夜间阴茎勃起功能监测结果与代谢综合征的相关性研究  

Correlation between function monitoring results of nocturnal penile tumescence and metabolic syndrome

作　　者：康乐[1] 刘晓冬[2] 李成文[3] 

机构地区：[1]武警后勤学院附属医院医教部医疗科,天津300162 [2]牡丹江医学院第二附属医院医保科,黑龙江牡丹江157000 [3]武警后勤学院附属医院泌尿外科,天津300162

出　　处：《中国性科学》2016年第4期32-34,共3页Chinese Journal of Human Sexuality

摘　　要：目的:研究夜间阴茎勃起功能检测结果与代谢综合征的相关性分析。方法:对黑龙江省牡丹江医学院第二附属医院2012年5月至2014年5月间636例男性夜间阴茎勃起功能进行监测,根据其有无代谢综合征将其分为两组,所有患者均需要依据国际勃起功能指数(IIEF-5)填写问卷,代谢综合征(MS)的诊断标准依据2005年国际糖尿病联盟颁布的国际学术界第一个MS的全球统一定义,这一定义的核心是中心性肥胖,中心性肥胖的诊断指标为腰围。结果:观察组的116名被调查者为存在代谢综合征的患者,IIEF-5为(12.7±3.6)分,有76%的患者存在程度不等的夜间阴茎勃起功能障碍;对照组的520名被调查者为不存在代谢综合征患者,IIEF-5为(19.8±2.8)分,有43%的患者存在程度不等的夜间阴茎勃起功能障碍;两组患者ED发生率差异显著(P<0.05),且随着代谢危险因素的不断提升,勃起功能评分明显下降。结论:夜间阴茎勃起功能障碍中存在的潜在危险因素为代谢综合征,对于代谢综合征就诊的患者应认真询问阴茎勃起功能障碍的病史,可将腰围测量纳入评价中的一个指标。Objectives：To study the correlation between function monitoring results of nocturnal penile tumescence and metabolic syndrome.Methods：The nocturnal penile erectile function of 636 patients in the Second Affiliated Hospital of Mudanjiang Medical University from May 2012 to May 2014 was monitored,and according to the metabolic syndrome those patients were divided into two groups.All the patients were required to fill in the questionnaire according to the international index of erectile function （IIEF-5）,and the metabolic syndrome diagnosis standard was referenced to the 2005 International Diabetes Federation issued by the international academic community of the world＇s first MS unified definition,whose core was central obesity with diagnosis index of waist.Results：The 116 patients in the observation group had metabolic syndrome,with IIEF-5 score of （12.7 ± 3.6）,and76% of them had varying degrees of nocturnal penile erectile dysfunction.The 520 patients in the control group were with no metabolic syndrome,with IIEF-5 score of （19.8 ± 2.8）,and 43% of them had varying degrees of nocturnal penile erectile dysfunction.Difference in the two groups were of statistical significance （P〈0.05）.With the continuous improvement of metabolic risk factors,erectile function scores decreased significantly.Conclusion：The potential risk factor for nocturnal penile erectile dysfunction is the presence of metabolic syndrome,and the treatment of patients with metabolic syndrome should seriously ask their erectile dysfunction history,and the waist circumference measurement can be included as an index.

关 键 词：夜间阴茎勃起 功能检测 代谢综合征 相关性分析 

分 类 号：R589[医药卫生—内分泌]