透析治疗对慢性肾脏疾病患者勃起功能的影响  

Studies on erectile dysfunction in male patients with chronic renal disease treated with dialysis

作　　者：白文英[1] 王甲正[1] 邓世洲[2] 

机构地区：[1]北京市大兴区人民医院肾内科,北京102600 [2]北京大学人民医院泌尿外科

出　　处：《中国男科学杂志》2007年第8期27-30,共4页Chinese Journal of Andrology

摘　　要：目的评价慢性肾脏疾病患者经透析治疗(血液透析和腹膜透析)后的勃起功能。方法对121名慢性肾脏疾病行透析治疗的患者和48名慢性肾脏疾病但肾功能正常的患者(对照组)用IIEF评价其勃起功能。结果血液透析组(HD)、腹膜透析组(PD)、慢性肾病肾功能正常组(对照组)ED发生率分别为80.3%、78.7%和46.2%。HD患者中有20%<50岁和60%≥50岁患有重度ED,只有<50岁患者的重度ED与对照组同一年龄段相比有统计学差异。<50岁组中,中至重度患者的ED发生率明显高于对照组(P<0.001)。PD患者的情况与HD患者的情况类似。结论男性透析患者的ED发生率较高,ED程度较重,今后的临床工作中要更多注意透析患者的整体健康评价。Objective To evaluate the erectile function in male renal failure patients treated with dialysis. Methods The International Index of Erectile Function （IIEF） in121 male patients treated with dialysis and controls was investigated. The controls were 48 male patients with chronic renal disease but renal function was normal. Results The prevalence of erectile dysfunction （ED） among the HD and PD patients and controls was 80.3%, 78.7% and 46.2% respectively. The prevalence of ED in HD group was significantly higher than in controls. The prevalence of severe degree ED in HD patients ~ 50 y was 20% and it was 60% in those ≥ 50y. The prevalence of severe degree of ED was significantly higher in both dialysis groups compared to controls, while moderate degree of ED showed a statistical significance compared to controls in age groups 〈 50y. PD patients was similar with HD patients. Conclusion In view of the observed high prevalence of ＂ED and degree of ED among the HD and PD patients, we believe that a complete health evaluation of male HD patients should include a discussion about erectile function in the standard clinical care program of patients with renal disease.

关 键 词：血液透析滤过 腹膜透析 勃起功能障碍 肾功能衰竭 

分 类 号：R698.1[医药卫生—泌尿科学]