心理性勃起功能障碍患者的阴茎交感皮肤反应表现分析  

Analysis of penis sympathetic skin response in patients with psychogenic erectile dysfunction

作　　者：韩友峰[1] 孙国海 戴玉田[1] 石亮[1] HAN Youfeng;SUN Guohai;DAI Yutian;SHI Liang(Department of Andrology,Drum Tower Hospital Affiliated to Nanjing University School of Medicine,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京大学医学院附属鼓楼医院男科,南京210008

出　　处：《中国性科学》2024年第1期8-11,共4页Chinese Journal of Human Sexuality

摘　　要：目的探讨心理性勃起功能障碍(ED)患者的阴茎交感皮肤反应(PSSR)的变化。方法选取因非创伤性ED收住院分别进行夜间阴茎胀大试验(NPT)及阴茎神经电生理检查的患者96例作为研究对象,将NPT结果显示有单次阴茎勃起头部硬度≥60%的时间≥10 min的有效勃起患者68例纳入心理性ED组,以至少连续两晚均未出现有效勃起患者28例纳入非创伤性器质性ED组。比较两组年龄、身高、体重、病程、检查天数、有效勃起总次数、第一天有效勃起次数、第二天有效勃起次数、第三天有效勃起次数、阴茎头部硬度≥60%的维持时间、阴茎根部硬度≥60%的维持时间、头部膨大周径、根部膨大周径、阴茎神经电生理检查结果PSSR潜伏期及波幅。结果两组身高、体重、病程、检查天数、PSSR波幅比较,差异均无统计学意义(P>0.05)。心理性ED组年龄小于非创伤性器质性ED组(P<0.01),而有效勃起总次数、第一天有效勃起次数、第二天有效勃起次数、第三天有效勃起次数、阴茎头部硬度≥60%的维持时间、阴茎根部硬度≥60%的维持时间、头部膨大周径、根部膨大周径均高于非创伤性器质性ED组(P<0.01),PSSR潜伏期短于非创伤性器质性ED组(P<0.01)。结论心理性ED患者PSSR潜伏期缩短,交感神经兴奋性可能偏高,PSSR检测可作为一种辅助方法用于心理性ED的评估。Objective To investigate the changes of penis sympathetic skin response(PSSR)among patients with psychogenic erectile dysfunction(ED).Methods A total of 96 patients admitted to Drum Tower Hospital Affiliated to Nanjing University School of Medicine due to non-traumatic ED and underwent nocturnal penile tumescence test(NPT)and penile neuroelectrophysiological examination were selected as study subjects.Among these patients,68 with effective erections whose NPT results showed a single erection duration with peins tip hardness≥60%was≥10 min were divided into the psychogenic ED group,and 28 without effective erections for at least two consecutive nights NPT were classified in the non-traumatic organic ED group.Age,height,weight,course of disease,days of examination,total effective erections,effective erections on the first day,effective erections on the second day,effective erections on the third day,maintenance duration of penis tip hardness≥60%,maintenance duration of penis base hardness≥60%,tip tumescence perimeter,base tumescence perimeter,latency and amplitude of PSSR were compared between the two groups.Results There were no significant differences in the height,weight,course of disease,days of examination and amplitude of PSSR between the two groups(P>0.05).The age of psychogenic ED group was lower than that of non-traumatic organic ED group(P<0.01),and the total effective erections,effective erections on the first day,effective erections on the second day,effective erections on the third day,maintenance duration of penis tip hardness≥60%,maintenance duration of penis base hardness≥60%,tip tumescence perimeter and base tumescence perimeter were higher in psychogenic ED group than non-traumatic organic ED group(P<0.01),and the latency of PSSR was shorter in psychogenic ED group than non-traumatic organic ED group(P<0.01).Conclusions Patients with psychogenic ED have a short latency of PSSR and may also experience sympathetic hyperexcitability.The PSSR examination can be used as an auxiliary method f

关 键 词：心理性勃起功能障碍 阴茎夜间胀大试验 阴茎交感皮肤反应 交感神经高兴奋性 

分 类 号：R698[医药卫生—泌尿科学]