服用5型磷酸二酯酶抑制剂的勃起功能障碍患者求医行为的门诊调查  

Help seeking behavior for erectile dysfunction:a clinical survey in China

作　　者：袁建峰[1] 郭润碛 张凯[1] 虞巍[1] 贺占举[1] 金杰[1] 

机构地区：[1]北京大学第一医院泌尿外科,北京100034

出　　处：《中国性科学》2016年第1期8-12,共5页Chinese Journal of Human Sexuality

摘　　要：目的：了解影响勃起功能障碍（ED）求医行为的相关因素,进而指导门诊医师更好地了解性健康问题,发现求医行为的潜在障碍,提高患者生活质量。方法：全国3个一线城市、16个二线城市及5个三线城市的80名泌尿外科或男科门诊医师协助参与门诊问卷调查,受调查者为年龄25~80岁、在过去6个月受ED困扰、且目前服用5型磷酸二酯酶抑制剂（PDE-5抑制剂）的门诊患者,对回收的有效问卷进行统计分析。结果：1236名ED患者对问卷完成了有效回答。受访者平均年龄42.5岁,59%拥有大专及本科学历。受访者平均月收入12351元,平均每月医疗支出712元,约占月收入的6%。患者主要通过医生、朋友、媒体及网络获得ED相关信息。44%的患者首次接受治疗ED选用的是中药/保健品,半数以上的患者选择PDE-5抑制剂是出于勃起硬度、维持勃起时间等方面的考虑。经过PDE-5抑制剂治疗可以有效的改善ED患者的勃起功能。结论：中国男性关注ED问题,然而,社会观念、经济因素等综合因素仍是阻碍一部分患者寻求医疗帮助。中国医师需要加强ED患者的健康教育,尤其是通过网络等多媒体形式。Objectives：To explore the factors that might influence help-seeking behaviors among Chinese men with erectile dysfunction（ ED）,to improve physicians＇ understanding of sexual health issues,to find barriers that might deter patients from seeking and obtaining desired medical attention,and to finally improve patients＇ quality of life.Methods：An outpatient clinic ‐ based questionnaire survey of ED patients was conducted by physicians from 3 tier I cities,16 tier II cities,and 5 tier III cities.Patients enrolled were male respondents aged 25-80 years old,suffering from ED in the past 6 months and taking PDE-5 inhibitor currently.Statistical analyses of all eligible responses were done.Results：1236 patients＇ responses were valid.The mean age of ED patients was 42.5 years old.59% had junior college or bachelor degree.They had the monthly household income of about 12351 RMB and spend 6% on healthcare,which was 712 RMB every month.Doctor,friends,media,and Internet were the top 5information sources.44% patients took TCM/healthcare product firstly,and over 50% patients took PDE-5 inhibitor product because they were concerned about the erection hardness and duration.PDE-5 inhibitor could effectively improve the erectile function of ED patients.Conclusions：Chinese men pay attention to their erectile problems.However,cultural and/or financial issues may hamper them from seeking medical help.Physicians in China should enhance the health education for ED patients,especially via the internet and other multimedia.

关 键 词：勃起功能障碍 求医行为 调查 治疗 

分 类 号：R698[医药卫生—泌尿科学]