CAJ | 학술논문

目的探讨血清睾酮水平及睾酮/雌二醇比值对老年（≥60岁）男性高危性行为的影响。方法随机选取2009～2012年在重庆市第十三人民医院皮肤性病科门诊确诊的432例老年（≥60岁）男性性传播疾病（STD）患者中的80例作为观察组，另随机选取在重庆市第十三人民医院进行年度体检的38例老年健康男性作为健康对照组，检测血清睾酮及雌二醇水平，询问调查研究对象有无婚外性行为及次数、婚外性伴数、有无配偶，以及有配偶者同配偶的性生活情况，将上述各项检测及调查数据进行整理并分析。结果两组血清睾酮水平、睾酮/雌二醇比值比较，差异有统计学意义（P＜0．05）。结论较高的血清睾酮水平及睾酮/雌二醇比值是老年男性高危性行为及其传播STD的内分泌学基础，其婚外性行为次数及婚外性伴数对睾酮水平及睾酮/雌二醇比值的反应存在着个体差异。
목적탐토혈청고동수평급고동/자이순비치대노년（≥60세）남성고위성행위적영향。방법수궤선취2009～2012년재중경시제십삼인민의원피부성병과문진학진적432례노년（≥60세）남성성전파질병（STD）환자중적80례작위관찰조，령수궤선취재중경시제십삼인민의원진행년도체검적38례노년건강남성작위건강대조조，검측혈청고동급자이순수평，순문조사연구대상유무혼외성행위급차수、혼외성반수、유무배우，이급유배우자동배우적성생활정황，장상술각항검측급조사수거진행정리병분석。결과량조혈청고동수평、고동/자이순비치비교，차이유통계학의의（P＜0．05）。결론교고적혈청고동수평급고동/자이순비치시노년남성고위성행위급기전파STD적내분비학기출，기혼외성행위차수급혼외성반수대고동수평급고동/자이순비치적반응존재착개체차이。
Objective To investigate the impacts of serum levels of testosterone and testosterone/estradiol ra-tio on high-risk sexual behavior in elderly males (≥60 years old) .Methods 80 cases among 432 elderly male patients (≥60 years old) with sexually transmitted diseases (STD) ,diagnosed in Dermatology and STD Department of the Thirteenth People′s Hospital (original Chongqing Railway Hospital ) in 2009-2012 ,were randomly selected as ob-servation group ,another 38 healthy elderly males were randomly selected as control group .Serum testosterone and estradiol were detected ,and situations of extramarital sex ,frequency of extra-marital sex ,numbers of extra-marital sexual partners ,spouses ,and sexual life with spouses were investigated .All data were arranged and analyzed .Re-sults There were significantly differences of serum testosterone level and testosterone/estradiol ratio between the two groups (P<0 .05) .There were no significantly differences of serum levels of testosterone and estradiol between patients with different frequency of extra-marital sex ,numbers of extra-marital sexual partners (P>0 .05) .Conclu-sion High levels of serum testosterone and testosterone/estradiol ratio might be the endocrinology foundation of high-risk sexual behavior and the spread of STD in elderly males .There might be with individual differences of the responses of frequency of extra-marital sex and numbers of extra-marital sexual partners to levels of testosterone and testosterone/estradiol ratio .