Teloken Patrick E, Smith Eric B, Lodowsky Chris, Freedom Thomas, Mulhall John P
Department of Urology, Weill Medical College, Cornell University, New York Presbyterian Hospital, New York, New York 10021, USA.
Urology. 2006 May;67(5):1033-7. doi: 10.1016/j.urology.2005.11.040.
To conduct a study using validated sexual function and sleepiness inventories to define whether sleep apnea syndrome (SAS) is associated with erectile dysfunction and whether any correlation exists between the severity of SAS and the severity of erectile dysfunction. Previous work has suggested that sleep disorders are associated with erectile dysfunction.
Men presenting to a sleep clinic with symptoms consistent with SAS were given the Epworth Sleepiness Scale and an erectile dysfunction risk factor inventory, the International Index of Erectile Function. A database was constructed and statistical analysis conducted to define the correlation between the two entities.
A total of 50 men met the criteria for inclusion. Of the 50 men, 60% had abnormal Epworth Sleepiness Scale scores and 80% of these patients had erectile dysfunction as determined by inventory scores compared with 20% of the men with normal Epworth Sleepiness Scale scores. There were statistically significant differences between men with normal and abnormal sleepiness scores for the total and erectile function domain of the International Index of Erectile Function. The correlation between the severity of the sleepiness and the severity of erectile dysfunction was good (r = -0.80, P = 0.012).
Men presenting with symptoms consistent with SAS have a significant risk of erectile dysfunction, and the correlation between the severity of sleep apnea and the severity of erectile dysfunction is strong.
使用经过验证的性功能和嗜睡量表进行一项研究，以确定睡眠呼吸暂停综合征（SAS）是否与勃起功能障碍相关，以及SAS的严重程度与勃起功能障碍的严重程度之间是否存在任何相关性。先前的研究表明睡眠障碍与勃起功能障碍有关。
向一家睡眠诊所就诊且症状符合SAS的男性发放爱泼华嗜睡量表和勃起功能障碍风险因素量表，即国际勃起功能指数。构建数据库并进行统计分析，以确定这两个指标之间的相关性。
共有50名男性符合纳入标准。在这50名男性中，60%的人爱泼华嗜睡量表得分异常，其中80%的患者根据量表得分被判定为勃起功能障碍，而爱泼华嗜睡量表得分正常的男性中这一比例为20%。国际勃起功能指数的总分和勃起功能领域中，嗜睡得分正常和异常的男性之间存在统计学显著差异。嗜睡严重程度与勃起功能障碍严重程度之间的相关性良好（r = -0.80，P = 0.012）。
出现与SAS相符症状的男性有显著的勃起功能障碍风险，且睡眠呼吸暂停严重程度与勃起功能障碍严重程度之间的相关性很强。
