在左心室辅助装置支持下患者的勃起功能障碍和生活质量 - - 一个不言而喻的问题
Aiste Monika Jakstaite1, Peter Luedike1, Simon Wernhart1
1Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center, University Hospital Essen, Hufelandstrasse 55, 45147 Essen, Germany.
International journal of cardiology. Heart & vasculature
|September 4, 2023
概括
勃起功能障碍 (ED) 在左心室辅助器件 (LVAD) 患者中非常普遍,影响生活质量 (QoL) 和抑郁症. 解决ED对于改善这些个体的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
背景情况:
- 包括勃起功能在内的生活质量 (QoL) 领域在左心室辅助器件 (LVAD) 患者中研究不足.
- 在LVAD患者中,勃起功能障碍 (ED) 的患病率及其对QoL和抑郁症的影响需要进一步调查.
研究的目的:
- 为了确定成年男性LVAD患者勃起功能障碍 (ED) 的患病率.
- 在这个人群中评估ED,QoL和抑郁症之间的关联.
主要方法:
- 对56名临床稳定的成年男性LVAD患者 (植入后≥3个月) 的前性,单中心,横截面研究.
- 使用国际勃起功能指数 (IIEF-5) 评估勃起功能.
- 使用堪萨斯城心肌病问卷 (KCCQ) 和患者健康问卷 (PHQ-8) 评估了 QoL 和抑郁症.
主要成果:
- 观察到ED的高患病率 (80%),明显超过其他心血管疾病的患病率.
- 患有ED的患者年龄较大,并减少了6分钟的步行距离.
- 勃起功能与抑郁症和QoL相关,但与并发症或心力衰竭药物无关.
结论:
- 勃起功能障碍 (ED) 是LVAD患者的一个重要问题,影响他们的生活质量 (QoL).
- 在全面的管理战略中,ED需要有针对性的关注,以提高LVAD植入后的QoL.
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