实用老年医学

实用老年医学 ›› 2010, Vol. 24 ›› Issue (1): 59-.

• 论著 • 上一篇    下一篇

老年勃起功能障碍与下尿路症状相关性的研究

  

  • 出版日期:2010-02-20 发布日期:2010-03-26

Correlation of erectile dysfunction with lower urinary tract symptoms in elderly people

  • Online:2010-02-20 Published:2010-03-26

被引次数

1

摘要：

目的了解老年勃起功能障碍（ED）患者的下尿路症状（LUTS）程度，评估ED与LUTS之间的相关性。方法对67例老年ED患者按照国际前列腺症状评分（IIPS）分为轻度、中度、重度LUTS 3组，比较3组间国际勃起功能指数5（IIEF5）评分和阴茎海绵体动脉的收缩期最大血流速率（PSV）和舒张末期血流速率（EDV）。结果3组间随着LUTS程度逐渐加重，IIEF5评分、PSV呈下降趋势，其中轻度LUTS组与中度、重度LUTS组间比较差异均有统计学意义(P＜005)。3组间EDV比较差异无统计学意义(P＞005)。结论老年ED患者性生活的质量与LUTS程度相关，对阴茎血流动力学的影响可能是LUTS影响ED程度的途径。

Abstract:

ＯｂｊｅｃｔｉｖｅTo investigate the degree of lower urinary tract symptoms (LUTS) in elderly people with erectile dysfunction (ED) and evaluate the correlation between ED and  LUTS.ＭｅｔｈｏｄｓTotal 67 patients were divided into mild group, moderate group and severe group according to international prostate symptom score (IPSS). Every patient took a 5item version of the international index of erectile function ( IIEF5) test. The peak systolic velocity (PSV) and end diastolic velocity (EDV)of cavernosal artery were measured by color doppler ultrasonography.Then the results were statistically analyzed.ＲｅｓｕｌｔｓThe means of IIEF5 scores and PSVs decreased along with the progression of LUTS and significant differences were found when mild group comapared with moderate and severe group(P＜005).There was no significant difference of EDVs among three groups(P＞005).ＣｏｎｃｌｕｓｉｏｎｓThe sexual life quality in elderly persons with ED decreases along with the progression of LUTS and hemodynamic effect may be the cause.