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张彤, 刘小青, 范谦, 王真. 合并勃起障碍男性冠心病患者冠脉造影分析[J]. 中国公共卫生, 2012, 28(6): 819-820. DOI: 10.11847/zgggws-2012-28-06-38
引用本文: 张彤, 刘小青, 范谦, 王真. 合并勃起障碍男性冠心病患者冠脉造影分析[J]. 中国公共卫生, 2012, 28(6): 819-820. DOI: 10.11847/zgggws-2012-28-06-38
ZHANG Tong, LIU Xiao-qing, FAN Qian, . Characteristics of coronary arteriography among males with coronary artery disease and erectile dysfunction[J]. Chinese Journal of Public Health, 2012, 28(6): 819-820. DOI: 10.11847/zgggws-2012-28-06-38
Citation: ZHANG Tong, LIU Xiao-qing, FAN Qian, . Characteristics of coronary arteriography among males with coronary artery disease and erectile dysfunction[J]. Chinese Journal of Public Health, 2012, 28(6): 819-820. DOI: 10.11847/zgggws-2012-28-06-38

合并勃起障碍男性冠心病患者冠脉造影分析

Characteristics of coronary arteriography among males with coronary artery disease and erectile dysfunction

  • 摘要: 目的分析合并勃起功能障碍(ED)的男性冠心病患者冠状动脉造影表现。方法选择男性冠心病患者197例,接受冠状动脉造影检查和"勃起功能障碍国际指数问卷表(IIEF-5)"评估。结果 197例男性冠心病患者中合并ED患者112例(合并ED组,56.85%),未合并ED的冠心病患者85例(对照组);合并ED组3支病变29例,占25.89%,双支病变51例,占45.54%,平均病变支数5例,占5.88%,均明显多于对照组(36例,42.35%),同时前者的单支病变32例,占38.79%,明显少于对照组44例,51.76%(P均<0.01);合并ED组冠脉重度狭窄27例,占24.11%,中度狭窄50例,占44.64%,以及冠脉狭窄程度评分系统评分(Gensini积分)均明显多于对照组(4例,4.71%和34例,40.00%),同时前者的轻度狭窄35例,占31.25%,明显少于对照组47例,55.29%(P均<0.01)。结论冠心病合并ED常常提示冠状动脉病变范围和程度均较重。

     

    Abstract: ObjectiveTo elucidate the characteristics of coronary arteriography among the males with coronary artery disease(CAD)and erectile dysfunction(ED).MethodsA total of 197 CAD male patients were successively selected to participate an examination of coronary arteriography and a questionnaire survey with International Index of Erectile Function (IIEF-5).ResultsAll 197 males were divided into CAD+ED group(complicated group,n=112,56.85%)and CAD group(control group,n=85).Compared to the control group,the patients in complicated group showed higher proportions of two branches stenosis(45.54% vs 42.35%)and three branches stenosis(25.89% vs 5.88%),and a lower proportion of single branch stenosis(38.79% vs 51.76%)(P<0.01 for all);in addition,the patients in complicated group had higher ratios of severe(24.11% vs 4.71%)and moderate(44.64% vs 40.00%)coronary artery stenosis and a lower ratio of minor coronary artery stenosis(31.25% vs 55.29%)(P<0.01 for all)than the patients in the control group.ConclusionThe CAD patients complicated with ED generally have more severe coronary artery disease than those without ED.

     

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