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目的探讨糖尿病患者勃起功能障碍(ED)合并抑郁症的危险因素。方法选取2013年3月—2015年3月辽宁省人民医院收治的男性糖尿病患者95例,根据评估与评分结果不同分为糖尿病无ED及无抑郁症患者组(1组)、糖尿病ED患者(2组)、糖尿病ED合并抑郁症患者(3组),其中1组45例,2组50例,3组37例。观察患者一般资料、并发症及其他生活习惯,分析糖尿病ED合并抑郁症相关危险因素。结果糖尿病ED与抑郁症共病率为74%。2组与3组年龄、糖尿病病程、体质指数(BMI)、空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、肝功能、睾酮水平比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果表明,年龄、糖尿病病程、T水平是糖尿病ED合并抑郁症的相关危险因素。结论糖尿病ED与抑郁症共性较高,年龄、糖尿病病程、T水平是糖尿病ED合并抑郁症相关危险因素。
Objective To investigate the risk factors of erectile dysfunction (ED) with depression in diabetic patients. Methods From March 2013 to March 2015, 95 cases of male patients with diabetes mellitus were admitted to Liaoning Provincial People’s Hospital. According to the results of evaluation and assessment, patients with diabetes without ED and without depression (group 1), diabetic patients with ED (2 Group) and diabetes mellitus (ED) with depression (group 3). There were 45 cases in group 1, 50 cases in group 2 and 37 cases in 3 groups. Observe the general information of patients, complications and other habits, analysis of diabetes mellitus ED associated risk factors associated with depression. Results The prevalence of ED and depression in diabetes was 74%. There were significant differences in age, duration of diabetes, body mass index (BMI), fasting blood glucose (FPG), HbA1c, liver function and testosterone between the two groups (P <0.05). Multivariate Logistic regression analysis showed that age, duration of diabetes and T level were associated risk factors for ED with depression. Conclusion The common features of diabetes mellitus and depression are high. Age, duration of diabetes and T level are risk factors associated with depression and ED in diabetic patients.