Volume 199, Issue 4, Supplement, Plaub Hlis 2018, Nplooj ntawv e1004
Qhov chaw, Edoardo, Paolo Capogrosso, Eugenio Ventimiglia, Filippo Pederzoli, Luca Boeri, Walter Cazzaniga, Francesco Chierigo thiab alCov Phau Ntawv Teev Tseg 199, tsis yog. 4 (2018): e1004.
TAW QHIA THIAB LUB CEEV FAJ
Erectile dysfunction (ED) yog ib qho kev tsis txaus siab ntawm cov tub ntxhais hluas uas muaj hnub nyoog tsawg dua 40 xyoo. Peb tau tsom ntsuam xyuas cov xwm txheej uas cuam tshuam nrog kev ua haujlwm rau erectile (EF) hauv cov tub ntxhais hluas nrhiav kev pab kho mob rau kev sib deev tsis nyob hauv ib qhov chaw kawm ntawv nkaus xwb.
METHODS
Ua tiav cov chaw kuaj mob thiab cov ntaub ntawv hauv lub neej tau muaj rau 307 sib law liag neeg mob <40 xyoo rov hauv andrology chaw kuaj mob ntawm ib qho chaw kawm txuj ci rau kev ua plees ua yi. Kev noj qab haus huv-tseem ceeb comorbidities tau qhab nia nrog Charlson Comorbidity Index (CCI). Txhua tus neeg mob ua tiav International Kev Ntsuas Cov Kev Ua Haujlwm Zoo (IIEF), Beck Cov Ntawv Qhia rau Kev Nyuaj Siab (BDI) thiab Kev Tshuaj Ntsuam Cov Ncauj Lus Txog Kev Ncaj Ncees (IPSS). ED qhov mob tau muab cais tawm raws li Cappelleri cov qauv. Peb muab piv rau cov neeg mob uas tsis muaj zog EF (txhais tau tias yog IIEF-EF tus sau <26) nrog cov ntawv ceeb toom cov qhab nia IIEF-EF tau zoo. Mann-Whitney thiab Fisher qhov kev tshuaj xyuas tseeb tau siv los ntsuas qhov sib txawv ntawm ob pawg.
KEV SIV
Xam tag nrho, 229 (75%) thiab 78 (25%) cov neeg mob tau ib txwm muaj thiab tsis muaj zog EF; ntawm cov neeg mob nrog ED, 90 (29%) muaj qhov ntsuas IIEF-EF tau pom zoo rau qhov mob ED hnyav (IIEF-EF <11). Cov neeg mob uas muaj thiab tsis muaj ED tsis muaj qhov sib txawv hauv qhov nruab nrab [IQR] hnub nyoog (32.0 [27.0-36.0] thiab 31.0 [24.0-36.0]), BMI (23.7 [21.9-26.1] vs. 23.4 [22.2-24.6] ), prevalence ntawm tawg (7.5% vs. 2.6%), kev noj qab haus huv feem ntau (CCI≥1: 4.8 thiab 2.6%), keeb kwm kev haus luam yeeb (29% vs. 31%), siv cawv (88% vs 88%) thiab nruab nrab IPSS qhab nia ( 5 [2-10] vs. 4 [2-8.5]) (txhua p> 0.2). Ib yam li ntawd, tsis muaj qhov sib txawv tshaj tawm hais txog qhov dej ntshiab pw ua ke cov tshuaj hormones thiab lipid profile ntawm ob pawg (txhua p> 0.05). Ntawm cov lus ceeb toom, cov neeg mob nrog ED tau tshaj tawm cov lej nruab nrab IIEF-Kev Nyuaj Siab Kev nyiam sib deev (7 [6-9] vs. 9 [8-9], p <0.01) thiab cov qhab nia BDI siab dua (7.0 vs. 5.0, p = 0.01) raws li piv nrog rau cov uas muaj EF ib txwm.
SIB THAM
Cov kev tshawb pom no pom tau hais tias cov txiv neej hluas nrog ED tsis txawv hauv cov kev ntsuas hauv lub hauv paus los ntawm ib pawg uas zoo sib xws nrog EF, tab sis pom tsawg dua kev sib deev muaj siab cov qhab nia, clinically tawm tswv yim ntau qhov kev puas hlwb psychogenic ntawm ED. Cov kws kho mob yuav tsum siv qhov no los ntawm cov tub ntxhais hluas kom yws tias ED.
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