不育事件对男性阴茎勃起功能的影响  

Impact of perceived male infertility factors on penile erectile function

作　　者：潘伯臣[1] 邢鑫[1] 李萍[1] 郭仁浩 杜强[1] 梁潇[1] 王旭梅[2] 王烈 

机构地区：[1]中国医科大学附属盛京医院辅助生殖中心,辽宁沈阳110004 [2]中国医科大学附属盛京医院心理科,辽宁沈阳110004 [3]公共卫生学院社会医学教研室,辽宁沈阳110001

出　　处：《中华男科学杂志》2013年第12期1087-1090,共4页National Journal of Andrology

摘　　要：目的:研究不育事件对男性阴茎勃起功能的影响。方法:采用勃起功能国际问卷5(IIEF-5)对因不育245例患者或生育体检就诊的52例男性进行问卷调查。不育组按被调查者主观认为不育的病因即男方因素、双方因素、不明原因和女方因素分4组,比较各组IIEF-5总分及因子得分。结果:①不育组中124例(50.61%)患者存在轻度(111例)至轻中度(13例)勃起功能障碍(ED)。IIEF-5总分为(21.24±2.58)分。②男方因素组总分及各因子得分均明显低于女方因素组(P<0.01);男方因素组与双方因素组、不明原因组(除自信因子)之间无显著差异(P>0.05);双方因素组与不明原因组之间无显著差异,但均明显低于女方因素组(P<0.05)。③不育组中,高中以上学历男性总分及各因子得分明显高于高中或以下学历的男性(P<0.01),但年龄和不育年限与得分无关。④经调整使不育组和体检组文化程度一致后,不育组总分及自信和满意度两因子得分明显低于体检组(P<0.05)。此外,体检组中有8例(15.38%)男性存在轻度ED,明显低于不育组(P<0.01)。结论:不育事件会影响男性阴茎勃起功能;而且,这种影响与个体文化程度有关。Objective： To evaluate the impact of the factors of perceived male infertility on men＇s penile erectile function. Methods ： Using the 5-item version of the International Index of Erectile Function （ IIEF-5 ）, we investigated the penile erectile function among 245 infertile men （infertility group） and another 52 males having physical checkup for planned conception （checkup group）, the former further divided into four subgroups according to the factors of infertility： male factor, female factor, bilateral factor, and un- known factor. We compared the total and item scores of IIEF-5 among different groups. Results： Mild or mild-moderate ED was found in 50.61% of the infertile men, with a total IIEF-5 score of 21.24 -＋ 2.58. The total and item scores of IIEF-5 were markedly higher in the male factor than in the female factor subgroup （P 〈0.01 ） , but with no significant difference between the male factor sub- group and the bilateral and unknown factor subgroups （P 〉 O. 05 ） , except the score on confidence. The scores were significantly lower in the bilateral and unknown factor subgroups than in the female factor subgroup （ P 〈 0. 05 ）, with no remarkable difference between the former two. In the infertility group, the total and item scores of IIEF-5 were markedly higher in those with education above high school than in those with high school or lower education （ P 〈 0.01 ）, but not correlated with age and infertility duration. After adjust- ment for education background, the total IIEF-5 score and the scores on confidence and satisfaction were significantly lower in the infer- tility than in the checkup group （ P 〈 0.05 ）, and 15.38% of the men in the latter group had mild ED, dramatically lower than in the former （P 〈 0.01 ）. Conclusion ： Perceived infertility may cause ED in males, and a higher incidence rate is associated with lower education background of the men.

关 键 词：阴茎勃起功能 勃起功能国际问卷 勃起功能国际问卷5 男性不育 

分 类 号：R698.1[医药卫生—泌尿科学]