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目的评价慢性肾脏疾病患者经透析治疗(血液透析和腹膜透析)后的勃起功能。方法对121名慢性肾脏疾病行透析治疗的患者和48名慢性肾脏疾病但肾功能正常的患者(对照组)用IIEF评价其勃起功能。结果血液透析组(HD)、腹膜透析组(PD)、慢性肾病肾功能正常组(对照组)ED发生率分别为80.3%、78.7%和46.2%。HD患者中有20%<50岁和60%≥50岁患有重度ED,只有<50岁患者的重度ED与对照组同一年龄段相比有统计学差异。<50岁组中,中至重度患者的ED发生率明显高于对照组(P<0.001)。PD患者的情况与HD患者的情况类似。结论男性透析患者的ED发生率较高,ED程度较重,今后的临床工作中要更多注意透析患者的整体健康评价。
Objective To evaluate the erectile function of patients with chronic kidney disease after dialysis (hemodialysis and peritoneal dialysis). Methods Eighteen patients with chronic kidney disease underwent dialysis and 48 patients with chronic kidney disease but normal renal function (control group) were evaluated for their erectile function using IIEF. Results The incidences of ED in hemodialysis group, peritoneal dialysis group and chronic renal disease group were 80.3%, 78.7% and 46.2%, respectively. 20% of patients with HD <50 years and 60% ≥50 years of age have severe ED, with only severe ED in <50 years of age having a statistically significant difference from the same age group in the control group. In the 50-year-old group, the incidence of ED in moderate-to-severe patients was significantly higher than that in the control group (P <0.001). The condition of PD patients is similar to that of HD patients. Conclusion The incidence of ED in male dialysis patients is high, and the degree of ED is serious. In the future clinical work, more attention should be paid to the overall health evaluation of dialysis patients.