不同类型早泄患者早泄诊断工具评分与国际勃起功能指数-15的相关性分析

Correlation between premature ejaculation diagnostic tool and International Index of Erectile Function-15 in different types of premature ejaculation

目的:探讨不同类型早泄(PE)患者早泄诊断工具评分(PEDT)与国际勃起功能指数-15(IIEF-15)的相关性。方法:选取2014年12月至2015年12月就诊于男科门诊352例不同类型PE患者及来自体检中心的104例自述无PE的健康体检男性作为研究对象,调查内容包括基本人口统计学信息(年龄、身高、体重、学历、职业、月收入等)、PEDT和IIEF-15。结果:PE患者的PEDT评分显著高于对照组[(13.22±3.25)分vs(5.32±3.42)分],而IIEF-15评分显著低于对照组[(43.54±7.17)分vs(52.66±6.86)分],差异均具有统计学意义(P<0.01);PE组PEDT评分与IIEF-15总评分以及勃起功能、性交满意度、总满意度评分3个维度均呈负相关(P均<0.05)。同时,获得性早泄(APE)患者的IIEF-15评分显著低于原发性早泄(LPE)患者(P<0.01)。APE组中PEDT评分与IIEF-15总评分以及勃起功能及总满意度评分两个维度呈负相关,相关系数分别为-0.391、-0.362、-0.621(P均<0.01),而与性交满意度、性高潮、性欲均无相关性;LPE组中PEDT评分与性交满意度呈负相关,相关系数为-0.286(P<0.05),而与IIEF-15总评分、勃起功能及总满意度评分、性高潮、性欲均无相关性。结论:PE组较对照组具有较高的PEDT评分和较低的IIEF-15评分。APE患者PEDT评分与IIEF-15总分显著相关,LPE患者PEDT评分与IIEF-15总分无相关性,但与性交满意度具有相关性。

Objective ： To investigate the correlation between the premature ejaculation diagnostic tool （PEDT） and Internation- al Index of Erectile Function-15 （ IIEF-15 ） in different types of premature ejaculation （PE）. Methods ： We performed a cross-section survey among 352 PE patients received in the andrology clinic from December 2014 to December 2015 and 104 healthy men from the health examination center using basic demographic information （as on age, height, weight, education status, oecupation, income, etc. ）, PEDT results, and IIEF-15 scores of the subjects. Results： The PE patients had remarkably higher PEDT and lower IIEF-15 scores than the healthy men （P 〈 0.01 ）. The PEDT score of the PE patients was negatively correlated with their total IIEF-15 score as well as with the scores in the domains of erectile function, sexual intercourse satisfaction, and overall satisfaction after adjusted for age（P 〈0.01 ）. The patients with acquired PE （APE） showed a lower IIEF-15 score than those with lifelong PE （LPE） （P 〈 0.01 ）. The PEDT score of the APE patients was correlated negatively with the total IIEF-15 score （ r = - 0. 391, P 〈 0.01 ） and the scores in the domains of erectile function （ r = - 0. 362, P 〈 0.01 ） and overall satisfaction （ r = - 0. 621, P 〈 0.01 ）, but not correlated with intercourse satisfaction, sexual orgasm, or sexual desire. The PEDT score of the LPE group was correlated negatively with intercourse satisfaction （r = -0.286, P 〈 0.05 ） but not correlated with either the total IIEF-15 score or the scores in the domains of erectile func- tion, overall satisfaction, sexual orgasm, or sexual desire. Conclusion： PE patients have a higher PEDT score and a lower IIEF-15 score than normal males. The PEDT score of APE patients is significantly correlated with the total IIEF-15 score, while that of LPE pa- tients is correlated not with the total IIEF-15 score but with intercourse satisfaction.