勃起功能分项量表评定神经性勃起功能障碍的效度和信度

发布时间：2018-08-30 16:03

【摘要】：目的探讨勃起功能分项量表(I-EF)对神经性勃起功能障碍评定的效度及重测信度和评定者间信度。方法对104例男性脊髓损伤患者采用I-EF进行评分,同时测定患者阴茎神经电生理及夜间阴茎勃起;34例患者治疗后再次测评。对21例中度勃起功能障碍(ED)患者,由两名评定者分别测试1次,2~4周后再测评1次。结果球海绵体肌及阴茎背神经可记录到体感诱发电位者,Q1、Q2评分多≥7分;电活动缺失者,评分为3分。夜间阴茎勃起监测有效勃起1~3次者,Q3评分多≥7分;无有效勃起者,评分为3分。骶上完全组与骶完全组比较,反射性勃起、夜间勃起发生率均较高(P0.001)。轻中度ED,治疗后总分提高(P0.05);重度ED治疗前后无显著性差异(P0.05)。重测及评定者间等级相关系数(ICC)分别为0.93及0.90。结论 I-EF评分可作为神经性勃起功能障碍评定的可靠指标。
[Abstract]:Objective to investigate the validity, retest reliability and interpersonal reliability of erectile dysfunction scale (I-EF). Methods one hundred and four male patients with spinal cord injury were assessed by I-EF. The penile neurophysiology and nocturnal penile erectile were evaluated again in 34 patients after treatment. Twenty-one patients with moderate erectile dysfunction (ED) were tested once and again 4 weeks later by two evaluators. Results the somatosensory evoked potentials (SEPs) were recorded in the spongnosum muscle and the dorsal penile nerve. The scores of Q1 and Q2 were more than 7 in the patients with somatosensory evoked potentials and 3 in the patients with lack of electrical activity. The scores of Q3 were more than 7 in those who had 1 or 3 effective erections at night, and 3 in those without effective erections. The incidence of reflex erectile and nocturnal erectile was higher in the suprasacral complete group than in the sacral complete group (P0.001). The total score of mild and moderate ED, increased after treatment (P0.05), and there was no significant difference before and after treatment with severe ED (P0.05). The correlation coefficient between retest and evaluation was 0.93 and 0.90, respectively. Conclusion I-EF score can be used as a reliable index for the evaluation of neurogenic erectile dysfunction.
【作者单位】：首都医科大学康复医学院;中国康复研究中心北京博爱医院泌尿科;
【分类号】：R698.1

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