【摘要】 本文对48名男性糖尿病患者作了性功能的调查。除5例外,均有不同程度的性功能减退。性功能减退可与糖尿病症状同时或提前出现,大多数在糖尿病症状出现后出现。糖尿病患者血浆睾酮（T）比正常人低（P<0.01）,雌二醇（E₂）比正常人高（P<0.05）。T、E₂与LH及FSH之间无相关性。我们认为睾丸（可能还有阴茎）小血管病变与骨盆自主神经病变可能均为糖尿病患者性功能减退的主要致病因素。更多还原

【Abstract】 Sexual function was studied in 48 male Type II diabetics together with 9 normal males as controls, all cases except 5 had various degrees of sexual dysfunction, which occurred predominatingly after, simultaneously with or before the onset of diabetic symptoms.The levels of plasma testosterone in diabetics were lower, and the plasma estradiol levels were higher than that of controls (p<0.01 and p<0.05 respectively). No correlation could be found between the levels of testosterone as well as estradiol and that of LH and FSH.Based on our own clinical observations and laboratory data in addition to the results reported by other authors it seems likely to us that both the testicular ( and perhaps penile) microangicpathy and pelvic autoncmic neuropathy might be the main factors in the pathogenesis of the sexual dysfunction in male diabetics.更多还原