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目的本文旨在调查吉林市≥50岁中老年男性患有性功能障碍的发病情况及影响因素。方法 881例中老年男性,采用国际勃起功能问卷评分(IIEF-5)、男性性功能问卷(O’Leary 1995)、国际前列腺症状评分表(IPSS)询问患者一般情况、病史及记录前列腺体积,分析影响中老年男性性功能障碍的危险因素。结果 881例患者中,性欲评分为0~8分,平均评分为(1.9±2.0)分,射精评分为0~8分,平均评分为(2.6±2.4)分。性欲低下、勃起功能障碍(ED)及射精障碍的患病率分别为54.25%、81.72%、35.07%。性欲低下、ED、射精障碍各年龄段发病率比较,差异有统计学意义(P<0.05)。性欲低下、ED、射精障碍的共同危险因素是年龄、心血管疾病、前列腺增生、糖尿病,同时高血压、脑血管疾病、IPSS也是ED的危险因素,但与性欲低下和射精障碍无关。结论随着中老年男性年龄增长、疾病增多,男性性功能障碍患病率也可能不断的增高,尤其是ED。
Objective This study aimed to investigate the incidence and influencing factors of sexual dysfunction in middle-aged and elderly men ≥50 years old in Jilin City. Methods A total of 881 middle-aged and elderly men were enrolled in this study. The general situation, medical history and prostatic volume of the prostate were analyzed by using IIEF-5, O’Leary 1995 and IPSS. Risk factors affecting sexual dysfunction in middle-aged and elderly men. Results Among 881 patients, the scores of sexual desire were 0 to 8, with an average score of (1.9 ± 2.0) points, ejaculation score of 0 to 8, and mean score of (2.6 ± 2.4) points. The prevalence rates of low sexual desire, erectile dysfunction (ED) and ejaculation disorders were 54.25%, 81.72% and 35.07%, respectively. Low libido, ED, erectile dysfunction incidence of various age groups, the difference was statistically significant (P <0.05). ADHD, erectile dysfunction are common risk factors for age, cardiovascular disease, benign prostatic hyperplasia, diabetes mellitus, hypertension, cerebrovascular disease and IPSS are also risk factors for ED, but not related to hypoactive sexual desire and erectile dysfunction. Conclusion As the age of middle-aged men grows and the disease increases, the prevalence of male sexual dysfunction may also continue to increase, especially in ED.