糖尿病与阳萎

Impotence in Diabetes

本文报告１００例男性糖尿病患者，年龄２５～６８岁。６２例并发阳萎患者的ＬＨ，ＦＳＨ，Ｅ＿２及ＰＲＬ的血清值增加而Ｔ值下降，对ＨＣＧ刺激试验呈阳性反应，其ＰＲＬ对ＭＣＰ兴奋试验反应明显。５１例合并神经病变（主要为周围神经病变）者阳萎发生率为９０％（４６／５１）；５４例合并血管病变者阳萎发生率为３０％（１６／５４），前者对罂粟碱试验呈阳性反应，后者为无反应或弱反应。

In this repout,one hundred men with diabetes,ranging in age from twenty-five to sixty-eight years,were studied。In sixty-two diabetic patients with impotence,an increase ofserum value of LH,FSH,E_2,PRL and decrease of T value as well as a positive response toHCG-stimulation had been observed,and the reaction of exciting test of PRL to MCP wasevident.The incidence of impotence in fifty-one cases complicated with diabetic neuropathy─mainly peripheral neuropathy was ninety percent(46/51)and that in fifty-four patients with peripheral angiopathy was thirty percent(16/54).We found the former presenting positivereaction to papaverine test and the latter being negative or weak reaction。Therefore,it canbe concluded that the most important cause of impotence in diabetes is periphral neuropathy.Secondly the periphral angiopathy.