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慢性肾病患者的男性性功能障碍:一项横断面研究。

Male sexual dysfunction in patients with chronic kidney disease: a cross-sectional study.

作者信息

Fu Ruijie, He Peihua, Hong Weihong, Liang Yichun, Wang Wen, Yuan Shaoying, Liu Lichang

机构信息

The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China.

Department of Nephrology, Zhuhai Hospital of Guangdong Provincial Hospital of Chinese Medicine, Zhuhai, 519015, China.

出版信息

Sci Rep. 2024 Apr 22;14(1):9207. doi: 10.1038/s41598-024-59844-4.

Abstract

Sexual dysfunction is common in males with chronic kidney disease (CKD), but yet the prevalence and specific relationship between CKD and sexual dysfunction, especially premature ejaculation (PE), remain to be investigated in China; This study aims to examine the prevalence and association between CKD and sexual dysfunction in male patients in China; In this cross-sectional, non-interventional, observational study conducted at a single center. 72 male patients with CKD were enrolled. Data collection included socio-demographic information, assessments via the 5-item version of the International Index of Erectile Function (IIEF-5), the Chinese version of the Premature Ejaculation Diagnostic Tool, the Patient Health Quentionnnaire-9 and the General Anxiety Disorder-7. Data analysis was performed using R version 3.5.2 and SPSS software version 25.0; Among the 72 CKD patients, 56.9% experienced erectile dysfunction and 29.2% had PE. Various factors including estimated Glomerular Filtration Rate, Albumin-to-Creatinine Ratio, psychological aspects, medication use were found to be associated with sexual dysfunction in these CKD patients; Sexual dysfunction is prevalent in males with CKD and is, influenced by multiple factors. It is important for clinicians to focus on sexual dysfunction in this patient group and further investigate its underlying mechanisms.

摘要

性功能障碍在慢性肾脏病(CKD)男性患者中很常见,但在中国,CKD与性功能障碍尤其是早泄(PE)之间的患病率及具体关系仍有待研究;本研究旨在调查中国男性CKD患者性功能障碍的患病率及其与CKD的关联;在单中心进行的这项横断面、非干预性观察性研究中,纳入了72例男性CKD患者。数据收集包括社会人口统计学信息、通过国际勃起功能指数5项版本(IIEF-5)、早泄诊断工具中文版、患者健康问卷9项版和广泛性焦虑障碍7项版进行的评估。使用R 3.5.2版本和SPSS 25.0软件进行数据分析;在72例CKD患者中,56.9%有勃起功能障碍,29.2%有早泄。发现包括估计肾小球滤过率、白蛋白与肌酐比值、心理因素、药物使用等多种因素与这些CKD患者的性功能障碍有关;性功能障碍在CKD男性中普遍存在,并受多种因素影响。临床医生关注该患者群体的性功能障碍并进一步研究其潜在机制很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c76/11035701/a6eb9d84c66d/41598_2024_59844_Fig1_HTML.jpg

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