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Erectile dysfunction and associated risk factors in male patients with ischemic stroke: A cross-sectional study

机译：缺血性脑卒中患者的勃起功能障碍和相关危险因素：横截面研究

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Patients with ischemic stroke (IS) often suffered from the problem of erectile dysfunction (ED) and psychological disease. However, they are often ignored because these symptoms are more obvious in the convalescent stage of stroke, which affects the quality of sexual life of patients. This study aimed to investigate the incidence of ED, sexual quality of life, and mental state of patients after stroke, as well as analyze the relevant risk factors affecting their psychological status. A total of 361 IS patients were enrolled. The international erectile function index-5 scale was used to diagnose ED. Accordingly, the patients were divided into ED group and non-ED group. Magnetic resonance imaging was used to evaluate the brain lesions of patients. We assessed neurological deficits by the National Institutes of Health Stroke Scale score and patient health questionnaire-9 (PHQ-9) and general anxiety disorder-7 (GAD-7) were used to evaluate the depression and anxiety. The differences between the ED group and the non-ED group clinical factors were compared. The response rate was 88.6% (n = 320), and more than two-thirds of patients reported ED (77.8%). Patients with ED had higher PHQ-9 (8.40 ± 4.18 vs 4.94 ± 3.73, P .01) and GAD-7 (6.73 ± 3.56 vs 4.51 ± 3.35, P .01) scores, were more likely to have the frontal lobe (75.1% vs 49.3%, P .01) and lateral ventricle (69.8% vs 53.5%, P = .01) lesions, with hypertension (75.1% vs 46.5%, P .01) and hyperlipidemia (48.2% vs 25.4%), and on antihypertensive (67.9% vs 35.25, P .01) and hypolipidemic drug (43.4% vs 16.9%, P .01). Multivariate logistic regression analysis showed that antihypertensive drug (odds ratio [OR]: 2.50, 95% confidence interval [CI]: 1.02–6.10, P = .04), depression (OR: 1.18, 95% CI: 1.06–1.32, P .01) and anxiety (OR: 1.13, 95% CI: 1.01–1.27, P = .04) might be the independent risk factors for ED group. ED is more common in male IS patients. Antihypertensive drug, depression and anxiety are the main factors affecting ED.
机译：患有缺血性卒中（是）的患者通常遭受勃起功能障碍（ED）和心理疾病的问题。然而，他们经常被忽视，因为这些症状在中风的康复阶段更加明显，这影响了患者的性生活质量。本研究旨在调查中风后ED，性生活质量和患者的精神状态的发病率，以及分析影响其心理状态的相关风险因素。共有361名患者注册。国际勃起函数索引-5规模用于诊断ed。因此，患者分为ED组和非ED组。磁共振成像用于评估患者的脑病变。我们评估了国家健康卒中规模评分和患者健康问卷调查症-9（PHQ-9）和一般焦虑症-7（GAD-7）评估患者的神经缺陷症来评估抑郁和焦虑。比较了ED组和非ED组临床因子之间的差异。响应率为88.6％（n = 320），超过三分之二的患者报告（77.8％）。 ED患者具有更高的PHQ-9（8.40±4.18 Vs 4.94±3.73，P <.01）和GAD-7（6.73±3.56 Vs 4.51±3.35，P <.01）得分更可能具有额叶（75.1％vs 49.3％，p <.01）和侧脑室（69.8％vs 53.5％，p = .01）病变，高血压（75.1％vs 46.5％，p <.01）和高脂血症（48.2％vs 25.4 ％），抗高血压（67.9％Vs 35.25，P <.01）和低血脂药物（43.4％vs 16.9％，p <.01）。多变量逻辑回归分析表明，抗高血压药物（差异率[或]：2.50,95％置信区间[CI]：1.02-6.10，P = .04），抑郁症（或：1.18,95％CI：1.06-1.32，P <.01）和焦虑（或：1.13,95％CI：1.01-1.27，P = .04）可能是ED组的独立风险因素。 ED在男性中更常见的是患者。抗高血压药物，抑郁和焦虑是影响ED的主要因素。

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