脊髓损伤后阴茎勃起功能的影响因素分析

doi:10.3969/j.issn.1006-9771.2021.07.017

Abstract

Abstract:

Objective To analyze the clinical features related to erectile dysfunction for male patients with spinal cord injury.

Methods From December, 2019 to January, 2021, 28 male patients with spinal cord injury were detected the stiffness and periactivity index of penises during night sleep using RigiScan. The patients were grouped as presence or absence of bulbocavernous reflex, anal autonomic contraction, anal tactile sensation and anal pressure sensation, to compare the stiffness and periactivity index between the groups.

Results The stiffness and periactivity indexes were more in patients presenting bulbocavernosus reflex, anal autonomic contraction, anal tactile sensation and anal deep pressure sensation (|t| > 2.19, P < 0.05).

Conclusion Bulbocavernous reflex, anal autonomic contraction, anal tactile and anal deep pressure response may predict penile erectile function after spinal cord injury.

Key words: spinal cord injury, erectile dysfunction, bulbocavernous reflex of urethra, anal autonomic contraction, anal tactile sensation, anal deep pressure sensation

CLC Number:

R651.2

LIU Gang,TIAN Shan,BAI Xiao-chen,QI Yuan,XIE Hong-yu,ZHU Yu-lian,WU Yi. Factors Related to Penile Erectile Function for Men with Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 840-843.

Figures/Tables 5

References 22

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组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	13	5.08±2.35	4.62±2.42	5.38±2.56	4.85±2.29
阳性组	15	21.07±6.82	17.13±4.81	24.27±6.99	17.40±4.16
t值		-2.22	-2.33	-2.54	-2.64
P值		0.040	0.032	0.021	0.015

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	19	6.00±1.86	5.00±1.65	6.16±1.77	5.84±1.68
阳性组	9	29.78±10.40	24.67±7.03	35.22±10.23	23.67±6.06
t值		-2.20	-2.72	-2.80	-2.83
P值		0.045	0.024	0.022	0.019

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	14	5.64±2.06	3.93±1.28	6.14±2.12	5.36±1.84
阳性组	14	21.64±7.35	18.71±5.26	24.86±7.59	17.79±4.60
t值		-2.19	-2.73	-2.37	-2.51
P值		0.047	0.015	0.031	0.022

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
阴性组	13	5.47±2.10	5.27±2.11	6.27±2.32	5.80±2.08
阳性组	15	23.08±7.73	18.31±5.51	26.15±7.96	18.23±4.78
t值		-2.20	-2.21	-2.40	-2.39
P值		0.046	0.043	0.030	0.031

组别	n	阴茎头部硬度活动指数	阴茎头部围度活动指数	阴茎根部硬度活动指数	阴茎根部围度活动指数
1组	5	0.60±0.60	0.40±0.40	0.60±0.40	0.40±0.40
2组	10	8.60±2.85	7.50±2.88	9.60±3.09	8.40±2.76
3组	5	5.00±3.58	4.80±2.35	4.80±2.75	6.60±3.31
4组	8	33.50±11.01	27.00±7.41	38.88±10.65	25.63±6.28
F值		4.76	5.94	6.96	6.23
P值		0.010	0.004	0.002	0.003

Factors Related to Penile Erectile Function for Men with Spinal Cord Injury

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