J Sex Med:近七成的中年男性有射精功能障碍

2015-11-07 MedSci MedSci原创

介绍:除了早泄,射精功能障碍在专科门诊中是很常见;然而,目前对社区中男性的射精功能障碍特征的了解是缺乏的。目的:本研究的目的是评估射精功能障碍的患病率、严重程度和四种根据男性人口学特征和临床特征总结的射精功能障碍相关的窘迫情况:延迟射精(DE),不射精症(AE),知觉射精量减少(PEVR)和射精力减弱(DFE)。方法: 筛选出988例表现出除了早泄以外有一种或多种类型的射精功能障碍患者,参与这项随

介绍:除了早泄,射精功能障碍在专科门诊中是很常见;然而,目前对社区中男性的射精功能障碍特征的了解是缺乏的。

目的:本研究的目的是评估射精功能障碍的患病率、严重程度和四种根据男性人口学特征和临床特征总结的射精功能障碍相关的窘迫情况:延迟射精(DE),不射精症(AE),知觉射精量减少(PEVR)和射精力减弱(DFE)。


方法: 筛选出988例表现出除了早泄以外有一种或多种类型的射精功能障碍患者,参与这项随机临床试验,观察分析并评估睾酮替代对射精功能障碍的疗效。评估作为潜在的危险因素的人口学和临床特征,采用回归分析。

主要观察指标:主要观察指标为射精功能障碍的发病率和评分(三项男性性健康射精功能障碍调查问卷简表[MSHQ-EjD-SF]),窘迫评分,性满意度评分(国际勃起功能指数问卷Q7、Q8),分析因素有年龄、种族、体重指数(BMI)和血清睾酮水平(液相色谱-串联质谱法)。

结果:参与者的平均年龄为52岁,标准差为11。88%的男性经历了不止一种类型的射精功能障碍,其中有68%为他们的症状而烦恼。射精功能障碍患病率大幅度跨越了年龄、种族、体重指数和血清睾酮类水平。知觉射精量减少(PEVR)和射精力减弱(DFE)与年龄正相关(<40岁vs. 60-70岁:PEVR :OR,3.05;95%置信区间1.32-7.06;DFE:OR,2.78;95% CI, 1.46-5.28),而DFE与BMI也有相关性(≥30 kg/m2 vs. < 25 kg/m2 : OR, 1.80; 95% CI, 1.062-3.05),所有的射精功能障碍在黑人男性中更常见。

结论:大多数参与者经历了多次射精功能障碍,发现他们对此非常烦恼。射精功能障碍在广泛的人口学和临床特征上很常见。

原始出处:
Paduch, D. A., et al. (2015). "Clinical and Demographic Correlates of Ejaculatory Dysfunctions Other Than Premature Ejaculation: A Prospective, Observational Study." J Sex Med.

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    2015-11-07 三三五五

    饮食环境运动都受影响吧

    0

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