Bahar Adele, Elyasi Forouzan, Moosazadeh Mahmood, Afradi Ghasem, Kashi Zahra
Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Caspian J Intern Med. 2020 May;11(3):295-303. doi: 10.22088/cjim.11.3.295.
Diabetes mellitus (DM) is a chronic disease inducing short-term and long-term complications including sexual dysfunction (SD) which can consequently reduce patients' quality of life. Given the limited literature on frequency of SD in men experiencing diabetes in northern Iran, the present study was conducted in the city of Sari in Mazandaran Province, with the aim of investigating SD in men with type II diabetes.
Using a descriptive cross-sectional research design, a total number of 350 male patients suffering from type II diabetes referring to endocrinology clinics in the city of Sari in. The patients were requested to fill out the demographic questionnaire, depression, anxiety and stress scale-21 items (DASS-21) and the 15-question International Index of Erectile Function (IIEF). The data were analyzed using the IBM SPSS statistics software.
The average period of time in which the patients were facing diabetes was 3.65±5.75 years. The IIEF mean score was equal to 16.98±43.79. Erectile dysfunction (ED) was also evident in 152 patients (62.2%). Moreover, increase in age had significantly decreased the IIEF scores (p<0.001). The chance of being affected with ED among diabetic patients above 50 was 11.21 times as much as those below 50 years of age (odds ratio (OR): 11.21, 95% confidence interval (CI): 6.40-19.62).
Concerning the high prevalence rate of ED in men suffering from type II diabetes, doctors are required to directly ask them about sexual disorders in follow-up visits. Furthermore, using screening questionnaires can be helpful in identifying this problem.
糖尿病（DM）是一种慢性疾病，会引发短期和长期并发症，包括性功能障碍（SD），进而降低患者的生活质量。鉴于伊朗北部糖尿病男性患者性功能障碍发生率的相关文献有限，本研究在马赞德兰省萨里市开展，旨在调查II型糖尿病男性患者的性功能障碍情况。
采用描述性横断面研究设计，共有350名II型糖尿病男性患者前往萨里市内分泌诊所就诊。要求患者填写人口统计学问卷、抑郁、焦虑和压力量表-21项（DASS-21）以及15个问题的国际勃起功能指数（IIEF）。使用IBM SPSS统计软件对数据进行分析。
患者患糖尿病的平均时长为3.65±5.75年。IIEF平均得分等于16.98±43.79。152名患者（62.2%）也存在勃起功能障碍（ED）。此外，年龄增长显著降低了IIEF得分（p<0.001）。50岁以上糖尿病患者患ED的几率是50岁以下患者的11.21倍（优势比（OR）：11.21，95%置信区间（CI）：6.40-19.62）。
鉴于II型糖尿病男性患者中ED的高患病率，医生在随访时需要直接询问他们的性功能障碍情况。此外，使用筛查问卷有助于识别这一问题。
