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脊髓损伤后阴茎勃起功能的影响因素分析

Factors Related to Penile Erectile Function for Men with Spinal Cord Injury
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摘要 目的分析男性脊髓损伤患者阴茎勃起功能障碍的相关因素。方法2019年12月至2021年1月,本院男性脊髓损伤患者28例,采用RigiScan检测患者夜间睡眠勃起阴茎的硬度和围度活动指数。根据患者尿道球海绵体反射、肛门自主收缩、肛门触觉和肛门压觉存在与否将患者分组,比较组间硬度和围度活动指数。结果存在尿道球海绵体反射、肛门自主收缩、肛门触觉和肛门深压觉的患者,硬度和围度活动指数较高(|t|>2.19,P<0.05)。结论脊髓损伤患者的尿道球海绵体反射、肛门自主收缩、肛门触觉和肛门深压觉反应可初步预判患者阴茎勃起功能损伤。 Objective To analyze the clinical features related to erectile dysfunction for male patients with spinal cord injury.Methods From December,2019 to January,2021,28 male patients with spinal cord injury were detected the stiffness and periactivity index of penises during night sleep using RigiScan.The patients were grouped as presence or absence of bulbocavernous reflex,anal autonomic contraction,anal tactile sensation and anal pressure sensation,to compare the stiffness and periactivity index between the groups.Results The stiffness and periactivity indexes were more in patients presenting bulbocavernosus reflex,anal autonomic contraction,anal tactile sensation and anal deep pressure sensation(|t|>2.19,P<0.05).Conclusion Bulbocavernous reflex,anal autonomic contraction,anal tactile and anal deep pressure response may predict penile erectile function after spinal cord injury.
作者 刘罡 田闪 白晓晨 齐媛 谢鸿宇 朱玉连 吴毅 LIU Gang;TIAN Shan;BAI Xiao-chen;QI Yuan;XIE Hong-yu;ZHU Yu-lian;WU Yi(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China)
出处 《中国康复理论与实践》 CSCD 北大核心 2021年第7期840-843,共4页 Chinese Journal of Rehabilitation Theory and Practice
基金 国家重点研发计划项目(No.2018YFC2001700) 上海市科技创新行动计划课题(No.20412420200) 上海市临床重点专科项目(No.shslczdzk02702)。
关键词 脊髓损伤 勃起障碍 尿道球海绵体反射 肛门自主收缩 肛门触觉 肛门深压觉 spinal cord injury erectile dysfunction bulbocavernous reflex of urethra anal autonomic contraction anal tactile sensation anal deep pressure sensation
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