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勃起功能障碍:患病率及其与下尿路症状的关系。

Erectile dysfunction: Prevalence and its relationship with lower urinary tract symptoms.

作者信息

Pascual-Regueiro Nuria, Baleriola-Júlvez José M, Hortelano-Perales Milagros, Panach-Navarrete Jorge, Casco-Sales Luz, Martínez-Jabaloyas José M

机构信息

Centro de Salud de Vinaroz, Vinaroz, Castellón, España.

Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Valencia, Valencia, España.

出版信息

Med Clin (Barc). 2020 Jun 12;154(11):440-443. doi: 10.1016/j.medcli.2019.11.006. Epub 2020 Mar 27.

Abstract

BACKGROUND AND OBJECTIVE

The objective was to determine the prevalence of erectile dysfunction in men over 40 years of age and their relationship with frequent pathologies in Primary Care.

PATIENTS AND METHODS

Three hundred two men (40-79 years) were included. Anthropometric medical history, habits and parameters were determined. They were given the international prostate symptomatology questionnaire (IPSS), the male sexual health questionnaire (SHIM) and the Goldberg test for anxiety and depression. The prevalence of erectile dysfunction was determined and the relationship of the different variables obtained by univariate and multivariate analysis was studied.

RESULTS

The prevalence of erectile dysfunction was 36%. Older patients, smokers, with abdominal obesity, hypertensive, diabetic, at risk of depression or with voiding symptoms had lower scores on the sexual health questionnaire. According to the multivariate analysis, the risk of suffering from erectile dysfunction increased with age, if the person was diabetic, or if there was voiding symptomatology.

CONCLUSION

Age, diabetes mellitus and the presence of voiding symptoms are factors associated with erectile dysfunction in the field of Primary Care.

摘要

背景与目的

目的是确定40岁以上男性勃起功能障碍的患病率及其与初级保健中常见病症的关系。

患者与方法

纳入302名男性(40 - 79岁)。测定人体测量学、病史、习惯及参数。给予他们国际前列腺症状评分问卷(IPSS)、男性性健康问卷(SHIM)以及焦虑和抑郁的戈德堡测试。确定勃起功能障碍的患病率,并研究通过单因素和多因素分析获得的不同变量之间的关系。

结果

勃起功能障碍的患病率为36%。年龄较大的患者、吸烟者、腹部肥胖者、高血压患者、糖尿病患者、有抑郁风险者或有排尿症状者在性健康问卷上得分较低。根据多因素分析,患勃起功能障碍的风险随年龄增长、患有糖尿病或存在排尿症状而增加。

结论

在初级保健领域,年龄、糖尿病和排尿症状的存在是与勃起功能障碍相关的因素。

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