Cavan D A, Barnett A H, Leatherdale B A
Department of Diabetes and Endocrinology, Royal South Hants Hospital, Southampton, UK.
Diabetes Res. 1987 Jul;5(3):145-8.
Analysis of questionnaire replies from 292 diabetic men aged 20-59 revealed impotence in 23% (66), compared to 9% (7) of a sample of 81 non-diabetic outpatients. Further investigation of 45 impotent diabetic men and 45 matched non-impotent diabetic controls revealed greater psychological stress and poorer glycaemic control in the impotent group. There were no significant differences in the frequency of peripheral neuropathy, retinopathy, nephropathy or large vessel disease in the 2 groups. 20% (9) of the impotent diabetic group had definite autonomic neuropathy which was not present in any of the non-impotent group. The frequency of early autonomic damage was, however, similar in both groups. Impotence in diabetic men is associated with hyperglycaemia, stress and definite autonomic neuropathy. Our data suggest that men with early autonomic neuropathy are frequently potent.
对292名年龄在20至59岁之间的糖尿病男性的问卷回复分析显示，23%（66人）存在阳痿，而81名非糖尿病门诊患者样本中这一比例为9%（7人）。对45名阳痿糖尿病男性和45名匹配的非阳痿糖尿病对照者的进一步调查显示，阳痿组的心理压力更大，血糖控制更差。两组在外周神经病变、视网膜病变、肾病或大血管疾病的发生率上无显著差异。阳痿糖尿病组中有20%（9人）患有明确的自主神经病变，而非阳痿组中无人患有。然而，两组早期自主神经损伤的发生率相似。糖尿病男性的阳痿与高血糖、压力和明确的自主神经病变有关。我们的数据表明，患有早期自主神经病变的男性通常仍有性功能。
