一个有趣的临床现象是,夫妻分别用勃起硬度模型评价勃起功能障碍男性时,男女之间会存在评价差异。这种现象反映了ED患者夫妻之间的沟通和认知问题。为了探讨与这一临床现象相关的影响因素,我们进行了这项有趣的、观察性的、横断面的实地调查。我们于2017年12月至2018年12月在安徽医科大学第一附属医院男科门诊招募了385对夫妇。通过面对面访谈和问卷调查,收集夫妻的人口统计学资料、病史、性行为和ED特征、夫妻的焦虑和抑郁情况。这些夫妇被分为两组,分别由238对夫妇和147对夫妇组成。我们将夫妻分为差异组,分别为触摸勃起硬度模型评价结果不一致的夫妻和触摸勃起硬度模型评价结果一致的无差异组。在有不同评价结果的夫妻组中,男性的勃起硬度等级高于女性伴侣(男性>女性:73.11%)。男<女:26.89%)。差异组和无差异组的IIEF-5评分分别为13.43±5.75和16.82±8.23。 The average grades evaluated from men and women in difference group are 2.79 ± 0.85 and 2.45 ± 0.63, respectively. The average grades evaluated from couples in no difference group are 3.02 ± 0.45. Through statistical comparison and logistic regression analysis, duration of ED > 16 months, seeking treatment from female, negative communication state, and depression from men are the relevant factors accounting for the different evaluation results. This phenomenon reflects the problem of communication and cognition between husband and wife in ED patients. As for couples with these risk factors, we cannot focus only on the oral medication which only restores the penile erectile function. More importantly, we must combine the sexual counseling and sexual knowledge education with the drug treatment. When the two treatments are tightly integrated, not only the penile erection but also the gap of couples can be restored which is the best result of the ED treatment.
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