使用适应性糖尿病并发症严重性指数得分的进展来预测2型糖尿病患男性的勃起功能障碍
Wei Syun Hu1,2, Cheng Li Lin1
1School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.
Postgraduate medical journal
|June 15, 2023
概括
经过调整的糖尿病并发症严重性指数 (aDCSI) 可以帮助对2型糖尿病男性的勃起功能障碍 (ED) 风险进行分层. 较高的aDCSI分数进展表明ED风险增加.
科学领域:
- 内分泌学 在内分泌学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 糖尿病学 糖尿病学
背景情况:
- 勃起功能障碍 (ED) 是患有2型糖尿病 (DM) 的男性常见的并发症.
- 对ED的风险分层对于及时干预和管理至关重要.
- 适应的糖尿病并发症严重性指数 (aDCSI) 是评估糖尿病相关并发症的工具.
研究的目的:
- 评估aDCSI对男性2型糖尿病患者ED风险分层的有用性.
- 确定DCSI分数变化速率与发展ED的风险之间的关联.
主要方法:
- 使用台湾国家健康保险研究数据库进行的回顾性研究.
- 包括84,288名患有2型糖尿病的男性患者.
- 多变量Cox比例危险模型被用来估计调整的危险比率 (aHRs) 以95%的置信区间 (CI).
主要成果:
- 在每年DCSI得分的变化与ED风险之间发现了显著的关联.
- 与得分变化为0.0-0.5/年相比,ED风险的aHR为1.10 (0.90-1.34) 在0.5-1.0/年,4.44 (3.47-5.69) 在1.0-2.0/年,10.9 (7.47-15.9) 在>2.0/年.
结论:
- aDCSI得分的进展是ED风险分层在2型DM男性的潜在指标.
- aDCSI可以作为一种有价值的工具,用于识别需要更密切监测和管理ED的高风险个体.
关键词:
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