衰竭患者接受了神经学、精神病学和内分泌学研究,以确定尿毒症患者阳痿的发生率和病因。数据表明,慢性透析组中阳痿的发生率高于普通人群。所有7名阳痿男性均被发现神经传导速度延长且球海绵体反射消失。几名阳痿男性还患有临床抑郁症且血浆睾酮水平较低。神经病变可能是尿毒症患者阳痿发病机制中的一个重要因素,但必须充分考虑精神和内分泌因素的影响。

相似文献

1
Impotence in patients with chronic renal failure on dialysis: its frequency and etiology.接受透析治疗的慢性肾衰竭患者的阳痿:发生率及病因
Fertil Steril. 1975 Mar;26(3):221-3. doi: 10.1016/s0015-0282(16)40989-1.
2
Prevalence and pathogenesis of impotence in one hundred uremic men.100例尿毒症男性患者阳痿的患病率及发病机制
Uremia Invest. 1984;8(2):89-96. doi: 10.3109/08860228409080989.
3
Plasma-myoinositol concentrations in uraemic neuropathy.尿毒症神经病变中的血浆肌醇浓度
Lancet. 1977 Mar 26;1(8013):675-6. doi: 10.1016/s0140-6736(77)92116-x.
4
[Uremic neuropathy. Study of the motor conduction rate in patients treated with maintenance hemodialysis and peritoneal dialysis].[尿毒症性神经病变。维持性血液透析和腹膜透析治疗患者的运动传导速度研究]
Riv Neurol. 1977 Jan-Feb;47(1):83-104.
5
Detection and evaluation of uremic peripheral neuropathy in patients on hemodialysis.血液透析患者尿毒症周围神经病变的检测与评估
Kidney Int Suppl. 1975 Jan(2):201-5.
6
Metabolic neuropathy.代谢性神经病变
J R Coll Physicians Lond. 1973 Jan;7(2):154-60.
7
The peripheral nerve function in chronic renal failure. VII. Longitudinal course during terminal renal failure and regular hemodialysis.慢性肾衰竭患者的周围神经功能。VII. 终末期肾衰竭及规律血液透析期间的纵向病程
Acta Med Scand. 1974 Mar;195(3):155-62.
8
Effects of renal transplantation on uremic neuropathy. A clinical and electrophysiologic study.肾移植对尿毒症神经病变的影响。一项临床与电生理研究。
N Engl J Med. 1971 May 27;284(21):1170-5. doi: 10.1056/NEJM197105272842102.
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[Evaluation of polyneuropathy severity in chronic renal failure patients on continuous ambulatory peritoneal dialysis or on maintenance hemodialysis].[持续性非卧床腹膜透析或维持性血液透析的慢性肾衰竭患者多发性神经病变严重程度的评估]
Przegl Lek. 2007;64(6):423-30.
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[Parathormone and peripheral neuropathy in patients on chronic hemodialysis].[慢性血液透析患者的甲状旁腺激素与周围神经病变]
Srp Arh Celok Lek. 1985 May-Jun;113(5-6):467-72.

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Prevalence of hypogonadism in male patients with renal failure.肾衰竭男性患者性腺功能减退的患病率。
Postgrad Med J. 2006 Oct;82(972):693-6. doi: 10.1136/pgmj.2006.045963.
2
Factors related to sexual functioning in male patients undergoing hemodialysis and with kidney transplants.
Arch Sex Behav. 1987 Jun;16(3):189-207. doi: 10.1007/BF01541608.