上海市1591名中老年男性勃起功能障碍流行病学调查  

Epidemiological survey on erectile dysfunction of 1 591 middle-aged and geratic males in Shanghai

作　　者：范宇平[1] 陈斌[2] 吴琪俊[3] 马逸[4] 胡凯[2] 金炎[2] 杨昊[2] 施榕[3] 黄翼然[2] 

机构地区：[1]同济大学附属第一妇婴保健院生殖医学中心,上海200040 [2]上海交通大学医学院附属仁济医院泌尿外科,上海市男科学研究所 [3]上海交通大学医学院公共卫生学院 [4]上海交通大学医学院附属仁济医院中心实验室

出　　处：《中国男科学杂志》2012年第9期32-36,共5页Chinese Journal of Andrology

基　　金：上海市科学技术委员会研究计划项目（08411951700）

摘　　要：目的调查上海地区中老年男性勃起功能障碍（ED）患病率及其危险因素，为ED的诊疗及预防提供依据。方法采用整群、多级、分层、随机的抽样方法，对上海市7个社区的40～80岁男性进行问卷调查，抽样2000名。问卷内容包括受访者的主观ED病史、病程、国际勃起功能指数-5（IIEF-5）、基本资料（年龄、有无性伴侣和文化程度）以及生活习惯（饮食、烟酒嗜好、手术史、即往病史）。结果完成调查人数共l720名，回收问卷1608份，回收率93．5％；有效问卷1591份，有效应答率92．5％。1591名受访者的年龄为（61．9±10．1）岁。受访者中已无性生活者893名（56．1％）。在有性生活的受访者（698名）中明确诊断ED患者275例（占有性生活受访样本的39．4％，占总调查样本的17．3％）。排除IIEF．5评分〈5分的受访者599名，IIEF-5评分〈22分（考虑ED可能）的受访者有782名（49．2％）。分析ED患者生活习惯及病史，发现年龄、前列腺炎和饮酒史与ED的发病有相关性。结论初步分析上海市中老年男性ED患病率为17．3％。年龄、前列腺炎和饮酒史与ED的发病有相关性。Objective To investigate the morbidity and risk factors of erectile dysfunction （ED） of middle-aged and geratic men in shanghai for improving diagnosis, treatment and prevention of ED. Methods Males in seven districts of Shanghai were recruited in the study, and sample size was determined according to a formula of N=400 × （Q/P）. A total of 2 000males whose age were from 40 to 80 years old finished the survey. Results After removing the invalid questionnaire, 1 591valid questionaires were acquired. The mean age of 1 591 males was （61.9±10.1） years. About 893 of them （56.1%） had no sexual life. Among 698 males with sexual life, 275 were definitely diagnosed by the self-reported symptoms and course standard of ED, which accounted for 39.4% of males with sexual life and 17.3% of the total samples. After rejecting 599 cases of IIEF-5〈5,782 cases whose IIEF-5 score was lower than 22 were suspected of ED. Age, prostatitis and drinking were all related to the morbidity of ED. Conclusion The morbidity of ED of middle-aged and geratic men who still had sexual life in shanghai is 17.3%. Age, the history ofprostatitis and drinking are related to the morbidity of ED.

关 键 词：勃起功能障碍 流行病学 危险因素 

分 类 号：R698.1[医药卫生—泌尿科学]