失眠,失眠药物和勃起功能障碍之间的关联
Federico Belladelli1, Shufeng Li2, Chiyuan A Zhang3
1Division of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy; Department of Urology, School of Medicine, Stanford University, Stanford, CA, USA.
European urology focus
|September 10, 2023
概括
患有失眠的男性,无论是否接受治疗,都面临着明显更高的发生勃起功能障碍 (ED) 的风险. 失眠治疗也可能与ED治疗处方增加有关.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 失眠影响了三分之一的成年人,并与健康问题有关.
- 失眠及其治疗可能会对男性勃起功能产生负面影响.
研究的目的:
- 调查失眠诊断/治疗和勃起功能障碍 (ED) 之间的关联.
主要方法:
- 使用了IBM MarketScan数据库 (2007-2016) 与年龄和招生匹配的控制.
- 采用Cox比例危险模型来评估在不眠症诊断/治疗后的ED风险,并对伴随疾病进行调整.
主要成果:
- 未经治疗和治疗的失眠都与ED诊断的风险增加有关 (HR分别为1.58和1.66).
- 治疗失眠与ED治疗的更高风险相关,如PDE5抑制剂 (HR 1.52) 和洞内注射 (HR 1.32).
结论:
- 失眠和ED诊断之间存在着一致的关联.
- 失眠的诊断本身就增加了ED的风险;药物治疗进一步与ED治疗相关.
- 需要进一步的研究来澄清失眠和ED之间的关系.
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