CAJ | 학술논문

目的：对中年男性糖尿病患者进行更年期综合征症状调查，并探讨其影响因素。方法采取单纯随机抽样原则，对广州市某三级甲等医院内分泌代谢科住院的104例中年男性糖尿病患者采用中老年男性症状问卷（the Aging Males Symptoms Scale，AMS）进行更年期综合征症状调查，采用SPSS 16.0进行数据分析。结果本组患者更年期综合征症状得分为17～60（35.00±11.13）分，表现为轻度更年期综合征症状。多元线性回归分析表明：经济收入、文化程度高低、病程长短、近3个月是否发生特殊生活事件、周围神经病变程度、腓肠神经是否损伤和糖尿病是否合并多个并发症与中年男性糖尿病患者更年期综合征症状严重程度密切相关（P＜0.05），校正后R2=36.6%。结论糖尿病对中年男性患者更年期综合征症状的负性影响主要体现在病程及糖尿病并发症；病程越长，合并并发症越多，症状越明显；文化程度高者更年期综合征症状优于文化程度较低者；近3个月发生特殊生活事件可明显提高中年男性糖尿病患者更年期综合征症状的发生；经济收入越低，更年期症状也越明显，临床护理工作中，应结合以上各因素采取针对性对策，积极防治中年男性糖尿病患者更年期综合征症状的发生。
목적：대중년남성당뇨병환자진행경년기종합정증상조사，병탐토기영향인소。방법채취단순수궤추양원칙，대엄주시모삼급갑등의원내분비대사과주원적104례중년남성당뇨병환자채용중노년남성증상문권（the Aging Males Symptoms Scale，AMS）진행경년기종합정증상조사，채용SPSS 16.0진행수거분석。결과본조환자경년기종합정증상득분위17～60（35.00±11.13）분，표현위경도경년기종합정증상。다원선성회귀분석표명：경제수입、문화정도고저、병정장단、근3개월시부발생특수생활사건、주위신경병변정도、비장신경시부손상화당뇨병시부합병다개병발증여중년남성당뇨병환자경년기종합정증상엄중정도밀절상관（P＜0.05），교정후R2=36.6%。결론당뇨병대중년남성환자경년기종합정증상적부성영향주요체현재병정급당뇨병병발증；병정월장，합병병발증월다，증상월명현；문화정도고자경년기종합정증상우우문화정도교저자；근3개월발생특수생활사건가명현제고중년남성당뇨병환자경년기종합정증상적발생；경제수입월저，경년기증상야월명현，림상호리공작중，응결합이상각인소채취침대성대책，적겁방치중년남성당뇨병환자경년기종합정증상적발생。
Objective To investigate climacteric syndrome of middle-aged male diabetic patients and its influence factors. Methods With simple random sampling, 104 patients were included and investigated by the Aging Males Symptoms Scale (AMS) for physical symptoms, psychological symptoms and sexual function then the analysis of data was conducted by SPSS 16.0. Results Patients presented mild climacteric syndrome. The mean score of climacteric syndrome was 35.00 ±11.13 with the lowest and highest score of 17 and 60 respectively. Multiple linear regression analysis demonstrated that income, educational background, durations of diabetes, with special events in recent 3 months or not, diabetic peripheral neuropathy, with sural nerve damage and diabetic complications or not were related to climacteric syndrome of middle-age male diabetic patients ( P<0.05). Conclusion Patients with longer durations of diabetes and more than 2 complications show obvious climacteric syndrome and educated patients presented less climacteric syndrome. If there is special life event in recent 3 months, then patients get higher score of AMS and more climacteric syndrome is found in patients with fewer income. Countermeasures should be taken to prevent the occurrence of climacteric syndrome of middle-aged male diabetic patients.