【摘要】 目的:本研究旨在评估老年男性衰弱与勃起功能障碍(ED)的相关性。方法:这项研究以社区为单位，调查对象为中国安徽省阜阳市258例60～83岁的老年男性。每个参与者都需要完成一份标准问卷，包括人口学资料(年龄、身高、体重、教育程度、基础疾病、生活方式等)、病史和性生活史以及中文版Tilburg衰弱指数(TFI)和国际勃起功能指数-5(IIEF-5)。结果:老年男性ED和衰弱的发生率分别为85.27%和75.58%。与非ED组相比，ED组的年龄、配偶年龄、体质量指数(BMI)、糖尿病患病率、TFI评分较高，而不规律性生活比例(每周<1次)明显低于非ED组(P<0.05)。多因素分析显示，糖尿病(OR:3.292,95%CI:1.236～8.768)、不规律性生活(OR:2.425,95%CI:1.114～5.279)和TFI评分(OR:4.502,95%CI:1.905～10.640)是ED的独立危险因素(P<0.05)。校正年龄因素后，TFI评分与IIEF-5评分呈显著负相关(r=-0.124,P=0.048)。结论:这项研究证实老年男性中ED与衰弱有很强的相关性，因此，在老年男性ED患者应更注重衰弱的多维评估和治疗。更多还原

【Abstract】 Objective: To investigate the correlation of frailty with ED in Chinese elderly men. Methods: This community-based study was conducted with a sample of 258 Chinese men aged 60 to 83 years old in Fuyang City, Anhui Province. All the participants completed a standard questionnaire on demographics, lifestyle, underlying diseases and medical and sexual histories. They also scored on the Chinese version of Tilburg Frailty Indicator(TFI) and International Index of Erectile Function-5(IIEF-5). Results: The incidence rates of ED and frailty in the elderly men were 85.27% and 75.58%, respectively. The ED patients, compared with the non-ED males, had a significantly older age([71.25 ± 5.83] vs [66.92 ± 5.44] yr, P < 0.01) and higher body mass index([24.37 ± 3.31] vs [23.35 ± 2.97] kg/m 2, P < 0.05), incidence of diabetes mellitus(38.0% vs 19.2%, P < 0.05) and TFI scores(8.61 ± 4.29 vs 5.95 ± 4.36, P < 0.05), but lower education and frequency of irregular intercourse(less than once a week)(all P<0.05). Multivariate analysis indicated that diabetes(OR:3.292,95% CI:1.236-8.768), irregular intercourse(OR:2.425,95% CI:1.114-5.279), and scores of frailty(OR:4.502,95% CI:1.905-10.640) were regarded as independent risk factors for ED(all P < 0.05). Conclusion: There is a strong correlation between ED and frailty in elderly men. Sexual health care for elderly ED patients should be more focused on the multidimensional assessment and treatment of senile frailty.更多还原