Young Sara E, Mainous Arch G, Diaz Vanessa A, Everett Charles J
Department of Family Medicine, Medical University of South Carolina, PO Box 250192, 195 Calhoun Street, Charleston, SC 29425, USA.
Fam Med. 2006 Feb;38(2):110-5.
This study explores the incorporation of sildenafil into treatment of the common conditions of psychosexual and erectile dysfunction (ED).
The 2002 National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey were analyzed for visits in which sildenafil was prescribed. Patient, visit, and provider characteristics for visits in which sildenafil was prescribed were compared between visits that documented a presenting complaint or diagnosis consistent with ED and those without documentation consistent with ED.
Of visits by men 30 years or older receiving sildenafil, 50% had no documented presenting complaint or diagnosis consistent with ED. No significant differences were found between those prescribed sildenafil with or without a reason for visit or diagnosis of ED based on age, race, or payment type. Individuals with more visits in the last 12 months were significantly less likely to have a recorded diagnosis consistent with ED. Urologists documented ED significantly more often than family medicine, internal medicine, and other physicians.
Sildenafil is being prescribed at a significant number of visits without documentation of a reason for visit or diagnosis consistent with psychosexual or erectile dysfunction.
本研究探讨将西地那非纳入治疗性心理和勃起功能障碍（ED）常见病症的情况。
对2002年国家门诊医疗护理调查和国家医院门诊医疗护理调查中开具西地那非处方的就诊情况进行分析。比较了开具西地那非处方的就诊中，记录有与ED相符的主诉或诊断的就诊与无此类记录的就诊的患者、就诊及医疗服务提供者特征。
在接受西地那非治疗的30岁及以上男性就诊中，50%没有记录与ED相符的主诉或诊断。根据年龄、种族或支付类型，开具西地那非处方且有或无ED就诊原因或诊断的患者之间未发现显著差异。过去12个月内就诊次数较多的个体记录有与ED相符诊断的可能性显著较低。泌尿科医生记录ED的频率明显高于家庭医学、内科和其他医生。
在大量就诊中开具了西地那非，但没有记录与性心理或勃起功能障碍相符的就诊原因或诊断。
