中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
27期
3182-3185
,共4页
性功能障碍%肾透析%男性%抑郁症%生活质量
性功能障礙%腎透析%男性%抑鬱癥%生活質量
성공능장애%신투석%남성%억욱증%생활질량
Sexual dysfunction%Renal dialysis%Male%Depressive disorder%Quality of life
目的:探讨慢性肾衰竭男性患者血液透析后性功能障碍( ED)的影响因素。方法选取2002年2月-2011年10月在潍坊医学院附属益都中心医院和青州市人民医院血液透析中心进行维持性血液透析的慢性肾衰竭男性患者共164例,根据有无性行为将患者分为A组(62例,有性行为)和B组(102例,无性行为)。采用勃起功能国际指数(IIEF-5)问卷、Beck抑郁自评问卷(BDI)及健康状况调查问卷(SF-36),分别对患者的性功能、心理抑郁情况及生活质量进行调查,比较两组患者的临床资料及问卷调查结果,采用二项分类变量Logistic回归分析ED的影响因素。结果两组患者的年龄,透析前血肌酐、血钙、血磷水平,尿素清除指数( spKt/V),血浆全段甲状旁腺素(iPTH)水平间有差异(P<0.05)。A组患者ED及抑郁程度较B组轻(P<0.05)。A组患者躯体疼痛(BP)、精力/疲乏( VT/FG)、情感问题所导致的角色限制( REP)得分及SF-36总分高于B组,而情感健康( EH)得分低于B组(P<0.05)。Logistic回归分析显示,年龄、BDI得分、糖尿病与患者勃起功能、性交满意度、性高潮及性功能总得分存在回归关系(P<0.05);BDI得分及血肌酐、血钙、血尿素氮水平与综合满意度存在回归关系(P<0.05)。结论年龄增加、抑郁、糖尿病是慢性肾衰竭男性患者血液透析后性功能障碍的危险因素。
目的:探討慢性腎衰竭男性患者血液透析後性功能障礙( ED)的影響因素。方法選取2002年2月-2011年10月在濰坊醫學院附屬益都中心醫院和青州市人民醫院血液透析中心進行維持性血液透析的慢性腎衰竭男性患者共164例,根據有無性行為將患者分為A組(62例,有性行為)和B組(102例,無性行為)。採用勃起功能國際指數(IIEF-5)問捲、Beck抑鬱自評問捲(BDI)及健康狀況調查問捲(SF-36),分彆對患者的性功能、心理抑鬱情況及生活質量進行調查,比較兩組患者的臨床資料及問捲調查結果,採用二項分類變量Logistic迴歸分析ED的影響因素。結果兩組患者的年齡,透析前血肌酐、血鈣、血燐水平,尿素清除指數( spKt/V),血漿全段甲狀徬腺素(iPTH)水平間有差異(P<0.05)。A組患者ED及抑鬱程度較B組輕(P<0.05)。A組患者軀體疼痛(BP)、精力/疲乏( VT/FG)、情感問題所導緻的角色限製( REP)得分及SF-36總分高于B組,而情感健康( EH)得分低于B組(P<0.05)。Logistic迴歸分析顯示,年齡、BDI得分、糖尿病與患者勃起功能、性交滿意度、性高潮及性功能總得分存在迴歸關繫(P<0.05);BDI得分及血肌酐、血鈣、血尿素氮水平與綜閤滿意度存在迴歸關繫(P<0.05)。結論年齡增加、抑鬱、糖尿病是慢性腎衰竭男性患者血液透析後性功能障礙的危險因素。
목적:탐토만성신쇠갈남성환자혈액투석후성공능장애( ED)적영향인소。방법선취2002년2월-2011년10월재유방의학원부속익도중심의원화청주시인민의원혈액투석중심진행유지성혈액투석적만성신쇠갈남성환자공164례,근거유무성행위장환자분위A조(62례,유성행위)화B조(102례,무성행위)。채용발기공능국제지수(IIEF-5)문권、Beck억욱자평문권(BDI)급건강상황조사문권(SF-36),분별대환자적성공능、심리억욱정황급생활질량진행조사,비교량조환자적림상자료급문권조사결과,채용이항분류변량Logistic회귀분석ED적영향인소。결과량조환자적년령,투석전혈기항、혈개、혈린수평,뇨소청제지수( spKt/V),혈장전단갑상방선소(iPTH)수평간유차이(P<0.05)。A조환자ED급억욱정도교B조경(P<0.05)。A조환자구체동통(BP)、정력/피핍( VT/FG)、정감문제소도치적각색한제( REP)득분급SF-36총분고우B조,이정감건강( EH)득분저우B조(P<0.05)。Logistic회귀분석현시,년령、BDI득분、당뇨병여환자발기공능、성교만의도、성고조급성공능총득분존재회귀관계(P<0.05);BDI득분급혈기항、혈개、혈뇨소담수평여종합만의도존재회귀관계(P<0.05)。결론년령증가、억욱、당뇨병시만성신쇠갈남성환자혈액투석후성공능장애적위험인소。
Objective Toexploretheinfluencingfactorsforsexualdysfunctioninpatientswithchronicrenalfailureaf-terhemodialysis.Methods Atotalof164patientswithchronicrenalfailurewhoreceivedmaintenancehemodialysisinhemodial-ysis center of Yidu Central Hospital Affiliated to Weifang Medical College and Qingzhou People's Hospital from February 2002 to October 2011 were selected as study subjects,according to the presence of sexual behavior,the patients were divided into group A(62 cases,sexual behavior exists)and group B(102 cases,sexual behavior does not exist). Sexual function,depression and life quality of patients were investigated by using International Index of Erectile Function(IIEF-5),Beck depression self-reported questionnaire(BDI)and Health questionnaire(SF-36). The clinical data and the result of questionnaire survey were compared between two groups of patients,the influence factors for ED was assessed by using binomial Logistic regression analy-sis.Results Thereweresignificantdifferencesinage,serumcreatininebeforethedialysis,calciumlevel,phosphoruslevel, urea clearance index(spKt/V)and plasma iPTH level between two groups of patients(P<0. 05). The degree of ED and de-pression in group A were significantly lower than those in group B(P <0. 05);The scores of BP,VT/FG,REP and total scores of SF-36 in group A were significantly higher than those in group B,EH score in group A was significantly lower than that in group B(P<0. 05). According to results of Logistic regression analysis,there were remarkable regression relationships be-tween age,diabetes,BDI scores and erectile function,intercourse satisfaction,total scores of sexual orgasm and sexual function (P<0. 05). There were remarkable regression relationships between BDI score,serum levels of creatinine,calcium,urea ni-trogenandcomprehensivedegreeofsatisfaction(P<0.05).℅onclusion Olderage,depressionanddiabeteswereriskfactors for sexual dysfunction in patients with chronic renal failure after hemodialysis.