功能与性功能障碍之间的关联在2型糖尿病男性和女性中
Alexandra Katsimardou1, Dimitrios Patoulias1, Ioanna Zografou1
12nd Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital "Hippokration", 54642 Thessaloniki, Greece.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
性功能障碍 (SD) 和糖尿病病 (DKD) 在2型糖尿病患者中很常见. 低估计的淋巴膜过率 (eGFR) 与SD,勃起功能障碍 (ED) 和女性性功能障碍 (FSD) 有关.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 糖尿病病 (DKD) 和性功能障碍 (SD) 是2型糖尿病 (T2DM) 的普遍并发症.
- DKD的特征是白膜尿和/或降低估计的球过率 (eGFR).
- SD包括男性的勃起功能障碍 (ED) 和女性的性功能障碍 (FSD).
研究的目的:
- 在T2DM患者中调查DKD和SD (包括ED和FSD) 之间的关联.
- 为了确定DKD或其组成部分 (白血病,低EGFR) 是否与性功能障碍有关.
主要方法:
- 一项涉及T2DM患者的横截面研究.
- 使用国际勃起功能指数 (IIEF) 和女性性功能指数 (FSFI) 问卷进行性功能障碍的评估.
- 评估糖尿病病状况,包括白蛋白尿,蛋白尿和eGFR.
主要成果:
- 性功能障碍在80%的T2DM参与者中普遍存在.
- 在45%的患者中发现了糖尿病病,其中38.5%的患者表现出白蛋白尿/蛋白尿,24.1%的患者的eGFR低于60毫升/分钟/1.73米2.
- 较低的eGFR与SD,ED和FSD显著相关. SD和ED是较低EGFR的显著预测因素.
结论:
- 性功能障碍在老年T2DM患者中非常普遍,近一半患有DKD.
- 估计的淋巴膜过率 (eGFR) 与性功能障碍 (SD,ED,FSD) 有显著的关联.
- 在T2DM患者中,SD和ED是eGFR水平的重要决定因素.
相关概念视频
Chronic Kidney Disease II: Clinical Manifestations
46
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
46
Nursing Assessment of the Genitourinary System I: Health History
34
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
34
Chronic Kidney Disease III: Interprofessional Care
51
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
51
Factors Affecting Renal Clearance: Renal Impairment
125
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
125
Chronic Kidney Disease I: Introduction
48
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
48
Disorders of the Male Reproductive System
481
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
481


