摘要
【目的】探讨睡眠相关性痛性勃起(SRPE)患者夜间阴茎勃起功能和正常男性之间的差异。【方法】从2019年7月1起至2022年12月15日,对来我院泌尿男科就诊的29例SRPE患者(实验组)及58例志愿者(对照组)进行临床对照研究。通过Rigiscan分别监测两组受试者监测当晚总的睡眠监测时间、夜间勃起次数及在阴茎勃起达到60%~79%和80%~100%时勃起平均硬度、持续时间、平均周径增长;嘱咐患者与志愿者觉醒时自行作书面记录醒来的时间及次数,然后结合勃起监测数据,比较两组受试者的总觉醒次数及阴茎勃起达到60%~79%和80%~100%硬度时觉醒次数。【结果】通过匹配的方式消除了年龄的影响。两组夜间总睡眠监测时间、勃起次数和阴茎勃起达到60%~79%及80%~100%时的平均硬度、平均周径增长、持续时间差异均无统计学意义。在睡眠方面,夜间总觉醒次数[3(2~4)vs 0(0~0)],阴茎勃起达到60%~79%硬度时的觉醒次数[1(0~1)vs 0(0~0)]及阴茎勃起达到80%~100%硬度时的觉醒次数[2(1~3)vs 0(0~0)],在实验组和对照组间均有有显著统计学意义(P<0.01)。【结论】Rigiscan监测表明SRPE患者夜间阴茎勃起功能与正常男性之间无差异,而痛醒发生在阴茎勃起达到60%~79%或80%~100%硬度时,这揭示了SRPE可能是患者对夜间勃起的感受异常或者痛觉敏感所致。
【Objective】To compare the nocturnal erectile function between SRPE patients and normal people.【Meth⁃ods】From July 1st,2019 to December 15th,2022,a clinical comparative study was conducted on 29 SRPE patients(ex⁃perimental group)and 58 volunteers(control group)who visited our urology department.The Rigiscan System was used to monitor sleep monitoring time,the number of nocturnal erections and the rigidity,duration and circumference growth of the penis when the erection reached 60%~79%and 80%~100%,respectively.The patients and volunteers were asked to make written records when they woke up,and then the total number of awakenings and the number of awakenings when the penis erection reached 60%and 80%were compared between the two groups.【Results】Age was eliminated by matching.There was no statistically significant difference in sleep monitoring time,rigidity,circumference growth and duration of the penis when the erection reached 60%~79%and 80%~100%.between the two groups.In terms of sleep,there was a statistically significant difference in the total number of awakenings between the two groups[3(2~4)vs 0(0~0),P<0.01].And the same was true for the number of awakenings when the penis erection exceeded 60%~79%[1(0~1)vs 0(0~0),P<0.01]and 80%~100%[2(1~3)vs 0(0~0),P<0.01].【Conclusion】Rigiscan monitoring showed that there was no difference between SRPE patients and normal male in nocturnal penile erection function.Painful awakening usually occurs when the penis erection reaches 60%~79%or 80%~100%,which reveals that SRPE may be caused by abnormal sensation of nocturnal erections or pain sensitivity in some of these patients.
作者
胡海兵
赵昆昆
陈永毅
李元浩
白文俊
李萍
HU Hai-bing;ZHAO Kun-kun;CHEN Yong-yi;LI Yuan-hao;BAI Wen-jun;LI Ping(Department of Urology,Dongguan Tungwah Hospital,Dongguan 523000,China;Department of Urology,People′sHospital of Peking University,Beijing 100032,China;Department of Urology,Foresea Life Insurance GuangzhouGeneral Hospital,Guangzhou 513000,China)
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2023年第4期691-696,共6页
Journal of Sun Yat-Sen University:Medical Sciences
基金
东莞市科技局重点项目(202050715046192)。
关键词
睡眠相关性
痛性勃起
阴茎勃起
差异
sleep-related
painful erection
penile erection
difference
