呼吸困难感会影响阻塞性睡眠呼吸暂停综合征男性的性功能吗？一项前瞻性对照研究。
May Dyspnea Sensation Influence the Sexual Function in Men With Obstructive Sleep Apnea Syndrome? A Prospective Control Study.
作者信息
Skoczyński Szymon, Nowosielski Krzysztof, Minarowski Łukasz, Brożek Grzegorz, Oraczewska Aleksandra, Glinka Klaudia, Ficek Karolina, Kotulska Beata, Tobiczyk Ewelina, Skomro Robert, Mróz Robert, Barczyk Adam
机构信息
Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.
Department of Physiotherapy, Opole Medical School, Opole, Poland.
出版信息
Sex Med. 2019 Sep;7(3):303-310. doi: 10.1016/j.esxm.2019.06.005. Epub 2019 Jul 18.
INTRODUCTION
Dyspnea sensation is frequently present in obstructive sleep apnea syndrome (OSA) patients; however, its possible influence on sexual function and body image has not been well analyzed.
AIMS
To evaluate sexual function, the prevalence of sexual dysfunction (SD), and body image during sexual activity and its relationship with dyspnea in men with OSA.
METHODS
129 men were included in the prospective study, with 61 diagnosed with OSA (cases) and 68 age- and BMI-matched healthy control subjects. Patients were assessed for the severity of heart failure by the New York Heart Association scale and dyspnea by the Visual Analogue Scale. OSA was confirmed by in-laboratory polysomnography.
MAIN OUTCOME MEASURES
International Index of Erectile Function (IIEF) was used as a measure of sexual function, body image during sexual activity was assessed by the Body Exposure During Sexual Activity Questionnaire, whereas SD was diagnosed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition.
RESULTS
The mean age of the studied population was 57.9 ± 10.8 years. Presence of dyspnea interfered with sexual life in 20% of men diagnosed with OSA and with work performance in 33%. Men with OSA had worse scores in IIEF-15 compared with control subjects and higher frequency of sexual distress compared with men with OSA. There were no differences in the rate of SD according to criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. The presence of OSA worsened the perceived body image during sexual activity. The presence of dyspnea was the only negative factor affecting sexual function in general (IIEF-15 score) and 1 of the factors affecting erectile function and orgasmic function.
CONCLUSION
In men with OSA, body image is negatively influenced by the presence of OSA. Furthermore, the presence of dyspnea assessed by the New York Heart Association scale impairs sexual function in that group of men. Skoczyński S, Nowosielski K, Minarowski Ł, et al. May Dyspnea Sensation Influence the Sexual Function in Men With Obstructive Sleep Apnea Syndrome? A Prospective Control Study. Sex Med 2019;7:303-310.
引言
呼吸困难的感觉在阻塞性睡眠呼吸暂停综合征（OSA）患者中经常出现；然而，其对性功能和身体形象的潜在影响尚未得到充分分析。
目的
评估OSA男性患者的性功能、性功能障碍（SD）的患病率、性活动期间的身体形象及其与呼吸困难的关系。
方法
129名男性纳入前瞻性研究，其中61例被诊断为OSA（病例组），68例为年龄和体重指数匹配的健康对照者。采用纽约心脏协会量表评估患者心力衰竭的严重程度，采用视觉模拟量表评估呼吸困难程度。通过实验室多导睡眠图确诊OSA。
主要观察指标
采用国际勃起功能指数（IIEF）作为性功能的衡量指标，通过性活动期间身体暴露问卷评估性活动期间的身体形象，而SD则根据《精神疾病诊断与统计手册》第5版的标准进行诊断。
结果
研究人群的平均年龄为57.9±10.8岁。20%被诊断为OSA的男性中，呼吸困难的存在干扰了性生活，33%干扰了工作表现。与对照组相比，OSA男性的IIEF-15得分更低，与OSA男性相比，性困扰的发生率更高。根据《精神疾病诊断与统计手册》第5版的标准，SD的发生率没有差异。OSA的存在使性活动期间的身体形象感知变差。呼吸困难的存在是总体影响性功能（IIEF-15得分）的唯一负面因素，也是影响勃起功能和性高潮功能的因素之一。
结论
在OSA男性中，OSA的存在对身体形象有负面影响。此外，纽约心脏协会量表评估的呼吸困难的存在损害了该组男性的性功能。斯科琴斯基S、诺沃谢尔斯基K、米纳罗夫斯基Ł等。呼吸困难感觉会影响阻塞性睡眠呼吸暂停综合征男性的性功能吗？一项前瞻性对照研究。性医学2019；7：303-310。
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