男性不育患者中勃起功能障碍患病率及相关因素分析

Prevalence of erectile dysfunction and the associated factors in infertile males

目的:调查男性不育患者中勃起功能障碍(ED)的患病率及其相关影响因素。方法:连续选取北京协和医院、北京中医药大学东直门医院及解放军总医院第六医学中心就诊的男性不育患者896例,所有患者均在医师指导下填写自编问卷及IIEF-5以评估其基本信息和勃起功能,进一步通过多因素分析研究影响男性不育患者勃起功能的相关因素。结果:根据IIEF-5问卷的结果,共416例男性不育患有ED(46.43%),其中246例为轻度ED(27.46%),109例为轻中度ED(12.17%),38例为中度ED(4.24%),23例为重度ED(2.56%)。多因素分析显示男性不育患者出现ED与肥胖、高血压、糖尿病呈正相关,与夫妻感情及性生活频率呈负相关。结论:男性不育患者的ED患病率较高,可达到46.43%,但多数为轻症,患有ED与夫妻感情、性生活频率以及既往疾病有关。

Objective:To investigate the prevalence of ED and the associated factors in infertile males.Methods:We continuously selected 896 infertile males present at Peking Union Medical College Hospital,Dongzhimen Hospital and the Sixth Medical Center of PLA General Hospital and evaluated the erectile function of the patients using a self-designed questionnaire and IIEF-5.We analyzed the ED-associated factors by multivariate analysis.Results:Based on the results of questionnaire investigation,there were 416 cases of ED in the 896 infertile males(46.43%),including 23(2.56%)severe,38(4.24%)moderate,109(12.17%)mild-moderate and 246(27.46%)mild cases.Multivariate analysis indicated that the prevalence rate of ED was correlated positively with obesity,hypertension and diabetes,and negatively with husband-wife affection and the frequency of sexual intercourse.Conclusion:The prevalence rate of ED is high in infertile males,mostly mild,and correlated with husband-wife affection,the frequency of sexual intercourse and some diseases.