CAJ | 학술논문

目的调查北京地区≥50岁男性性功能障碍的患病情况及相关危险因素. 方法采用分层多阶段整群不等比例随机抽样方法,选择截止到2008年6月1日北京地区15个社区常驻人口中1644例≥50岁男性作为研究对象,记录国际勃起功能问卷(IIEF-5)评分、男性性功能问卷( O'Leary 1995)、IPSS、体质量指数(body mas index,BMI)、前列腺体积,询问既往糖尿病、高血压、高血脂、心脑血管病等史,吸烟和饮酒情况.应用x2检验和Logistic回归法分析与性功能障碍相关的危险因素. 结果本组勃起功能障碍(ED)、性欲低下和射精障碍的总患病率分别为90.45％、60.04％、38.81％.50 ～59岁、60 ～ 69岁、70 ～ 79岁和≥80岁年龄组间ED、性欲低下和射精障碍的患病率差异有统计学意义(P＜0.05)；多因素分析结果显示年龄与ED(β =0.12,P＜0.05)、性欲低下(β=0.10,P＜0.05)和射精障碍(β=0.08,P＜0.05)相关,BMI与ED相关(β=0.07,P＜0.05),高血压病、前列腺体积是性欲低下(β =0.37,0.08,P＜0.05)和射精障碍(β=0.47,0.06,P＜0.05)的危险因素；饮酒与射精障碍有关(β=-0.31,P＜0.05). 结论北京地区≥50岁男性ED、性欲低下患病率增加,射精障碍患病率降低,说明中老年男性可以有良好的射精功能,多种因素导致不能达到良好的勃起是影响性生活的主要原因.ED、性欲低下和射精障碍的患病率随年龄增加而增加,年龄是三者共同的危险因素.BMI是ED的危险因素,高血压病、前列腺体积是性欲低下和射精障碍的危险因素；饮酒与射精障碍有关.
목적 조사북경지구≥50세남성성공능장애적환병정황급상관위험인소. 방법 채용분층다계단정군불등비례수궤추양방법,선택절지도2008년6월1일북경지구15개사구상주인구중1644례≥50세남성작위연구대상,기록국제발기공능문권(IIEF-5)평분、남성성공능문권( O'Leary 1995)、IPSS、체질량지수(body mas index,BMI)、전렬선체적,순문기왕당뇨병、고혈압、고혈지、심뇌혈관병등사,흡연화음주정황.응용x2검험화Logistic회귀법분석여성공능장애상관적위험인소. 결과 본조발기공능장애(ED)、성욕저하화사정장애적총환병솔분별위90.45％、60.04％、38.81％.50 ～59세、60 ～ 69세、70 ～ 79세화≥80세년령조간ED、성욕저하화사정장애적환병솔차이유통계학의의(P＜0.05)；다인소분석결과현시년령여ED(β =0.12,P＜0.05)、성욕저하(β=0.10,P＜0.05)화사정장애(β=0.08,P＜0.05)상관,BMI여ED상관(β=0.07,P＜0.05),고혈압병、전렬선체적시성욕저하(β =0.37,0.08,P＜0.05)화사정장애(β=0.47,0.06,P＜0.05)적위험인소；음주여사정장애유관(β=-0.31,P＜0.05). 결론 북경지구≥50세남성ED、성욕저하환병솔증가,사정장애환병솔강저,설명중노년남성가이유량호적사정공능,다충인소도치불능체도량호적발기시영향성생활적주요원인.ED、성욕저하화사정장애적환병솔수년령증가이증가,년령시삼자공동적위험인소.BMI시ED적위험인소,고혈압병、전렬선체적시성욕저하화사정장애적위험인소；음주여사정장애유관.
Objective To investigate the prevalence of sexual dysfunction in aged men and associated risk factors in Beijing. Methods A cross-sectional study was performed in communities of Beijing involved 1656 men aged over 50 years.The International Index of Erectile Function-5 (IIEF-5),Brief Male Sexual Function Inventory for Urology ( O'Leary 1995 ) and the International Prostate Symptom Score (IPSS)questionnaires was recorded.The body mass index (BMI),prostate size was measured.The survey was conducted to make sure if the patients had diabetes,high blood pressure,hyperlipidemia,cerebrovascular history,and smoking and drinking situation.Pearson's X2 test and unconditional logistic regression were used to investigate the factors associated with sexual dysfunction. Results 1644 subjects were enrolled.The incidence of ED,reduction of sexual desire and defective ejaculation was 90.45％,60.04％ and 38.81％ respectively,and significantly different according to age ( P ＜ O.05 ). Age was positively correlated with ED (3 =0.12,P＜0.05),reduction of sexual desire (β =0.10,P＜0.05) and defective ejaculation (β =0.10,P ＜ 0.05 ) ; ED was significantly associated with BMI (β =0.07,P ＜ 0.05 ).Hypertension and prostate size were risk factors for reduction of sexual desire and defective ejaculation; There was correlation between drinking and defective ejaculation ( β =- O.31,P ＜ 0.05 ). Conelusions Compared with high prevalence of ED and lower sexual desire,the incidence of defective ejaculation were lower; this may reflect the sexual activities of aged male were more active compared with the less success of really erection.The prevalence of ED,reduction of sexual desire or defective ejaculation increased with age.BMI was the risk factor for ED.Enlarged prostate and hypertension was associated with reduction of sexual desire,and drinking was the risk factor for defective ejaculation.