Ossou-Nguiet P M, Odzébé A S W, Bandzouzi-Ndamba B, Banzouzi L F, Gnonlonfoun D, Bouya P A, Matali E, Bileckot R
Service de neurologie, CHU de Brazzaville, 13 boulevard du Général Lyautey, Brazzaville, Congo.
Rev Neurol (Paris). 2012 Jun;168(6-7):538-42. doi: 10.1016/j.neurol.2012.04.001. Epub 2012 Jun 6.
Erectile dysfunction is one of the disability post-stroke the least documented. However, it affects the quality of life, not only the patient but also the couple.
The purpose of this work was to study the characteristics of erectile dysfunction after stroke.
This is a cross-sectional descriptive and analytical data collection survey conducted from February to October 2011, having identified, 104 patients for follow-up post-stroke, seen in outpatient Neurology University Hospital of Brazzaville and in the functional rehabilitation centers. Among them 54 had erectile dysfunction. The parameters studied were: age, marital status, history, vascular risk factors, and the location of the hemiplegic, the etiology of stroke, modified Rankin score and NIHSS. The clinical features and laboratory, the international index of erectile dysfunction (IIEF-5) in its French version. SPSS 12 was used for recording and statistical analysis of data. Chi(2) test was used for comparisons. The significance level was P≤0.05.
The frequency of erectile dysfunction after stroke was 51.92%, the average age was 56.32 years. The mean time to onset of erectile dysfunction after stroke was 5 months. The onset was progressive in 70,4%. The hypercholesterolemia was well correlated with the risk of erectile dysfunction (P=0.007) and its severity (P=0,01). Erectile dysfonction was moderate in 61.1% and almost bearable in half the cases.
Erectile dysfunction post-stroke is common with an impact in the lives of the couple. High cholesterol is an independent risk factor of occurrence of post-stroke.
勃起功能障碍是中风后记录最少的残疾之一。然而，它不仅影响患者的生活质量，也影响伴侣的生活质量。
本研究旨在探讨中风后勃起功能障碍的特征。
这是一项横断面描述性和分析性数据收集调查，于2011年2月至10月进行，在布拉柴维尔大学医院神经科门诊和功能康复中心确定了104例中风后随访患者。其中54例有勃起功能障碍。研究的参数包括：年龄、婚姻状况、病史、血管危险因素、偏瘫部位、中风病因、改良Rankin评分和美国国立卫生研究院卒中量表（NIHSS）。临床特征和实验室检查，采用法语版国际勃起功能障碍指数（IIEF-5）。使用SPSS 12记录和统计分析数据。采用卡方检验进行比较。显著性水平为P≤0.05。
中风后勃起功能障碍的发生率为51.92%，平均年龄为56.32岁。中风后勃起功能障碍的平均发病时间为5个月。70.4%的发病为渐进性。高胆固醇血症与勃起功能障碍的风险（P=0.007）及其严重程度（P=0.01）密切相关。61.1%的勃起功能障碍为中度，半数病例几乎可以忍受。
中风后勃起功能障碍很常见，对伴侣的生活有影响。高胆固醇是中风后发生的独立危险因素。
