在德国诊断和治疗男性阴性双胞胎症
Michael Zitzmann1, Diethe Ortius-Lechner2, Nadine Thierfelder2
1Center for Reproductive Medicine and Andrology/Clinical and Surgical Andrology, Münster, Germany.
概括
澄清了德国男性阴性腺体缺陷症的诊断和治疗率. 虽然丸激素治疗 (TTh) 的启动因阴性双胞胎症类型而异,但未接受治疗的患者面临更高的工作失能,而接受治疗的患者显示2型糖尿病发病率增加.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在德国,男性阴高性恋症的诊断和治疗模式并未得到很好的定义.
- 这项研究解决了德国医疗保健系统中男性催眠症管理的模两可.
研究的目的:
- 为了分析男性阴道腺缺陷症的患病率,发病率和并发症.
- 评估丸激素治疗 (TTh) 的实施情况.
- 评估TTh对失能和2型糖尿病发病率的影响.
主要方法:
- 从2014年至2021年,对400万名男性国家保险客户 (30-80岁) 进行了回顾性观察研究.
- 分析包括过节性腺体的诊断,TTh启动,并发病,2型糖尿病发病率和失能率.
主要成果:
- 主要性性的患病率 (0.62%) 高于次要性 (0.16%) 或功能性 (0.09%),从2015年至2021年有增长趋势.
- 诊断后一年内TTh启动因阴道腺的类型而异 (35.22%-59.55%).
- 没有接受治疗的患者有更高的失业率 (17.1%对比9.71%),而接受治疗的患者有更高的2型糖尿病发病率 (24.0%对比17.7%).
结论:
- 优化男性催眠症的诊断,治疗和监测至关重要.
- 改善管理可以提高患者的生活质量并降低社会成本.
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