首页|肥胖男性勃起功能障碍的相关因素分析

肥胖男性勃起功能障碍的相关因素分析

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目的 探讨肥胖男性勃起功能障碍(ED)的相关因素。方法 依据国际勃起功能指数(IIEF-5)评分,选取2021-10-2023-02于郑州大学第二附属医院生殖医学中心男科门诊就诊的77例肥胖男性ED患者(ED组),另选取同期于该中心行育前检查的77例肥胖男性非ED者(非ED组)。依据IIEF-5评分将ED患者进行分层分组,轻度组45例,中重度组32例。收集统计2组临床资料和实验室检查数据。分析肥胖男性ED的相关因素。结果 ED组患者的腰臀比(WHR)、体质量指数(BMI),以及同型半胱氨酸(Hcy)、空腹血糖(FPG)水平高于非ED组者,IIEF-5评分低于非ED组者,差异均有统计学意义(P<0。05)。ED程度分层分析结果显示,中重度组患者的年龄、WHR、BMI、Hcy、FPG、甘油三酯(TG)水平高于轻度组,IIEF-5评分低于轻度组,差异均有统计学意义(P<0。05)。结论 WHR、BMI、Hcy、FPG的升高与肥胖男性ED有关;年龄、BMI,以及Hcy、FPG、TG水平对肥胖男性ED诊断及严重程度的评价有一定指导价值。
Analysis of Factors Related to Erectile Dysfunction in Obese Men
Objective To investigate the factors related to erectile dysfunction(ED)in obese men.Methods According to the Inter-national Index of Erectile Function(IIEF-5)score,77 obese male ED patients(ED group)who were treated in the Andrology Clinic of the Reproductive Medical Center of the Second Affiliated Hospital of Zhengzhou University from 2021-10 to 2023-02 were selected,and 77 obese male non-ED patients(non-ED group)who accepted pre-fertilizayion examination in the center at the same time were selected.According to the IIEF-5 score,the ED patients were stratified into groups,with 45 cases in the mild group and 32 cases in the moderate and severe group.Clinical data and laboratory test data of the two groups were collected and statistically analyzed.Then the factors associated with ED in obese men were analyzed.Results The waist-to-hip ratio(WHR),body mass index(BMI),homocysteine(Hcy)and fasting blood glu-cose(FPG)levels in the ED group were higher than those in the non-ED group,and the IIEF-5 score was lower than that in the non-ED group,and the differences were statistically significant(P<0.05).The results of stratified analysis of ED degree showed that the age,WHR,BMI,Hcy,FPG,and triglyceride(TG)levels of the moderate and severe group were higher than those of the mild group,and the IIEF-5 score was lower than that of the mild group,and the differences were statistically significant(P<0.05).Conclusion The elevations of WHR,BMI,Hcy and FPG are associated with ED in obese men.Age,BMI,and Hcy,FPG,and TG levels have certain guiding value in the diagnosis and the severity evaluation of ED in obese men.

Erectile dysfunctionObese menIIEF-5 scoreHcy

冯宗刚、魏磊、贾龙江、程兰兰、谭丽

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郑州大学第二附属医院生殖医学中心男科门诊 郑州 450014

郑州大学第二附属医院泌尿外科 郑州 450014

勃起功能障碍 肥胖男性 IIEF-5评分 Hcy

2024

河南外科学杂志
郑州大学

河南外科学杂志

影响因子:0.709
ISSN:1007-8991
年,卷(期):2024.30(1)
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