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基于激励理论分析早泄合并勃起功能障碍的危险因素

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目的 基于激励理论分析早泄(PE)合并勃起功能障碍(ED)的危险因素。方法 选取2022年9月至11月中山大学附属第七医院收治的175例PE患者作为研究对象,将单纯PE患者作为PE组(n=74),PE合并ED患者作为共病组(n=101)。采用基线资料调查量表、早泄诊断工具(PEDT)、国际勃起功能指数-5(IIEF-5)、焦虑自评量表(SAS)对患者进行调查。比较两组基线资料,采用多因素Logistic回归分析PE患者发生ED的危险因素。结果 两组文化程度、饮酒、性生活频率、IIEF-5评分比较,差异具有统计学意义(P<0。05)。多因素回归分析显示,焦虑是PE患者发生ED的危险因素,较高的性生活频率、有饮酒、已育和中学及以上文化程度是保护因素(P<0。05)。结论 PE与ED共病是临床常见的性功能障碍。焦虑可抑制性交的激励效果,较高的性生活频率、有饮酒、已育和中学及以上文化程度可保持性交的激励效果。
Analysis of the risk factors of premature ejaculation combined with erectile dysfunction based on motivation theory
Objective To explore the risk factors of premature ejaculation(PE)combined with erectile dysfunction(ED)based on motivation theory.Methods A total of 175 patients with PE admitted to the Seventh Affiliated Hospital of Sun Yat-sen University from September to November 2022 were regarded as the study objects.Patients with simple PE were classified as the PE group(n=74),and patients combined with PE and ED were classified as the comorbidity group(n=101).Baseline data questionnaire,premature ejaculation diagnostic tool(PEDT),the international index of erectile function-5(IIEF-5),and self-rating anxiety scale(SAS)were used to investigate the patients.The baseline data of the two groups were compared.Multiple Logistic regression analysis was used to explored the risk factors of ED in patients with PE.Results Between the two groups,the educational level,alcohol consumption,frequency of sexual behavior,and IIEF-5 score were statistically significant different(P<0.05).The results of multiple Logistics regression analysis showed anxiety was the risk factor for ED in PE patients,while higher frequency of sexual activity,alcohol consumption,childbearing,and middle school education or above were protective factors(P<0.05).Conclusions Comorbidity of PE and ED is a common sexual dysfunction in clinical practice.Anxiety can inhibit the incentive effect of sex.Higher sexual frequency,alcohol consumption,childbearing and middle school education or above can maintain the incentive effect of sex.

Premature ejaculationErectile dysfunctionMotivation theoryRisk factors

李乃发、陈子健、许红璐

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中山大学附属第七医院男科,广东 深圳 518000

早泄 勃起功能障碍 激励理论 危险因素

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)