Tšebelisano ea Basodoma ho Batho ba Bohareng le Batho ba Hōlileng (2014)

LITABA: Tlhahlobo e 'ngoe e bontšang litekanyetso tse makatsang tsa ED ho banna:

Ho ata ha ED ho banna ba nang le 40-51 e ne e le 58.6%

Bafuputsi ha baa ka ba fana ka tlhaloso e ntle, ntle le ts'ebeliso ea hore litekanyetso tsa ED li nyoloha ho bahlankana. Joaloka liphuputso tsa pele, bafuputsi ha baa ka ba botsa ka tšebeliso ea litšoantšo tsa bootsoa.

Ho tsoa thutong:

Leha ho le joalo, re boetse re fumane phapang e 'maloa ho baahi bana. Ho ata ha ED ho banna ba nang le 40-51 lilemo e ne e le 58.6%, e bonahalang eka e fapane le boitsebiso ba lipatlisiso tsa khale tsa mafu (ho tloha 2% ho ea 39% ho banna ba pakeng tsa lilemo tsa 40 le 50 lilemo) [22]. Tho ata ha ED ka lilemo tsa 40-51 ho ka hlalosoa e le tsena: pele, bopaki bo eketsehileng lilemong tsa morao tjena bo bontšitse hore liketsahalo tsa ED li ntse li eketseha haholo bathong ba bacha le ba lilemong tsa bohareng [23], [24];; sa bobeli, karolo e kholo ea ED e (53.5% ho tsohle, e sa bontšoang liphellong) e hlahisitsoeng sehlopheng sena, seo hangata se hlokomolohuoang mokhoa oa ho kula [25];; sa boraro, tšusumetso ea Sechaba le setso sa Sechaba e ka fella ka tšusumetso e phahameng ea ED ea maikutlo a hlahisoang ke banna ba lilemong tse bohareng [26], ha likarolo tsa IIEF-5 li sa kenyelelletse ED ea kelello [26], [27]. Tmona ho ne ho se mekhatlo ea bohlokoa pakeng tsa ED, dyslipidemia le mekhoa ea bophelo,

Hape, ha ba fane ka tlhaloso e ntle, ntle le ts'ebeliso ea hore lipalo tsa ED li nyoloha ho bahlankana. Lebaka la bobeli (maikutlo a mabeli a hlokomolohuoa moetlong oa meriana) ha a nepahale hobane lithuto tse ngata tsa nakong e fetileng li ne li thehiloe holima palo ea baahi 'me li kenyelletsitsoe ka bonolo ED. The shocker ke hore ED ha e amahanngoa le maemo a bophelo kapa liteko tsa mali.


E phatlalalitsoe: la 25 Hlakubele 2014 DOI: 10.1371 / journal.pone.0092794

Yan-Ping Huang, mangolo a Bin Chen, Ping Ping, Hong-Xiang Wang, Kai Hu, Hao Yang, Tao Zhang, Tan Feng, Yan Jin, Yin-Fa Han, Yi-Xin Wang, Yi-Ran Huang

inahaneloang

maikemisetso

Ho hlahloba mosebetsi oa erectile ho banna ba lilemo li bohareng le ba baholo ba nang le boemo ba bosupa le ho hlahloba lintlha tsa bona tse tobileng tsa boemo bona.

Lihlooho le Mekhoa

Banna ba neng ba e-ba le likamano tsa botona le botšehali ka nako e telele (khafetsa ea ho kopanela liphate) nako e le 'ngoe ka khoeli) ba ne ba aroloa ka mokhoa o bonolo oa erectile (ED), ka mokhoa o lekanyelitsoeng ho ea holimo ED le ho e seng ED ho latela International Index of Erectile Function-1, le banna ba sa kopanele liphate Boiteko ba bonyane likhoeli tsa 5 bo ne bo hlalosoa e le boemong ba bosootho. Lisosa tsa kotsi tse amanang le ED li ne li bokelloa ka mohlala oa banna ba 6 ba Chaena ba lilemo li 1,531 ho ea ho lilemo tse 40, 'me mabaka a boipheliso ka lebaka la bosodoma a ne a tlalehiloe ka sehlopha sa basekhatlo ka bobeli. Lipatlisiso tse bapisoang le mefuta e mengata ea khatello ea maikutlo li ile tsa etsoa har'a lihlopha tsena.

Results

Litefiso tsa ho ata ha ED le boemo ba bosupa ke 49.9% le 37.2%. Sehlopha sa boemo ba bochaba bo ne bo e-na le lisosa tse kholo ho feta sehlopha sa ED se lekaneng ho isa botsofaling (lilemo tsa 65, karolelano e tloaelehileng ea likarolo (OR) 17.69 ho ea (Vs.) 7.19), lefu la tsoekere (e se nang molato OR: 2.40 Vs 2.36) le khatello ea kelello (e sa lokelang kapa e: 1.78 Vs 1.72). Mabaka a tobileng a boemo ba bosupa e ne e le "bothata ba erectile" (52.9%), "ha u tsotelle ka ho kopanela liphate" (53.5%) "," ha ho sa hlokahala hore motho a kopanele liphate nakong ena "(47.7%)," khatello ea maikutlo " (44.4%), "mokhathala o matla" (26.3%) le "ho ipholla litho tsa botona kapa botšehali" (26.9%).

Nahanisisa

Banna ba nang le maemo a tlokotsing ba na le mabaka a mangata a kotsi a ED ho feta banna ba nang le tekanyo e feteletseng ea ED. Boholo ba boemo bona ba bosoha bo ka ba teng ka ho feletseng ka ED, le hoja mabaka a khethollo ea morao-rao ka nakoana a ne a boetse a ama maikutlo le lithahasello tsa thobalano, balekane ba thobalano le ho ipholla litho tsa botona kapa botšehali.

lipalo

Tlhaloso: Huang YP, Chen B, Ping P, Wang HX, Hu K, et al. (2014) Tšebelisano ea Basodoma ho Batho ba Bohareng le banna ba baholo. PLoS ONE 9 (3): e92794. doi: 10.1371 / journal.pone.0092794

mohlophisi: Alice YW Chang, Sepetlele sa Kaohsiung Chang Gung Memorial, Taiwan

Re amohetse: October 30, 2013; E amohetse: February 26, 2014; E phatlalalitsoe: March 25, 2014

Copyright: © 2014 Huang et al. Ena ke sehlooho se bulehileng se fihletsoeng ka tlas'a maemo a License ea Boikarabelo ba Creative Commons, e lumellang hore ho sebelisoe, ho abeloa, le ho beleha ho sa sebelisetsoe, ho fana ka moqapi le mohloli oa pele.

Lithuso: Thuto ena e ne e tšehetsoa ka thuso ea National Natural Science Foundation ea Chaena (81270741). Komiti ea Saense le Theknoloji Project ea Motse oa Shanghai (No. 08411951700). Bafani ba lichelete ba ne ba se na karolo mosebetsing oa ho etsa lipatlisiso, ho bokelloa ha data le tlhahlobo, ho etsa qeto ea ho phatlalatsa, kapa ho lokisetsa buka eo.

Lithahasello tse tsitsitseng: Bangoli ba boletse hore ho na le lithahasello tsa tlhōlisano tse teng.

Selelekela

Ka tsoelo-pele ea sechaba le ts'ebeliso ea botsofali, meriana le litšebeletso tse amanang le thobalano li ntse li eketseha, 'me batho ba baholo ba lilemong tsa bohareng le ba baholo ke bona ba nang le sepheo se tloaelehileng haholo lipatlisong tse ngata bakeng sa ho hlahloba le ho sebetsana le mathata a thobalano. Erectile dysfunction (ED) ke bothata ba ho kopanela liphate ka ho fetisisa bo hlalositsoeng ke thuto e ntseng e eketseha lefatšeng ka bophara, empa ho na le boitsebiso bo lekanyelitsoeng boemong ba bosupa bo ka fapaneng le ED ka maemo a kelello le 'meleng. Ho fapana le boemo ba bochaba bo sa feleng bo hlokofatsang ho pota-potile 2-3% ea banna mme ha bo hlalosoe e le bokooa [1], [2], boemo ba bosodoma bo ka hlalosoa e le setsi sa nakoana kapa se ke keng sa qojoa ho banna ba baholo le ba baholo ba nang le phihlelo ea thobalano pele ba kopanela liphate empa hona joale ba le boemong ba ho se thabele ho kopanela liphate ka thobalano. Hangata, litsebi tsa tlhokomelo ea bophelo bo botle li nahana hore boemo ba bosootho bo amana le maemo a kelello, bolumeli, batho ba kopanelang liphate esita le bosodoma, 'me ba hlōleha ho hlahloba banna bana ba mehleng ea khale, ba hlalosoang ba se na likamano tsa botona le botšehali ka nako e telele, ka ho sebelisa Index Index ea Erectile Function (IIEF) ho fumana ED. Ha ho na litlhahiso tse tloaelehileng bakeng sa ho hlahloba boemo ba bosupa, mokhoa oa ho netefatsa mosebetsi oa 'nete oa erectile le ho hlahloba mabaka a tobileng a khethollo ho sehlopha sena ke tsa bohlokoa haholo. Empa ho fihlela joale, ha ho na dintlha tse felletseng, tsa baemeli le tsa batho ba fumanehang ho thusa lingaka ho utloisisa boemo ba bosupa. Shanghai o ile a etella pele nakong ea botsofali 'me ea e-ba sebaka sa pele se nang le moahi oa khale oa Chaena. Palo ea batho ba fetang 65 e tla fihla tlhōrōng ea limilione tse 'nè ka selemo sa 2025, ebe e nka 29% ea batho bohle [3]. Kahoo batho ba tsofetseng Shanghai ba ka nkoa e le baemeli ba sechaba, 'me banna ba ka ba sampula e nepahetseng ea ho ithuta ho se sebetse ka thobalano. Sepheo sa thuto ena e kholo e entsoeng ke baahi e ne e le ho netefatsa mosebetsi oa erectile ho banna ba lilemong tsa bohareng le ba baholo ba nang le maemo a tlokotsing ka ho bapisa boemo ba bosupa le ED le bao e seng ED joalokaha ho hlalosoa kliniki, mekhoa ea litlaleho, litsebi tsa bophelo bo botle le tsa bophelo ba bophelo le ho hlahloba ka ho hlaka mabaka a tobileng a ho tlohela bosoha.

Lisebelisoa le mekhoa

Batho ba ithutoang

Phuputso ena e ile ea batlisisa ho kopanela liphate le maemo a bophelo bo botle bathong ba lilemong tsa bohareng le ba baholo ho tloha 40 ho ea ho lilemo tse 80. Libaka tse mashome a mabeli a metso e 'meli li ne li khetholloa joaloka libaka tsa litoropong, libakeng tse ka thōko ho litoropo le libakeng tsa litoropo tse nang le li-epidemiologists. Libaka tse supileng li ile tsa tiisoa hore li etse lipatlisiso ka mokhoa o sebelisitsoeng oa stratisfied random sample. Barupeluoa ba tsoang metseng e khethiloeng ka khetho ba kenyelelitsoe ka li-posters. Nakong ea lipatlisiso (ho tloha 2008 ho ea ho 2011), banna ba neng ba e-na le matla a ho itlhokomela 'me ba lula motseng ka nako e fetang selemo ba ne ba ka fumana lipuisano. Bafo ba neng ba e-na le mathata a ho tsoaloa maikutlong le / kapa bofokoli ba congenital, maloetse a tebileng (ke lefu la pelo ea pelo le / kapa mafu a kelello, ho lemala ha bohlokoa le / kapa ho se sebetse hantle) le ho ba le batho ba bong bo tšoanang le ba bong bo fapaneng, ha baa ka ba kenngoa ts'ebetsong ea ho hlahloba. Mathata ohle a ile a netefatsoa ke tlaleho ea boipheliso, tlaleho ea tlaleho ea bongaka le lipuisano. Bakeng sa ba arabelang 1,720, 1,591 e phethile mokhoa oa motheo oa ts'ebetso ea lehae. Ka 1,591 ea pele e arabelang phuputsong ea motheo, 60 e ne e sa amoheloe e le lintlha tse sa lumellaneng kapa tse sa phethoeng, tse ileng tsa siea banna ba 1,531 ba tšoanelehang bakeng sa lipalo-palo.

Mehato e Sebelisitsoeng

Protocol ea tšimo e ile ea thehoa ho ea ka mohlala oa Thuto ea Maleme ea Massachusetts Male Aging [4]. Ka bokhutšoanyane, setsebi se seng sa koetliso ea tšimo se ile sa etela taba ka 'ngoe ho Setsi sa Tšebeletso sa Sechaba kapa lehae la hae ho ea ka mekhoa e tloaelehileng ea lipatlisiso e entsoeng ka mosebetsi o moholo oa tšimo [5], boitsebiso ba sechaba bo bokelitsoeng, bo tsamaisitse lipotso tsa bophelo bo botle ka bongata le lisebelisoa tsa ho hlahloba boemo ba thobalano, 'me li fumanoe ho itima lijo lisele tsa mali. Phuputso ena e ile ea amohela tumello ea boto ea liphutheho (Renji Hospital, Shanghai.) RJLS2008175), le tumello e ngolisitsoeng e ngotsoeng e fanoe ke bohle ba barupeluoa. Boitsebiso bohle bo bokeletsoeng bo ne bo fetiselitsoe boitsebisong bo thehiloeng ka ho sebelisa mokhoa oa ACCESS hammoho le mochine o sebetsang, o ka fumanoang Komisong ea Science le ea Technology ea Shanghai le Shanghai ea setsi sa Andrology.

Mefuta e meraro ea khatello ea mali e ile ea fumanoa. Tlhaloso ea boima ba 'mele (BMI) e ne e baloa e le boima bo lekantsoeng ka lik'hilograma tse arotsoeng ke bophahamo ba litekanyo ka limithara tse peli' me li arotsoe ho sebelisoa likarolo tsa World Health Organization (WHO) [6]: ho feta boima ba 'mele (≥25 kg / m2kapa che (<25 kg / m2). Litekanyo tsa Waist circumference (WC) li sebelisitsoe e le mokhoa oa ho tseba lintho tse bohareng, 'me li arotsoe ka mekhahlelo e' meli: botenya (≥90 cm) kapa che (<90 cm)) [7].

Mabapi le tlhahlobo ea boemo ba thobalano, lipotso tsa boipheliso tse amanang le thobalano li ne li fanoe sehloohong ka seng bakeng sa ho phethoa ka boinotšing. Tlhahlobo ea boemo ba thobalano ea boemo ba thobalano ka bobeli ba likarolo: ha ho thobalano kapa ho kopanela liphate likhoeling tse fetileng tsa 6. Sebopeho se seng sa 5 sa International Index of Erectile Function (IIEF-5) se ne se fanoe ka boinotšing ho batho ba nang le khafetsa ea ho kopanela liphate ≥1 nako ka khoeli lilemong tse fetileng tsa 6, 'me li arotsoe ka likarolo tse tharo: e seng ED (IIEF-5≥22), bonolo ED (21≥IIEF-5≥12) le ho leka-lekana ho matla ED (11≥IIEF-5≥5). Bahlaseli ba se nang thobalano ba leka bonyane likhoeli tsa 6 ba hlalosoa e le boemo ba bosodoma. Boitsebiso bo amanang le boemo ba bosodoma, ho kopanyelletsa le ho kopanela liphate ("molekane, molekane, mohlankana kapa molekane oa hae"), lithahasello tsa botona le botšehali ("ha se tsotelle ka thobalano"), mathata a erectile ("bothata ba erectile"), thobalano boikutlo ba maikutlo ("ha ho sa hlokahala hore motho a kopanele liphate le mehleng ena"), khatello ea bophelo le bophelo ("khatello ea maikutlo", "mokhathala o matla" le "ho khotsofala ha bophelo") le ho ipholla litho tsa botona kapa botšehali ("tloaelo ea masturbatory erection" le "weak masturbatory erection" ), ba ne ba bokelloa ka bomong ho baahi. Qetellong, mabaka a hlalosang mabaka a boemo ba bosupa a ne a qhibilihisoa boitsebiso bo bokelitsoeng ba lipuisano.

Lintlha tse tsoang lipuisanong tsa motheo li ne li sebelisetsoa ho hlahloba mokhoa oa ho phela ka lintho tse thahasellisang. Barupeluoa ba ile ba botsoa ka ho ikoetlisa kamehla nakong ea lilemo tse fetileng tsa 5 ("kamehla" e hlalosoa bonyane hang ka beke, ho feta likhoeli tse fetang 3) [8]. Lihlooho 'ho noa joala ka tloaelo ho ne ho hakanngoa ka tlaleho ea boithati ho sebelisa Khavari le Farber [9]. Ho hlahisa mosi oa sakerete ho ile ha fumanoa ka ho itlhahisa, 'me ba tsubang hona joale ba hlalosoa e le hore ba tsuba nakong ea lipatlisiso mme ba tsuba ho feta lisakerete tsa 100 bophelong ba bona [10]. Ho noa hoa tee ho ile ha hlahlojoa ka lipotso tsa makhetlo a fetang lilemong tse fetileng tsa 5 mme li arotsoe ka litlhapi ("kamehla" li hlalosoa bonyane hang ka letsatsi, ho feta selemo sa 1).

E le hore re tiise liphello tsa lefu lena le sa foleng, re ile ra sebelisa mekhoa e sa tšoaneng e kenyeletsang tlhahlobo ea tlaleho ea bongaka, tlhahlobo ea tlaleho ea lefuba, lipuisano tsa thelefono, kapa lipotso tsa tlatsetso. Phekolo ea meriana ea motlakase e ile ea bontšoa hore na ho na le e 'ngoe kapa tse ling tsa maemo a latelang a ileng a finyelloa: 1) taba e tlalehiloe ho sebelisoa ha meriana ea antihypertensive; 2) khatello ea mali ea systolic ea sehlooho = 140 mmHg kapa diastolic khatello ea mali = 90 mmHg [11]. Dyslipidemia e ne e hlalosoa e le seseum eohle ea cholesterol = 5.72 mmol / L; le / kapa triglycerides = xNUMX mmol / L; le / kapa tekanyo e tlaase ea lipoprotein cholesterol = 1.70 mmol / L; le / kapa tšebeliso ea meriana e tlaase ea k'holeseterole. Lefu la tsoekere le ne le hlalosoa e le ho itima lijo ha mali a lekaneng = 3.64 mmol / L le / kapa tšebeliso ea meriana e khahlanong le lefu la tsoekere. Ho sebelisa litsi tsa Sechaba tsa Bophelo ba Chronic Chronic Prostatitis Symptom Index (NIH-CPSI), ho tšoana le letšoao (PLS) ho hlalosoa e le ho ba le matšoao a fokolang a moriri (LUTS), kapa / le phallo ea phallo le / [12]. Lipalo tsa maiketsetso tsa International prostatic (IPSS), tlhahlobo ea mahlaseli a lik'hamera (DRE), tlaleho ea bongaka ea ultrasound le ho fumana meriana ea anti-androgen e ile ea sebelisoa ho khetholla ho nepahala ha boitsebiso ba bonyane ba prostatic hyperplasia (BPH).

Basebeletsi bohle ba ho ithuta ba ile ba qeta ka katleho lenaneo la koetliso le neng le ba lebisa tlhokomelo ho lipakane tsa thuto le lisebelisoa tse khethehileng le mekhoa e sebelisoang. Tsela e le 'ngoe ea ho itima lijo ka mali e ne e nkoa bakeng sa thiluse ea serum (e lekantsoe ka tšebeliso ea mokhoa o fetotsoeng oa hexokinase enzymatic) le litlhahlobo tsa lipid (li hlahlojoa ka matla a li-enzymatically ka ho sebelisa li-reagents tse fumanehang khoebong) [13]. Litapole tse peli tsa li-sampuli tsa mali tseo e seng tsa ho itima lijo li ne li huloa bakeng sa litekanyetso tsa li-hormone [14], [15], [16] le prostate specific antigen (TPSA) e feletseng [17], ka ho latellana. Liteko tsohle tsa mali li ne li khannoa setsing sa laboratori tsa litsebi (Renji Hospital, Shanghai, Chaena).

Tlhahlobo ea Litekanyetso

Litho tsa sehlopha kaofela li arotsoe ka lihlopha tse 'nè ho ea ka karolelano ea lilemo tsa baahi ba batlisisitsoeng (40-51, 52-59, 60-64, le 65-80). Boemo ba ho kopanela liphate bo arotsoe ka lihlopha tse 'nè: ha e le ED, e bonolo ED, e leka-lekaneng ho ea boemong bo matla ba ED le boemo ba bosodoma. Tsela e le 'ngoe ea ANOVA (data e ne e kopana le tlhahiso e tloaelehileng), Kruskal-Wallis (tlhahlobo e ne e kopana le tlhahiso e sa tloaelehang) le litlhahlobo tsa square (tse boemong ba boemo bo phahameng) li ne li sebelisetsoa ho bapisa har'a lihlopha tse' nè ho tsona tsohle tse amanang le tsona, 'me khalemelo ea Bonferroni e ne e sebelisoa ho loantša khethollo ea litšoantšiso tse ngata. Qetellong, li-multivariate tsa mefuta-futa ea mefuta ea lipatlisiso li batlisisitsoe hore na na priori e ikemiselitse ho ba le litšobotsi tse tloaelehileng, litšoaneleho tsa bophelo bo botle le tsa bophelo bo amanang le boemo ba thobalano Mefuta e tsoelang pele e ne e fanoa e le e bolelang ± ho fapana ho feletseng (SD) kapa e bohareng (e fokolang-boholo). Statistical P<0.05 e ne e nkuoa e le sesupo sa liphapang tse hlakileng tsa bongaka lipakeng tsa lihlopha. Liphuputso tsohle tsa lipalo li entsoe ho sebelisoa SPSS13.0 (SPSS Inc., Chicago, Illinois, USA).

Results

Ho bahlankana ba 1,720 ba amohelehang, re fumane likarabo ho tsoa ho lihlooho tsa 1,591 (karolo ea 92.5) le ho hlahloba litekanyetso ho tsoa ho lithuto tsa 1,531 (karolo ea 89.0). Boemo ba batho ba lilemo li fapaneng ba arabelitsoeng ke 12.9% (40-51), 22.6% (52-59), 28.0% (60-64) le 36.4% (65-80), ka ho latellana. Palo e feletseng ea ED le boemo ba bosoha e ne e le 49.9% (765 / 1,531) le 37.2% (569 / 1,531), ka ho latellana. Ho ajoa ha mafu a sa foleng le boemo ba thobalano har'a lihlopha tsa lilemo ho bontšoa ho Setšoantšo sa 1. Mabaka a tobileng a boemo ba bosodoma, ho kenyelletsa le mabaka a mantlha "ha u tsotelle ka thobalano" (53.5%), "bothata ba erectile" (52.9%), "ha ho sa hlokahala ho etsa thobalano le mehleng ena" (47.7%), "matla khatello ea maikutlo "(44.4%) le" masturbatory erection "(26.9%), e ile ea akaretsoa Setšoantšo sa 2.

ponahalo e nyane

Setšoantšo sa 1. Kabo ea mafu a sa foleng le boemo ba thobalano har'a lihlopha tsa lilemo.

doi: 10.1371 / journal.pone.0092794.g001

ponahalo e nyane

Setšoantšo sa 2. Mabaka a tobileng a ho tlohela bosootho ho batho ba sa kopanele liphate.

doi: 10.1371 / journal.pone.0092794.g002

Lethathamo 1 o akaretsitse phapang ea lisosa tsa kotsi tse amanang le ED har'a lihlopha tse 'nè. Boemo ba boemo ba bosupa bo ne bo e-na le botsofali, khatello ea mali e phahameng ea systolic, FBG e phahameng, serum creatinine le TPSA, le ho theola LH; mme o hlahisa ho ata ha lefu la tsoekere le khatello ea meriana.

ponahalo e nyane

Letlapa la 1. Litšoaneleho tsa batho ba bangata le tsa bongaka ba banna ba nang le karolo ho ea ka lintlha tsa IIEF-5.

doi: 10.1371 / journal.pone.0092794.t001

Lethathamo 2 o bontšitse litšebelisano pakeng tsa boemo ba ho kopanela liphate le maemo a kotsi a ED Re sebelisa mekhoa e metle, re ile ra fumana setsoalle se setle pakeng tsa ED e matla le e tsofetseng (karolelano ea (OR) = 8.01, 95% CI: 3.62-17.71; P<0.001), lefu la tsoekere (OR = 2.36, 95% CI: 1.16-4.80; P = 0.02), khatello ea meriana (OR = 1.72, 95% CI: 1.07-2.79; P = 0.03), BPH (OR = 3.58, 95% CI: 1.55-8.25; P = 0.03) le PLS (OR = 5.88, 95% CI: 1.20-28.79; P = 0.03); le kamano e ntle pakeng tsa boemo ba bosoha le botsofali (OR = 18.49, 95% CI: 10.34-33.05; P<0.001), lefu la tsoekere (OR = 2.40, 95% CI: 1.36-4.25; P = 0.003) le khatello ea meriana (OR = 1.78; 95% CI: 1.25-2.55; P = 0.002).

ponahalo e nyane

Letlapa la 2. Mokhatlo oa Bivariate le multivariate oa likarolo tse amanang le thobalano.

doi: 10.1371 / journal.pone.0092794.t002

Puisano

Liphuputso tsa rona, tse thehiloeng boitsebisong ba sechaba ba Shanghai, li bontšitse hore batho ba baholo le ba baholo ba lilemong tsa bohareng ba na le mathata a thobalano, mme ho feta moo, banna ba bangata ba hlahisitse boemo ba bochaba. Banna ba nang le boemo ba bosupa ba ne ba e-na le mabaka a mangata a kotsi ho feta batho ba bangata ba ED le mabaka a mangata a ho felisoa ha bona a ne a amahanngoa le ho se sebetse ha erectile, ha banna ba seng bakae feela ba nang le boemo ba bosodoma ba tlalehile hore ba e-na le tloaelo e tloaelehileng nakong ea ho ipholla litho tsa botona kapa botšehali.

Mathata a mangata le a tloaelehileng a kotsi a ED nakong ea thuto ea rona a tšehetsa lipatlisiso tsa pele linaheng tsa Asia le Bophirimela [18], [19], [20], [21]. Lintho tse ikhethileng tsa kotsi tsa ED li kenyeletsa botsofali, lefu la tsoekere, khatello ea meriana, BPH le PLS, le botsofali e ne e le boipaki bo ikemetseng. Leha ho le joalo, re boetse re fumane phapang e 'maloa ho baahi bana. Ho ata ha ED ho banna ba nang le 40-51 lilemo e ne e le 58.6%, e bonahalang eka e fapane le boitsebiso ba lipatlisiso tsa khale tsa mafu (ho tloha 2% ho ea 39% ho banna ba pakeng tsa lilemo tsa 40 le 50 lilemo) [22]. Ho ata ha ED nakong ea sehlopha sa lilemo tsa 40-51 ho ka hlalosoa e le tsena: pele, bopaki bo eketsehileng lilemong tsa morao tjena bo bontšitse hore liketsahalo tsa ED li ntse li eketseha haholo ho banna ba banyenyane le ba lilemong tsa bohareng [23], [24];; sa bobeli, karolo e kholo ea ED e (53.5% ho tsohle, e sa bontšoang liphellong) e hlahisitsoeng sehlopheng sena, seo hangata se hlokomolohuoang mokhoa oa ho kula [25];; sa boraro, tšusumetso ea Sechaba le setso sa Sechaba e ka fella ka tšusumetso e phahameng ea ED ea maikutlo a hlahisoang ke banna ba lilemong tse bohareng [26], ha likarolo tsa IIEF-5 li sa kenyelelletse ED ea kelello [26], [27]. Ho ne ho se na maqhama a bohlokoa pakeng tsa ED, dyslipidemia le mekhoa ea bophelo, e ka 'nang ea fapana le lintlha tsa lipatlisiso tsa Italy tseo bakuli ba nang le dyslipidemia [28] kapa / le mekhoa e mebe [29], [30] e ne e le kotsing e kholo ea ho ntlafatsa ED. Liphuputso tsena tse sa lumellaneng li ka bakoa ke phapang ea baahi. Smith le al. [31] o fumane hore ho ne ho se na setsoalle pakeng tsa palo ea IIEF-15 kapa boima ba ED le serum cholesterol le maemong a triglyceride, le Hall et al [32] hape ho fumanoe hore ho ne ho se na kamano e ntle lipakeng tsa hyperlipidemia e sa alafshoang le ED ka mofuta oa multivariate. Ho batho ba ithutoang, lithuto tse ngata li ne li tsofetse (liphesente tse 64.5> lilemo tse 60) 'me li na le mafu a ntseng a eketseha a tsamaiso, ka hona boemo ba bona bo bobe ba bophelo bo ka ba khothaletsa ho ntlafatsa mekhoa ea bona ea bophelo (mohlala, ntlafatso ea lijo le boits'oaro ba boikoetliso), tse ba ka rua molemo taolong ea bona ea dyslipidemia le botenya. Empa ka lehlakoreng le leng, liphuputso tsena li khothalelitse hore ED sehlopheng sena e ka angoa haholo ke mafu a tsamaiso ho fapana le maemo a mabe a bophelo.

Lenane la IIEF (kapa IIEF-5) le sebelisoa haholo ho hlahloba mosebetsi oa erectile [33], [34]. Leha ho le joalo, lipotso tsena, ha li na tlaleho ea banna ba "se nang liketso tsa ho kopanela liphate libeke tsa ho qetela tsa 4", ho lekanyelitsoe ho hlahloba boemo ba bosomane bo hlalosoang mona bo se nang boiteko ba ho kopanela liphate ka likhoeli tse fetang 6. Kaha ha ho na litlhahiso tse tobileng bakeng sa ho hlahloba bolulo ho latela tataiso ea bongaka, litaba tse nang le boemo ba ho tlohela maemo a tloaelehileng hangata li aroloa ho batho ba ithutoang litlalehong tse ngata. Leha ho le joalo, karabo ea potso ena ke ea bohlokoa ka ho khethehileng kaha ho na le palo e kholo ea batho bao bonyane ba nang le tšebelisano-'moho ea nakoana, haholo-holo batho ba tsofetseng [35], [36]. Thutong ea rona, 37.2% ea banna ba lilemong tse bohareng le ba baholo ba ne ba hlahisa maemo a bochaba, kahoo ho bontša hore tlhahlobo ea karoloana ena e ke ke ea hlokomolohuoa. E le ho hlakisa boemo bo sa utloahaleng ba mosebetsi oa erectile (e phethiloeng ED kapa mosebetsi o tloaelehileng oa erectile) sehlopheng se nang le maemo a bochaba, re ne re bapisa maemo a boemong ba bosupa ka mokhoa o feteletseng oa ED le o se nang ED ka maemo a kotsi a amanang le ED. Mantsoe a kotsi a feto-fetohileng a lilemo tsa 60-64 le lilemo tsa 65-80 ho batho ba arabelang ka maemo a bochaba ba ne ba phahametse haholo ho feta sehlopha se nang le maemo a boima ho feta ED ka 2.5 fold le 2.2 fold, ka ho latellana. Ho feta moo, likotsi tsa lefu la tsoekere le khatello ea meriana ho banna ba nang le boemo ba bosupa li ne li le ngata ho feta banna ba ED. Liphuputso tsena li ile tsa fana ka maikutlo a hore boholo ba linyeoe tse nang le boemo ba bosoha bo ka 'na ba amana le ED e feletseng, e utloisisoang kaha banna ba bangata ba nang le maemo a boemong ba bosoha ba ne ba lahlehetsoe ke ho kopanela liphate ka tsela e tloaelehileng.

Ka boiteko ba ho netefatsa se boletsoeng ka holimo, re le batho ka bomong re ile ra bokella mabaka a boipheliso ba bosootho ho banna bao ntle le thobalano. Boitsebiso ba boipheliso boithutong ba rona bo bontšitse hore 52.9% ea banna boemong ba maemo a boemong bo sa tloaelehang ba ne ba nkoa e le "bothata ba erectile" e le lebaka le ka sehloohong la bosootho bona, bo tšehetsang bopaki bo boletsoeng ka ho toba. Ho feta moo, litletlebo tsa "khatello ea maikutlo" (44.4%), "mokhathala o matla" (26.3%), "ho kopanela liphate hampe" (4.4%) le "khotsofalo ea bophelo bo fokolang" (3.0%), e emelang sechabeng, kelellong le 'meleng khatello ea maikutlo e bakang liphello tse mpe litabeng tsa thobalano le ho tsosoa [37], [38], e ne e boetse e le mabaka a ho nts'etsopele ea bosupa ho baahi bana. Liphuputso tsena li hlalositsoe ka karolo ea hore na ke hobane'ng ha banna ba bangata ba nang le boemo ba bosupa ba e-na le bothata ba erectile. Re hlokometse hore banna ba bangata ba nang le maemo a tlokotsing ba nkoang "ha ba tsotelle ka thobalano" (53.5%) le "ha ho sa hlokahala hore ba kopanele liphate nakong ena" (47.7%) e le mabaka a mang a mabeli a ka sehloohong a bosodoma, 'me ho bonahala eka banna ho fana ka mabaka ana ho ka 'na ha e-ba le mosebetsi o tloaelehileng oa erectile. Ha e le hantle, ts'ebetso ena e ne e ameha ka lintlha tse peli: boikutlo ba ho kopanela liphate le ho hloka thobalano. Ha banna ba bangata ba nang le maemo a tlokotsing ba nyalane kapa ba e-na le bophelo ba pele bo kopanetsoeng ba thobalano, boemo ba bosupa mona bo fapane le boemo bo ts'oarellang ba bosodoma bo sa khaotseng ho kopanela liphate le botšepehi bo bakoang ke litumelo tsa motho ka bomong kapa tsa bolumeli kapa / le thobalano [39]. Kahoo, lebaka le ka sehloohong la phapang ea maikutlo a thobalano e ka 'na ea e-ba taba ea hore liketso tsa thobalano li ka senya bophelo ba tsona bo ntseng bo mpefala le ho feta. Ho haella ha litabatso tsa thobalano ho ka 'na ha amahanngoa le botsofali (ho bolela lilemo tse 65.70 ± 8.20), tekanyo e tlase ea testosterone (ha e bapisoa le e seng ED) le ho tsamaea le maloetse a sa foleng, a lumellanang le boitsebiso ho Europe Male Aging Study (EMAS) [40]. Ho fokotseha ha litekanyetso tsa tesumsterone tsa serum li ka lebisa ho lahleheloa ke libido [41], le ho haelloa ke testosterone ea serum ho ka etsa hore erectile e se ke ea sebetsoa ka ho fokotsa matla a penile arterioles le cavernous sinusoids [42]. Ka hona, maikutlo a fapaneng a thobalano le takatso e tebileng ea ho kopanela liphate e ne e amana le lisosa tsa kotsi tsa ED hape.

Banna ba nang le maemo a se nang molekane le phihlelo ea ho ipholla litho tsa botona kapa botšehali ba ka 'na ba fana ka maikutlo a hore ba boloka mosebetsi o tloaelehileng oa erectile esita leha ba sa kopanele liphate tsa thobalano. Leha ho le joalo, re fumane hore karolo e fokolang ea banna ba nang le boemo ba asexual e nkiloeng e le "masoha, bahlolohali, ba hlalane kapa ba arohane" (4.3%) e le mabaka a ho felisa bosoha boithutong. Le hoja hoo e ka bang kotara ea banna ba nang le bosodoma ba tlaleha hore ba na le boiphihlelo ba masturbatory, ke 35.3% feela ea bona (9.5% ho tsohle) ba nahanang hore ba na le masturbatory erection e tloaelehileng. Ka bokhutšoanyane, le hoja ho ile ha tlalehoa mabaka a sa tšoaneng a bosupa, bongata ba bona bo ne bo ka bakoa ke bothata ba erectile le mabaka a eona a kotsi.

Phuputso ena e na le matla a 'maloa, ho kenyeletsoa moqapi oa lihlopha tsa thuto ea sehlopha se nang le baahi, boholo ba sampula ea boholo-holo le litekanyetso tse tloaelehileng tse entsoeng ke ba buisanang le baithuti ba koetlisitsoeng. Khethollo ea khethollo e ile ea fokotsoa ka lebaka la litekanyetso tse phahameng tsa ho arabela (92.5%). Habohlokoa, re hlalositse maemo a bochaba ka lihlooho tse nepahetseng le tse khetholloang ka ho felisoa ha karolo ea bosupa e le karoloana ea tlhahlobo. Ho hlahlojoa ha boemo ba bosootho ho latela bophelo bo botle ba ho phela ka nako e telele ho ka eketsa lingoliloeng ha ho na tlhahiso e tobileng bakeng sa ho hlahloba bochaba ba teng nakong ea tloaelo ea bongaka. Leha ho le joalo, meeli ea thuto ena e lokela ho nkoa e le tlhaloso ea liphello. Joaloka liphuputso tse ngata tsa lipatlisiso, ntho e 'ngoe e amehang ke hore litlaleho tse ling li ne li itlalehile, le hoja mekhoa ea lipuisano e amoheloa e le ea bohlokoa. Ho rarolla bothata bona, re bokelitse dintlha tse ngata ka sepheo se ka kgonehang bakeng sa ho tshehetsa ditshwantsho tsa boitsebiso. Ntho e 'ngoe e amehileng ke hore ha rea ​​ka ra bokella boitsebiso bo qaqileng bo mabapi le boemo bo botle ba balekane ba basali mme ha rea ​​hlahloba le ho sekaseka maemo a bophelo bo botle ba nako e telele bo fapaneng le bochaba ba nakoana boemong ba rona.

Qetellong, boemo ba bosodoma bo ne bo atisa ho ba banna ba lilemong tsa bohareng, 'me banna ba nang le boemo bona ba ne ba e-na le mabaka a mangata a kotsi a ED ho feta banna ba nang le bo-ED. Boholo ba boemo ba bosodoma bo ka bakoa ke boemo ba ED e feletseng, le hoja mabaka a boemo ba bosupa a boetse a amana le maikutlo a litabeng tsa thobalano, balekane ba thobalano le ho ipholla litho tsa botona kapa botšehali. Ho hlokahala liphuputso tse eketsehileng bakeng sa ho etsa lipatlisiso tse nepahetseng ho hlahloba ho ata ha mosebetsi oa erectile molemong oa batho ba nang le boemo ba bosoha, hape ho khetholla karoloana ea banna ba lulang ka nako e telele, ho kenyelletsa le banna ba bangata haholo, ke hore, ho fihlela lilemong tsa 18. Metsoalle ena e tla boela e thuse ho hlalosa lintlha, ho sa tsejoe hona joale, tse ka 'nang tsa susumelletsa banna ba bacha hore ba se ke ba rata bophelo ba thobalano.

lumela hore baa fokola

Bangoli ba ka rata ho leboha Moprofesa Cadavid Nestor Gonzalez-Cadavid (Lefapha la Urology, UCLA School of Medicine, Univesithi ea Charles Drew) bakeng sa thuso ea hae ka buka ena e ngotsoeng ka letsoho.

Menehelo ea Mongoli

O na le maikutlo a bile a etselitse liteko: BC YW YH. E entse liteko: PP HW KH HY TF YJ TZ YH. O ile a hlahloba data: YH HW KH HY TF YJ TZ. Ho nehelanoa ka li-reagents / lisebelisoa / lisebelisoa tsa ho hlahloba: KH HY TF YJ TZ. Leqephe lena le ngotse: YH HW. Revising It for Intellectual Content: Bin Chen Ping Ping Hong-Xiang Wang Kai Hu Hao Yang Tan Feng Yan Jin Tao Zhang.

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