男性特发性间质性肺炎患者勃起功能障碍的预测因素

IF 1 Q4 RESPIRATORY SYSTEM
D. Magdy, A. Azouz, Randa A. El Zohne
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引用次数: 1

摘要

背景:在特发性间质性肺炎(IIPs)患者中,性功能障碍是一个被忽视的领域。因此,本研究的目的是确定男性iip患者勃起功能障碍(ED)的患病率及其预测因素。患者与方法共对65例男性患者(45例IIPs, 20例对照组)进行评估;临床数据,睾酮水平,肺功能测试,动脉血气,和自我报告的勃起功能问卷。结果本组患者ED患病率为66.7%,重度ED占11.1%,平均年龄为33.4±5.9岁。其中60%为吸烟者,17.8%为不吸烟者。合并症表现中,高血压26.7%,糖尿病51.1%,血脂异常42.2%,缺血性心脏病17.8%。诊断为IIPs的平均时间为7.46±2.77年,而ED的平均时间为2.17±1.3年。IIPs组平均动脉血氧压(PaO2)和血氧饱和度(SaO2)明显降低。平均一氧化碳弥散肺容量(DLCO%)和睾酮水平均降低。严重弥散缺损患者睾酮水平明显降低(P=0.000)。PaO2(≤60mmhg)、SaO2(≤88%)和DLCO≤60%是ED的主要预测因子。结论ED是iip患者的常见病。因此,医生应该记住,IIPs患者需要一个全面的性评估。这是第一个报道低PaO2、SaO2和DLCO≤60%是预测危险因素的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of erectile dysfunction among male patients with idiopathic interstitial pneumonias
Background Sexual dysfunction is a neglected area among patients with idiopathic interstitial pneumonias (IIPs). Hence, the aim of this study is to identify the prevalence of erectile dysfunction (ED) and its predictors in male patients with IIPs. Patients and methods A total 65 male patients (45 IIPs and 20 controls) were assessed; clinical data, testosterone levels, pulmonary function tests, arterial blood gases, and self-reported questionnaires on erectile function. Results The prevalence of ED was 66.7 and 11.1% of them presented with severe ED. The mean age of the patients was 33.4±5.9 years. Of the patients, 60% were smokers and 17.8% were nonsmokers. Regarding comorbid manifestations, 26.7% was hypertensive, 51.1% had diabetes mellitus, 42.2% with dyslipidemia, and 17.8% had ischemic heart disease. The mean duration since the diagnosis of IIPs was 7.46±2.77 years, whereas the mean time since evolution of ED was 2.17±1.3 years. A significant decrease in mean arterial oxygen tension (PaO2) and oxygen saturation (SaO2) were observed in the IIPs group. Also, the mean diffusion lung capacity for carbon monoxide (DLCO%) and testosterone level were decreased. A significant decrease in testosterone level among patients with severe diffusion defect was observed (P=0.000). The most predictors for ED were PaO2 (≤60 mmHg), SaO2 (≤88%), and DLCO≤60%. Conclusion ED is a common problem in patients with IIPs. Thus, physicians should keep in mind that IIPs patients need a comprehensive sexual evaluation. This is the first study to report that low PaO2, SaO2, and DLCO≤60% were the predictor risk factors.
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来源期刊
Egyptian Journal of Bronchology
Egyptian Journal of Bronchology RESPIRATORY SYSTEM-
自引率
7.70%
发文量
56
审稿时长
9 weeks
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