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代谢综合征、抑郁及性激素水平对银屑病患者勃起功能障碍的影响

吉苏云 臧志军 马寒 周春 罗玉燕 谷梅

皮肤性病诊疗学杂志Issue(3):189-192,4.
皮肤性病诊疗学杂志Issue(3):189-192,4.DOI:10.3969/j.issn.1674-8468.2015.03.009

代谢综合征、抑郁及性激素水平对银屑病患者勃起功能障碍的影响

Erectile Dysfunction in Patients with Psoriasis:the Interplay of Metabolic Syndrome, De-pression and Hormone

吉苏云 1臧志军 2马寒 2周春 3罗玉燕 4谷梅1

作者信息

  • 1. 广东省皮肤病医院,广东广州 510091
  • 2. 中山大学附属第三医院,广东广州 510630
  • 3. 广东省高州市慢性病防治站,广东广州 525000
  • 4. 广州美莱医疗美容门诊部,广东广州 510500
  • 折叠

摘要

Abstract

Objective:To determine the different prevalence of erectile dysfunction (ED) in psoriasis patients in comparison with a healthy control group, and to explore the association of ED with metabolic syndrome, depressive symptoms and hormonal factors in psoriasis.Methods:Fifty-seven psoriasis patients and 79 control men were interviewed by their doctors and completed a questionnaire containing the five-item version of the International Index of Erectile Function ( IIEF-5) and the Center for Epidemiologic Studies Depression Scale ( CES-D) .The information on age, BMI, blood pressure, serum lipid, blood sugar and serum testosterone level were also collected. Results:Thirty of 57 (52.6%) patients with psoriasis recorded an IIEF-5 score indicative of ED, compared with 29 of 79 (36.7%) in control group, reflecting an age-adjusted odds ratio of 2.29 in favour of the psoriasis group (95%CI 1.06-4.98).A univariate analysis in the psoriasis group indicated that age ( per 5 years) , metabolic syndrome and depressive symptoms were the risk fac-tors for ED.The multivariate logistic regression model indicated that depressive symptoms was an independent risk factor for ED in psoriasis.Conclusions:The incidence of ED is higher in patients with psoriasis.Screening of ED should become a part of routine care in the management of psoriasis patients.

关键词

银屑病/性功能障碍/代谢综合征/抑郁/睾酮

Key words

Psoriasis/Erectile dysfunction/Metabolic syndrome/Depression/Testos-terone

分类

医药卫生

引用本文复制引用

吉苏云,臧志军,马寒,周春,罗玉燕,谷梅..代谢综合征、抑郁及性激素水平对银屑病患者勃起功能障碍的影响[J].皮肤性病诊疗学杂志,2015,(3):189-192,4.

皮肤性病诊疗学杂志

1674-8468

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