阻塞性睡眠呼吸暂停对男性患者性功能影响的临床研究

发布时间：2018-03-18 01:23

  本文选题：性驱动力　切入点：阻塞性睡眠呼吸暂停　出处：《中华男科学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的:探讨男性阻塞性睡眠呼吸暂停(OSA)患者性功能改变的研究方法及影响因素。方法:对81例男性OSA患者,年龄(40.5±8.6)岁与35例健康志愿者,年龄(38.8±10)岁,采用亚利桑那性体验量表(ASEX)与Epworth嗜睡量表(ESS)问卷调查。以ASEX性驱动力项目评分4分归为性驱动力下降组[n=32,年龄(41.97±8.88)岁],评分4归为非性驱动力下降组[n=49,年龄(39.49±8.29)岁],比较患者一般特征与PSG数据。将性驱动力评分与PSG数据做多元线性回归,评价影响性冲动能力因素。结果:OSA组患者ESS评分[(8±5)vs(5±4),P0.05)]、ASEX评分[(10±2)vs(15±4),P0.05)]均显著高于对照组;OSA患者中性驱动力下降组ESS评分[(9±5)vs(6±5),P0.05)]、血氧饱和度低于90%时间(SIT90)[(41.01±26.95)vs(21.87±19.03),P0.05)]显著高于非性驱动力下降组。多元回归分析显示年龄(β=0.25,P0.001)、SIT90(β=0.4,P0.001)影响OSA患者性冲动力评分。结论:OSA影响男性性功能的各个方面,其中以性驱动力下降最突出;夜间缺氧时间及年龄是OSA患者性驱动力下降的独立危险因素;性驱动力下降可视为OSA的一种主要临床症状。
[Abstract]:Objective: to investigate the methods and influencing factors of sexual function changes in male patients with obstructive sleep apnea (OSA). Methods: 81 male patients with OSA, aged 40.5 卤8.6 years and 35 healthy volunteers, aged 38.8 卤10 years. Using the Arizona Sex experience scale (ASEXX) and the Epworth somnolence scale (ESS), the scores of ASEX driving force items were classified as the decreased sexual driving forces group (N32, age 41.97 卤8.88 years), and the score 4 was classified as the non-sexual driving force decline group (nn 49, age 39.49 卤8.29), and the score 4 was classified as the non-sexual driving force decline group (n = 49, age 39.49 卤8.29). Compare patients' general characteristics with PSG data. Make multiple linear regression between sexual driving force score and PSG data. Results the ESS score of the patients in the control group was significantly higher than that in the control group [10 卤2 vs 15 卤4V P0.05], and significantly higher than that in the control group [9 卤5vs6 卤5Vs0. 05], and the blood oxygen saturation was lower than that of SIT90 (41.01 卤26.95vs21.87 卤19.03P0.05), which was significantly higher than that of the control group (9 卤5vs6 卤5Vs0. 05), and the blood oxygen saturation was lower than that of the SIT90 (41.01 卤26.95vs21.87 卤19.03P0.05). Group. Multiple regression analysis showed that age (尾 -0.25g P0.001P0.001) affected the score of sexual impulse power in OSA patients. Conclusion the sexual function of male patients was affected by different aspects of OSA. Among them, the decrease of sex driving force was the most prominent, the time of nocturnal hypoxia and age were independent risk factors for the decrease of sex driving force in OSA patients, and the decrease of sex driving force could be regarded as one of the main clinical symptoms of OSA.
【作者单位】： 江苏大学附属人民医院耳鼻咽喉-头颈外科;
【基金】：江苏省六大人才高峰项目(2011-WSN021D) 江苏省医学科研招标立项课题(H201353) 镇江市科技支撑社会发展项目(SH2012042&SH2014045)~~
【分类号】：R698;R766
，

本文编号：1627377