中青年男性脑卒中患者继发性功能障碍的临床分析

目的:评估中青年男性脑卒中患者前后性功能的变化,并分析影响男性勃起的高危因素。方法:收集2013年10月至2016年10月我院神经内科收治并复诊160例中青年男性脑卒中患者,采取调查问卷方式,对脑卒中前后患者性生活态度、性生活情况及男性勃起功能进行分析,评估影响男性勃起的高危因素。结果:160例患者共获得62份合格问卷;51例(82.3%)患者出现不同程度的性生活质量受损,其中43例(69.4%)患者出现性欲下降,40例(64.5%)患者出现性生活频率降低,38例(61.3%)患者出现男性勃起功能障碍。脑卒中前,患者早泄发生率为12.9%,对性生活满意率为95.2%;脑卒中后早泄发生率为46.8%,对性生活满意度率19.4%。影响男性勃起的高危因素主要和患者吸烟史、合并高血压、对脑卒中复发的担忧及服用降压药β受体阻滞剂有关(P0.05)。结论:中青年男性脑卒中患者性功能损伤严重,并与多种因素相关,加强脑卒中患者吸烟、用药及心理管理,能帮助其性功能恢复。

Clinical analysis of young and middle-aged cerebral apoplexy male patients with secondary sexual dysfunction

Objectives:To explore the changes of sexual function in young and middle-aged cerebral apoplexy male patients and analyze risk factors of erectile dysfunction.Methods:160 patients with cerebral apoplexy were collected in neurology from October 2013 to October 2016.All the patients were surveyed with questionnaire to obtain data regarding their sexual attitudes,sexual life and erectile function.Risk factors of erectile dysfunction were analyzed.Results:62 qualified questionnaires were collected,in which there were 51 cases (51/62,82.3％) with descent quality of sexual life,43 cases (43/62,69.4％) with decreased sexual desire,43 cases (40/62,64.5％) with decreased frequency of sexual activity,38 cases (38/62,61.3％) with erectile dysfunction.Before the stroke,the incidence of premature ejaculation was 12.9％ (8/62,12.9％) and sexual satisfaction was 95.2％ (59/62,95.2％).After the stroke,the incidence of premature ejaculation was 46.8％ and sexual satisfaction of 19.4％.Smoking history,hypertension,concern about stroke recurrence and taking adrenaline receptor blocker were major risk factors of erectile dysfunction (P ＜ 0.05).Conclusion:There is function damage in sexual function of young and middle-aged cerebral apoplexy male patients,which are related to multiple factors.Strengthening the management of smoking,drug use and mental status in young and middle-aged cerebral apoplexy male patients can help their sexual function recovery.