定时性行为致勃起功能障碍的临床分析*

摘要

目的总结分析定时性勃起功能障碍（erectile dysfunction,ED）患者的临床特征和发病因素，指导诊断和治疗。方法根据现有ED概念，将定时性ED患者限定于就诊时以“在特定时间内进行性行为时阴茎勃起功能减退或不能勃起”为主诉者，共收集患者43例作为病例组，同时随机选择非定时性的ED患者50例作为对照，采用勃起功能国际问卷（IIEF-5）和中文版知觉压力量表（CPSS）对患者勃起状况、压力程度和一般人口学资料进行调查，总结该病临床特征及其相关因素。结果与对照组比较，患者年龄病例组为（32.88±0.52）岁，对照组（31.55±3.06）岁，（P＞0.05）；IIEF-5评分病例组为（18.33±0.47）分，对照组（9.23±0.38）分（中度ED）（P＜0.05），CPSS评分病例组（31.93±2.97）分高于对照组（24.63±2.97）分，两者比较，差异具统计学意义（P＜0.05）；文化程度在大学以上的病例组有32例（74.4%），对照组19例（47.5%），两者比较，差异具统计学意义（P＜0.05）；两组患者在民族及婚姻等方面大致相同，无统计学差异（P＞0.05）。结论定时性ED是由压力过大、紧张、焦虑等因素所引起，其发病率与患者文化程度有一定的相关性。%Objective To summarize and analyze clinical features and risk factors of the patients with timing erectile dysfunction (ED) for improving diagnosis and treatments of it. Methods Total of 43 patients with timing ED, who defined as during specific intercourses suffering from erectional hypofunction or can not have an erection entirely, and 50 patients with non-timing Erectile dysfunction as the control were enrolled in the study. The erectile status, stress levels and general demographic informations of patients in two groups were analyzed by the IIEF-5 questionnaire (IIEF-5) and the Chinese version of the Perceived Stress Scale (CPSS) for summarizing the clinical features of the disease and its related factors.ResultsAverage age of patients in the case group (32.88±0.52) was elder than that of the control group patients (31.55±3.06 ), but no statistical difference (P>0.05). IIEF-5 score of patients in the case group(18.33±0.47 points) (mild ED) was higher than that of the control group (9.23±0.38 points) (moderate ED) , CPSS score of patients in the case group (31.93±2.97 points) was higher than that of the control group (24.63±2.97 points), the difference was statistical significance (P<0.05);There were 32 patients (74.4%) with college education background in the case group and 19 patients (47.5%) in the control group, the difference was statistical significance (P<0.05);The distribution of nationality and marriage of the patients between two groups were similar (P>0.05). Conclusion Timing ED attributes to excessive pressure, tension, anxiety and other factors, its morbidity may be associated with the patient's educational background .