Acar Mustafa, Kaya Coskun, Catli Tolgahan, Hancı Deniz, Bolluk Ozge, Aydin Yunus
ENT Department, Yunus Emre State Hospital, Eskisehir, Turkey.
Department of Urology, Eskisehir State Hospital, Yenidoğan Mh. Şehit Serkan Özaydın Sokak No:9, Eskisehir, Turkey.
Eur Arch Otorhinolaryngol. 2016 Jan;273(1):133-7. doi: 10.1007/s00405-015-3546-4. Epub 2015 Feb 10.
To assess sexual functioning in male and female partners before and after nasal continuous positive airway pressure (CPAP) therapy in men with obstructive sleep apnea (OSA). Twenty-one male patients with moderate to severe OSA and erectile dysfunction, and their female partner, were recruited into this prospective study. Males diagnosed with OSA were treated with nasal CPAP therapy for 12 weeks. Women were assessed for sexual functioning using the Female Sexual Function Index (FSFI), and for mood status using the Beck Depression Inventory (BDI), before and after their male partner underwent nasal CPAP therapy. Sexual functioning was assessed in men using the International Index of Erectile Function (IIEF), before and after nasal CPAP therapy. After nasal CPAP therapy for OSA in men, IIEF scores were significantly higher than pre-treatment scores. Total pre- and post-treatment IIEF scores (mean ± standard deviation) were 50.28 ± 15.88 and 65.42 ± 7.47, respectively, P < 0.01. Pre- and post-treatment FSFI scores in women were 21.54 ± 6.62 and 29.94 ± 3.76, respectively, P < 0.01. Pre- and post-treatment BDI scores in women were 14.61 ± 9.69 and 12.42 ± 8.92, respectively, P < 0.01. Following treatment of men with OSA, our data indicate benefits for nasal CPAP therapy on sexual functioning in both the male and female partners. Moreover, our findings indicate that improved sexual function in women after their male partner underwent nasal CPAP also had psychological benefits.
评估阻塞性睡眠呼吸暂停（OSA）男性患者接受鼻腔持续气道正压通气（CPAP）治疗前后其男性和女性伴侣的性功能。21名患有中度至重度OSA及勃起功能障碍的男性患者及其女性伴侣被纳入这项前瞻性研究。被诊断为OSA的男性接受鼻腔CPAP治疗12周。在其男性伴侣接受鼻腔CPAP治疗前后，使用女性性功能指数（FSFI）评估女性的性功能，并使用贝克抑郁量表（BDI）评估其情绪状态。使用国际勃起功能指数（IIEF）在鼻腔CPAP治疗前后评估男性的性功能。男性OSA患者接受鼻腔CPAP治疗后，IIEF评分显著高于治疗前评分。治疗前和治疗后IIEF总分（平均值±标准差）分别为50.28±15.88和65.42±7.47，P<0.01。女性治疗前和治疗后FSFI评分分别为21.54±6.62和29.94±3.76，P<0.01。女性治疗前和治疗后BDI评分分别为14.61±9.69和12.42±8.92，P<0.01。在男性OSA患者接受治疗后，我们的数据表明鼻腔CPAP治疗对男性和女性伴侣的性功能均有益处。此外，我们的研究结果表明，男性伴侣接受鼻腔CPAP治疗后女性性功能的改善也具有心理益处。
