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目的:总结2型糖尿病患者阴茎勃起功能障碍(ED)的相关危险因素及临床治疗评价。方法:分析收集两家医院120例住院及门诊2型糖尿病男性患者的性功能状况、年龄、糖尿病病程、血压、糖化血红蛋白、血脂、吸烟与否等指标,以及接受真空负压吸引联合万艾可治疗的79名患者追踪3个月的疗效评分。结果:男性2型糖尿患者中ED的患病率为65.8%,多因素回归分析显示患者年龄、糖尿病病程、糖化血红蛋白与ED的发生独立相关,而血压、血脂等因素P>0.05,无显著性差异。接受真空负压吸引联合万艾可治疗的79例ED患者其有效率达到75.9%。结论:男性2型糖尿病患者中ED是常见的合并症,患病率随年龄、糖尿病病程、糖化血红蛋白的增加而增加。真空负压吸引联合万艾可治疗糖尿病合并ED疗效可靠。
Objective: To summarize the related risk factors and clinical evaluation of erectile dysfunction (ED) in type 2 diabetic patients. Methods: The sexual function, age, duration of diabetes, blood pressure, glycosylated hemoglobin, lipids, smoking and other indicators of 120 male patients with inpatient and outpatient type 2 diabetes mellitus were collected and analyzed. 79 patients followed the 3 months efficacy score. Results: The prevalence of ED in male patients with type 2 diabetes mellitus was 65.8%. Multivariate regression analysis showed that age, duration of diabetes and glycosylated hemoglobin were independently associated with the occurrence of ED. There was no significant difference in blood pressure, blood lipids and other factors difference. In 79 patients with ED who were treated with vacuum-negative pressure in combination with Viagra, the response rate was 75.9%. CONCLUSIONS: ED is a common comorbidity in men with type 2 diabetes mellitus, with the prevalence increasing with age, duration of diabetes, and glycosylated hemoglobin. Vacuuming vacuum combined with Viagra treatment of diabetes combined with ED efficacy and reliable.