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目的探讨男性糖尿病患者性功能障碍状况,并进行相关因素分析。方法通过国际勃起功能评分问卷(IIEF!5),对352例男性2型糖尿病患者进行勃起功能障碍(ED)调查,对年龄匹配的163例ED和非ED者行相关影响因素的多元回归分析。结果352例2型糖尿病患者中合并ED235例,占66.8%;82例糖尿病ED者与年龄匹配的81例非ED者比较,ED亚组糖尿病病程、糖尿病肾病、糖尿病视网膜病变、糖尿病神经病变及脑血管病变显著增高(P﹤0.05)。相关因素Logistic回归分析显示,糖尿病病程、糖尿病神经病变与ED呈显著正相关(P﹤0.05)。结论糖尿病ED患病率较高,与糖尿病病程、糖尿病神经病变显著相关,积极预防糖尿病,延缓其并发症发生对减少ED有重要意义。
Objective To investigate the status of sexual dysfunction in male patients with diabetes and analyze the related factors. Methods The erectile dysfunction (ED) was investigated in 352 men with type 2 diabetes through the International Erectile-Function Score Questionnaire (IIEF! 5). Multivariate regression analysis was performed on age-matched 163 ED and non-ED related factors. Results 352 patients with type 2 diabetes combined ED235 cases, accounting for 66.8%; 82 cases of diabetic patients with age-matched 81 cases of non-ED ED subgroup diabetic course, diabetic nephropathy, diabetic retinopathy, diabetic neuropathy and brain Vascular lesions were significantly higher (P <0.05). Logistic regression analysis showed that there was a significant positive correlation between diabetic duration, diabetic neuropathy and ED (P <0.05). Conclusion The prevalence of diabetic ED is high, which is significantly correlated with the duration of diabetes and diabetic neuropathy. It is of great importance to prevent diabetes and delay the occurrence of complications.