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目的分析糖尿病患者勃起功能障碍的相关危险因素。方法利用无记名问卷调查形式,按年龄、病程、吸烟史、饮酒史、肥胖、是否服用抗高血压药物等统计。受试者均填写国际勃起功能指数问卷(IIEF-5),并采肘静脉血以微柱法测糖化血红蛋白浓度(HbA1 c),调查216例男性2型糖尿病(T2DM),患者分析年龄、病程、HbA1 c、血压、吸烟、饮酒、肥胖等因素对勃起的影响。结果糖尿病勃起功能障碍(DED)患病率67.1%。病程每增加5年,年龄增加10岁,HbA1 c每增加2%,收缩压每增加30 mm Hg,吸烟史、体重、饮酒史OR分别为1.9656、1.2521、2.3301、1.6538、1.1121、1.4635、4.2981(P<0.01)。结论本研究发现勃起功能障碍(ED)患病率达67.1%,逐步分析回归结果,病程、年龄、饮酒、收缩压、超重、HbA1 c均为ED的危险因素。
Objective To analyze the related risk factors of erectile dysfunction in diabetic patients. Methods Using the form of anonymous questionnaire, according to the age, course of disease, smoking history, drinking history, obesity, whether to take antihypertensive drugs and other statistics. Participants completed the International Index of Erectile Function (IIEF-5), and blood samples were collected from the cubital vein to determine the concentration of HbA1c by microcolumn. 216 patients with type 2 diabetes mellitus (T2DM) were investigated. The patients were analyzed for age, , HbA1 c, blood pressure, smoking, alcohol consumption, obesity and other factors on the erection. Results The prevalence of diabetic erectile dysfunction (DED) was 67.1%. The course of each increase of 5 years, the age increased by 10 years of age, HbA1 c for each additional 2% systolic blood pressure increased by 30 mm Hg, smoking history, body weight, alcohol consumption history OR were 1.9656,1.2521,2.3301,1.6538,1.1121,1.4635,4.2981 ( P <0.01). Conclusions This study found that the prevalence of erectile dysfunction (ED) was 67.1%. The results of regression, progression, age, drinking, systolic blood pressure, overweight and HbA1c were all risk factors for ED.