腎移植受者勃起功能障礙的影響因素分析
打開文本圖片集
Analysis of factors associated with erectile dysfunction after renal transplantation
CHEN Hongyang LIU Kepu WEI Di WANG Pinxiao ZHANG Lei GAO Ming ZHANG Geng CHEN Changsheng YANG Lin YUAN Jianlin1
ABSTRACT：Objective To explore the factors influencing erectile dysfunction （ED） in male patients after renal transplantation，so as to provide basis for the prevention and treatment of this disease.Methods Kidney transplant recipients followed up in the Kidney Transplant Clinic of Xijing Hospital during Sep. 2022 and May 2023 were selected as the study objects.Questionnaires were distributed，and the erectile function was measured with Sexual Health Inventory for Men （SHIM）.Factors associated with ED were analyzed with multivariate logistic regression.Results A total of 300 questionnaires were distributed，and 276 valid ones were collected，including 182 cases （65.9%） suffering from ED of varying degrees.Multivariate logistic regression analysis showed that age [（＜30 years/＞50 years，OR：0.120，95%CI：0.033-0.40 P＜0.001），（30-40 years/＞50 years，OR：0.22 95%CI：0.102-0.46 P＜0.001），（＞40-50 years/＞50 years，OR：0.320，95%CI：0.139-0.719，P＜0.01）]，level of International Prostate Symptom Score （IPSS） （OR：1.9 95%CI：1.211-3.248，P＜0.01），International Prostate Symptom Score-Quality of Life item （IPSS-QoL） （OR：1.48 95%CI：1.201-1.85 P＜0.01），and income [（≥10 000 Yuan/＜3 000 Yuan，OR：0.156，95%CI：0.053-0.429，P＜0.001），（5 000-＜10 000 Yuan/＜3 000 Yuan，OR：0.418，95%CI：0.199-0.86 P＜0.05），（≥10 000 Yuan/3 000-＜5 000 Yuan，OR：0.20 95%CI：0.069-0.57 P＜0.01）] were independent and significant factors of ED.
Conclusion The prevalence of ED in renal transplantation recipients is high.Age，income，IPSS and IPSS-QoL are the influencing factors.ED after renal transplantation is not only determined by physical and functional factors，but also closely related to social and psychological factors.
KEY WORDS：surveys questionnaires；quality of life；renal transplantation；erectile dysfunction；lower urinary tract symptoms
摘要：目的 分析腎移植受者勃起功能障礙（ED）的影響因素，為腎移植后ED的防治提供依據(jù)。（剩余8394字）