成年男性勃起功能障碍相关危险因素分析

摘要

目的 分析成年男性勃起功能障碍(ED)的相关危险因素.方法 2014年1月至2015年12月期间在佛山市三水区人民医院就诊的2344例成年男性中46例诊断为ED者为ED组,自另外2298例非ED男性中随机选取200例作为非ED组,对比两组成年男性的年龄、体质量指数(BMI)、教育水平、工作性质、婚姻状况、夫妻关系、家居环境、生活习惯、基础疾病、精神类药物使用史、性生活频度的差异,并对具有统计学意义的因素进行Logistic回归分析,探讨独立危险因素.结果 ED患者平均年龄为(54.6±9.2)岁,明显高于非ED患者的(35.4±8.8)岁,脑力劳动者占60.9%,明显高于非ED患者的42.5%,家庭和睦率为32.6%,明显低于非ED患者的78.0%,以上各项指标比较差异均有统计学意义(P<0.05);ED患者合并糖尿病率为32.6%,明显高于非ED患者的10.5%,精神类药物使用率为19.6%,明显高于非ED患者的4.0%,性生活频度为(2.2±1.4)次/月,明显低于非ED患者的(5.8±1.6)次/月,以上各项指标比较差异均有统计学意义(P<0.05).Logistic回归分析结果显示,年龄、夫妻关系、糖尿病、精神类药物使用史以及性生活频度均为ED的独立危险因素(P<0.05).结论 年龄、夫妻关系、糖尿病、精神类药物使用史以及性生活频度均为ED的独立危险因素,应引起足够重视.%Objective To discuss the related risk factors of erectile dysfunction (ED) in adult men. Methods From January 2014 to December 2015, 2344 adult men treated in People's Hospital of Sanshui District of Foshan were enrolled in the study, among which, 46 patients diagnosed as ED were included into the ED group, and 200 from the 2298 non-ED adult men were included into the non-ED group. Age, body mass index (BMI), educational level, job characteristics, mar-ital status, relationship between husband and wife, home environment, living habits, basic diseases, history of psychiatric drug use, sexual frequency were contrasted between the two groups, and then logistic regression analysis was performed in the factors with statistical difference. Results The average age of ED patients was (54.6 ± 9.2), significantly higher than (35.4 ± 8.8) in non-ED patients;mental workers accounted for 60.9%of the ED patients, significantly higher than 42.5%of non-ED patients;family harmony rate was 32.6%in ED patients, significantly lower than 78.0%in non-ED pa-tients. The differences were statistically significant (P<0.05). The incidence of diabetes mellitus was 32.6% in ED pa-tients, significantly higher than 10.5%in non-ED patients;psychotropic drug utilization rate was 19.6%in ED patients, significantly higher than 4.0%in non-ED patients;sexual frequency in patients with ED was (2.2±1.4) times per month, significantly lower than (5.8±1.6) times per month in non-ED patients (P<0.05). Logistic regression analysis showed that age, relationship between husband and wife, complicated with diabetes, history of psychiatric drug use, sexual frequency were the independent risk factors for ED (P<0.05). Conclusion Age, relationship between husband and wife, compli-cated with diabetes, history of psychiatric drug use, sexual frequency are the independent risk factors for ED in adult men, which should be paid enough attention to improve the quality of life in men.