Qin Zhanting, Tian Binqun, Wang Xinghuan, Liu Tongzu, Bai Jinbing
Urology and Andrology Research Center, Zhongnan Hospital, Wuhan University, Wuhan, 430071, China.
School of Nursing, Tianjin Medical University, Tianjin, 300070, China.
J Huazhong Univ Sci Technolog Med Sci. 2012 Jun;32(3):396-399. doi: 10.1007/s11596-012-0068-9. Epub 2012 Jun 9.
This study was aimed to investigate the influence of coital frequency and masturbation on erectile dysfunction (ED) in Chinese patients. A total of 332 male outpatients with or without ED and volunteers were recruited from Zhongnan Hospital, Wuhan University, China. ED was assessed by using the five-item International Index of Erectile Function scale and the frequency of intercourse by patients' self-report. After adjusting for lifestyle factors and diseases-related factors, the analyses showed that coital and masturbation in a certain frequency tended to decrease the risk of ED. Men reporting intercourse once a week had lower risk of ED than those did less than once a week, with age, hyperlipidemia, hypertension, diabetes, body mass index, smoking, and drinking as covariates (P=0.67, adjusted odds ratio [OR] = 0.84; 95% confidence interval [CI]: 0.37-1.88). For those reporting coital frequency two times per week and three or more times per week, there were 63% (adjusted OR = 0.37; 95% CI: 0.18-0.77) and 85% (adjusted OR = 0.15; 95% CI: 0.07-0.35) lower risk of ED than those reporting intercourse frequency less than once per week, respectively (P<0.05). Results indicated that maintaining a regular frequency of intercourse can reduce the risk of ED for males aged among 30 to 75 years.
本研究旨在调查性交频率和手淫对中国患者勃起功能障碍(ED)的影响。共从中国武汉大学中南医院招募了332名有或无ED的男性门诊患者及志愿者。采用国际勃起功能指数五项量表评估ED,并通过患者自我报告性交频率。在调整生活方式因素和疾病相关因素后,分析表明一定频率的性交和手淫倾向于降低ED风险。报告每周性交一次的男性患ED的风险低于每周性交少于一次的男性,将年龄、高脂血症、高血压、糖尿病、体重指数、吸烟和饮酒作为协变量(P = 0.67,调整后的优势比[OR] = 0.84;95%置信区间[CI]:0.37 - 1.88)。对于报告每周性交两次和每周性交三次及以上的男性,与报告性交频率少于每周一次的男性相比,患ED的风险分别降低了63%(调整后的OR = 0.37;95%CI:0.18 - 0.77)和85%(调整后的OR = 0.15;95%CI:0.07 - 0.35)(P < 0.05)。结果表明,保持规律的性交频率可降低30至75岁男性患ED的风险。