【摘要】：目的研究2型糖尿病男性患者中心血管危險因素與勃起功能障礙(ED)的關(guān)系。方法選取160例男性2型糖尿病住院患者為研究對象,采用國際勃起功能指數(shù)-5(IIEF-5)問卷評估勃起功能。根據(jù)評分結(jié)果將患者分為觀察組(86例2型糖尿病合并ED的男性患者)及對照組(74例2型糖尿病不合并ED的男性患者)。比較兩組患者的相關(guān)心血管臨床指標(biāo),采用二項分類Logistic回歸分析ED的影響因素。結(jié)果觀察組中高血壓、糖尿病視網(wǎng)膜病變、糖尿病腎病、冠心病的比例較對照組高(P0.05)。觀察組患者頸內(nèi)動脈內(nèi)膜中層厚度(IMT)、尿白蛋白/肌酐比值(尿A/C比值)高于對照組(P0.05)。二項分類Logistic回歸分析顯示,在2型糖尿病男性患者中,IMT、Log尿A/C比值與ED相關(guān)(P0.05)。結(jié)論 2型糖尿病合并ED的男性患者更可能患有心血管疾病。早期檢測與管理ED發(fā)病情況有利于提高2型糖尿病男性患者生活質(zhì)量以及幫助識別高心血管疾病風(fēng)險的糖尿病患者。
[Abstract]:Objective to study the relationship between central vascular risk factors and erectile dysfunction (ED) in male patients with type 2 diabetes mellitus. Methods 160 male inpatients with type 2 diabetes mellitus were selected and the erectile function was evaluated by International erectile function Index-5 (IIEF-5) questionnaire. According to the results of the score, the patients were divided into observation group (86 male patients with type 2 diabetes mellitus complicated with ED) and control group (74 male patients with type 2 diabetes mellitus without ED). The cardiovascular clinical indexes of the two groups were compared, and the influencing factors of ED were analyzed by binomial Logistic regression. Results the proportion of hypertension, diabetic retinopathy, diabetic nephropathy and coronary heart disease in the observation group was higher than that in the control group (P 0.05). The ratio of urinary albumin / creatine (urinary A 鈮，

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