肾移植术后男性性功能的临床研究
Clinical study of male sexual function after received kidney transplantation
目的 评价肾移植术后男性患者的性功能.方法 应用勃起功能国际问卷(ⅡEF),监测血清睾酮、雌二醇和催乳激素水平,对48例尿毒症患者肾移植前、后性功能进行对比研究.结果 肾移植前透析的患者有35例(35/48,72.9%)存在不同程度的勃起功能障碍(ED),肾移植后性功能有明显的改善,15例患者勃起功能恢复,仍有20例(41.7%)患者存在不同程度的ED,移植前后性功能比较有显著差异(P<0.01).肾移植术后IIEF评分均有不同程度的提高(P<0.05);肾移植后血清睾酮水平上升(P<0.05),雌二醇和催乳激素明显下降(P<0.05,P<0.01).结论 肾移植能有效改善肾功能衰竭患者的阴茎勃起状况,受者术后的心理干预、药物干预等均有助于降低ED发病率,提高性生活满意度.
更多Objective To evaluate the male sexual function after received kidney transplantation.Methods The retrospective stuay were made to 48 cases male uremia patients during pro-and post kidney transplantation,to compare the IIEF score,serum testosterone,estradiol and prolacton hormone level changes.Results Pro-kidney transplantation,35 cases(35/48,72.9%)uremia patients suffered from different level erectile dysfunction(ED),but had great improvement after received the kidney transplantation(P<0.01),15cases recovered to normal sexual function,while still 20 cases(41.7%)had ED.Post the kidney transplantation,the HEF score and serum testosterone level increased(P<0.05),the gerum estradiol and prolactin hormone level markedly decreased(P<0.05,P<0.01).ConclusionKidney transplantation can significantly improve the male uremia sexual function.Through post-operation psychological and medicine intervention,it favors to raise the patient sexual satidaction.
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