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目的:了解合肥地区中老年男性更年期综合征样症状发生率及其影响因素。方法:共入选健康体检门诊1 026例45岁以上接受检查的男性,调查采用个人信息、整体健康状况、中老年男性症状问卷(AMS量表)进行自我评估。结果:合肥地区中老年男性更年期综合征样症状总发生率为64.7%,AMS评分为(31.2±6.8)分,其中轻度58.1%,中度30.9%,重度11.0%,与年龄具有明显相关性(P<0.05)。评分分量中的精神心理症状、躯体症状及性功能症状评分分别为(8.3±2.1)分、(12.4±4.8)分、(9.3±4.5)分,精神心理症状及躯体症状评分与年龄无明显相关性(P>0.05)。各个年龄组性功能症状评分随年龄增加而明显增加(P<0.05)。统计分析显示,年龄、吸烟、糖尿病、心血管疾病、肥胖是影响男性更年期综合征样症状的重要危险因子,而体育锻炼是男性更年期综合征样症状的重要保护因子。结论:随着年龄的增长,男性更年期综合征样症状的发生率逐渐增高,性功能出现下降,但精神心理及躯体评分并不受年龄的影响。年龄、整体健康状况及生活方式是影响男性更年期综合征样症状的重要因素。
Objective: To understand the incidence and influencing factors of menopausal syndrome-like symptoms in middle-aged and elderly men in Hefei. Methods: A total of 1 026 men over the age of 45 who were selected as health examination clinics were investigated for self-assessment using personal information, general health status and the Middle-aged and Aged Male Symptom Questionnaire (AMS). Results: The overall incidence of menopausal syndrome-like symptoms in middle-aged and elderly men in Hefei was 64.7% and the AMS score was (31.2 ± 6.8) points, with mild 58.1%, moderate 30.9% and severe 11.0%, with significant correlation with age (P <0.05). The scores of psychosocial symptoms, somatic symptoms and sexual dysfunction scores in the score component were (8.3 ± 2.1), (12.4 ± 4.8) and (9.3 ± 4.5) points, respectively. There was no significant correlation between the psychiatric symptoms and somatic symptom scores and age (P> 0.05). The scores of functional symptoms of all age groups increased significantly with age (P <0.05). Statistical analysis showed that age, smoking, diabetes, cardiovascular disease and obesity were the important risk factors affecting menopausal menopausal syndrome-like symptoms, and physical exercise was an important protective factor for menopausal syndrome-like symptoms. CONCLUSIONS: With the increase of age, the incidence of menopausal syndrome-like symptoms gradually increases and the sexual function decreases. However, the mental and physical scores are not affected by age. Age, overall health status, and lifestyle are important factors affecting menopausal syndrome-like symptoms.