中国安徽男性人群早泄的患病率及相关因素：基于证据的终身性和获得性早泄统一定义
Prevalence and Associated Factors of Premature Ejaculation in the Anhui Male Population in China: Evidence-Based Unified Definition of Lifelong and Acquired Premature Ejaculation.
作者信息
Gao Jingjing, Peng Dangwei, Zhang Xiansheng, Hao Zongyao, Zhou Jun, Fan Song, Zhang Yao, Mao Jun, Dou Xianming, Liang Chaozhao
机构信息
Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Department of Urology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
出版信息
Sex Med. 2017 Mar;5(1):e37-e43. doi: 10.1016/j.esxm.2016.11.002. Epub 2016 Dec 29.
INTRODUCTION
In 2014, new evidence-based definitions of lifelong premature ejaculation (LPE) and acquired premature ejaculation (APE) were proposed by the International Society for Sexual Medicine. Based on the new PE definitions, the prevalence of and factors associated with LPE and APE have not been investigated in China.
AIM
To evaluate the prevalence of and factors associated with LPE and APE in men with the complaint of PE in China.
METHODS
From December 2011 to December 2015, a cross-sectional field survey was conducted in five cities in the Anhui province of China. Questionnaire data of 3,579 men were collected in our database. The questionnaire included subjects' demographic information and medical and sexual histories. Men who were not satisfied with their time to ejaculate were accepted as having the complaint of PE. Men with the complaint of PE who met the new definition of PE were diagnosed as having LPE or APE.
MAIN OUTCOME MEASURES
New definition of LPE and APE.
RESULTS
Of 3,579 men who completed the questionnaire, 34.62% complained of PE. Mean age, body mass index, and self-estimated intravaginal ejaculatory latency time for all subjects were 34.97 ± 9.02 years, 23.33 ± 3.56 kg/m, and 3.09 ± 1.36 minutes, respectively. The prevalences of LPE and APE in men with the complaint of PE were 10.98% and 21.39%, respectively. LPE and APE were associated with age, body mass index, and smoking and exercise rates (P < .001 for all comparisons). Men with APE reported more comorbidities than men with LPE, especially in the presence of hypertension, diabetes mellitus, and heart disease (P < .001 for all comparisons).
CONCLUSION
In this study, the prevalences of LPE and APE in men with the complaint of PE were 10.98% and 21.39%, respectively. Patients with APE were older and more likely to smoke, had more comorbidities, and had a higher body mass index than patients with LPE.
引言
2014年，国际性医学学会提出了终身性早泄（LPE）和获得性早泄（APE）基于证据的新定义。基于这些新的早泄定义，中国尚未对LPE和APE的患病率及相关因素进行研究。
目的
评估中国有早泄主诉男性中LPE和APE的患病率及相关因素。
方法
2011年12月至2015年12月，在中国安徽省的五个城市进行了一项横断面现场调查。我们的数据库收集了3579名男性的问卷数据。问卷包括受试者的人口统计学信息以及医疗和性病史。对射精时间不满意的男性被视为有早泄主诉。符合早泄新定义的有早泄主诉的男性被诊断为患有LPE或APE。
主要观察指标
LPE和APE的新定义。
结果
在完成问卷的3579名男性中，34.62%有早泄主诉。所有受试者的平均年龄、体重指数和自我估计的阴道内射精潜伏期分别为34.97±9.02岁、23.33±3.56kg/m²和3.09±1.36分钟。有早泄主诉的男性中LPE和APE的患病率分别为10.98%和21.39%。LPE和APE与年龄、体重指数以及吸烟和运动率相关（所有比较P<0.001）。与LPE男性相比，APE男性报告的合并症更多，尤其是在患有高血压、糖尿病和心脏病方面（所有比较P<0.001）。
结论
在本研究中，有早泄主诉的男性中LPE和APE的患病率分别为10.98%和21.39%。与LPE患者相比，APE患者年龄更大，吸烟可能性更高，合并症更多，体重指数更高。
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