Schumann Jörg, Zellweger Michael J, Di Valentino Marcello, Piazzalonga Simone, Hoffmann Andreas
Department of Cardiology, University Hospital of Basel, 4031 Basel, Switzerland.
Rehabil Res Pract. 2010;2010:823060. doi: 10.1155/2010/823060. Epub 2010 Jul 7.
Background. The aim of this study was to assess sexual function before and after cardiac rehabilitation in relation to medical variables. Methods. Analysis of patients participating in a 12-week exercise-based outpatient cardiac rehabilitation program (OCR) between April 1999 and December 2007. Exercise capacity (ExC) and quality of life including sexual function were assessed before and after OCR. Results. Complete data were available in 896 male patients. No sexual activity at all was indicated by 23.1% at baseline and 21.8% after OCR, no problems with sexual activity by 40.8% at baseline and 38.6% after OCR. Patients showed an increase in specific problems (erectile dysfunction and lack of orgasm) from 18% to 23% (P < .0001) during OCR. We found the following independent positive and negative predictors of sexual problems after OCR: hyperlipidemia, age, CABG, baseline ExC and improvement of ExC, subjective physical and mental capacity, and sense of affiliation. Conclusions. Sexual dysfunction is present in over half of the patients undergoing OCR with no overall improvement during OCR. Age, CABG, low exercise capacity are independent predictors of sexual dysfunction after OCR.
背景。本研究的目的是评估心脏康复前后的性功能与医学变量之间的关系。方法。对1999年4月至2007年12月期间参加为期12周的门诊运动心脏康复项目（OCR）的患者进行分析。在OCR前后评估运动能力（ExC）和包括性功能在内的生活质量。结果。896例男性患者有完整数据。基线时23.1%的患者表示完全没有性活动，OCR后为21.8%；基线时40.8%的患者性活动无问题，OCR后为38.6%。在OCR期间，患者特定问题（勃起功能障碍和性高潮缺乏）从18%增加到23%（P <.0001）。我们发现了OCR后性问题的以下独立的正向和负向预测因素：高脂血症、年龄、冠状动脉搭桥术（CABG）、基线ExC和ExC的改善、主观身心能力以及归属感。结论。超过一半接受OCR的患者存在性功能障碍，在OCR期间总体无改善。年龄、CABG、低运动能力是OCR后性功能障碍的独立预测因素。
