1.东莞东华医院泌尿外科,广东 东莞 523000
2.北京大学人民医院泌尿外科,北京 100032
3.前海人寿广州总医院泌尿外科,广东 广州 513000
胡海兵,研究方向:阴茎异常勃起,E-mail:286619685@qq.com
纸质出版日期:2023-07-20,
收稿日期:2023-01-28,
扫 描 看 全 文
胡海兵,赵昆昆,陈永毅等.睡眠相关性痛性勃起患者与正常男性夜间勃起功能的差异[J].中山大学学报(医学科学版),2023,44(04):691-696.
HU Hai-bing,ZHAO Kun-kun,CHEN Yong-yi,et al.Difference in Nocturnal Erectile Function Between SRPE Patients and Normal People[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(04):691-696.
胡海兵,赵昆昆,陈永毅等.睡眠相关性痛性勃起患者与正常男性夜间勃起功能的差异[J].中山大学学报(医学科学版),2023,44(04):691-696. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0420.
HU Hai-bing,ZHAO Kun-kun,CHEN Yong-yi,et al.Difference in Nocturnal Erectile Function Between SRPE Patients and Normal People[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(04):691-696. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0420.
目的
2
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
2
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
2
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
2
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
2
To compare the nocturnal erectile function between SRPE patients and normal people.
Methods
2
From July 1st, 2019 to December 15th, 2022, a clinical comparative study was conducted on 29 SRPE patients (experimental 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
2
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
2
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.
睡眠相关性痛性勃起阴茎勃起差异
sleep-relatedpainful erectionpenile erectiondifference
胡海兵,赵昆昆,李萍,等, 睡眠相关性痛性勃起研究进展[J].中华医学杂志,2020,100(8):638-640.
Hu HB ,Zhao KK, Li P, et al. Research progress on sleep related painful erections [J].Natl Med J China,2020, 100(8):638-640.
Schmidt MH, Schmidt HS. Sleep-related erections:neural mechanisms and clinical significance[J]. Curr Neurol Neurosci Rep ,2004,4(2):170-178.
胡海兵, 程永磊, 关星,等. 睡眠相关性痛性勃起的诊治对策( 附9例报告) [J]. 中华男科学杂志, 2016, 22(4): 330-334.
Hu HB,Chen YL,Guang X,et al. Diagnosis and treatment Strategies for sleep-related painful erection (with 9 case reports) [J].Natl J Androl,2016, 22(4): 330-334.
Barnhoorn PC, Gianotten WL, van Driel MF. Sleep Related Painful Erections Following Sexual Intercourse [J]. Arch Sex Behav 2018,47(3):815-817.
Burnett AL. Rare disorders of penile erection[J]. Fertil Steril, 2020,113(1): 6-12.
Ferre A, Vila J, Jurado MJ, et al. Sleep-related painful erections associated with obstructive sleep apnea syndrome[J]. Arch Sex Behav, 2012, 41(4): 1059-1063.
Salonia A, Eardley I, Giuliano F, et al. European association of urology guidelines on priapism[J]. Eur Urol, 2014, 65(2): 480-489.
Karacan I, Hursch CJ, Williams RL, et al. Some characteristics of nocturnal penile tumescence in young adults[J]. Arch Gen Psychiatry, 1972, 26(4): 351-356.
Vreugdenhil S, Weidenaar AC, de Jong IJ, et al. Sleep-related painful erections-a case series of 24 patients regarding diagnostics and treatment options[J]. Sex Med, 2017, 5(4): e237-e243.
Barnhoorn PC, Gianotten WL, van Driel MF. Sleep-related painful erections following sexual intercourse[J]. Arch Sex Behav, 2018, 47(3): 815-817.
Thorpy MJ. Classification of sleep disorders[J]. Clin Neurophysiol, 2012, 9(4): 687-701.
Vreugdenhil S, Weidenaar AC, de Jong IJ, et al. Sleep-related painful erections: a meta-analysis on the pathophysiology and risks and benefits of medical treatments[J]. J Sex Med, 2018, 15(1): 5-19.
Udelson D, Nehra A, Hatzichristou DG, et al. Engineering analysis of penile hemodynamic and structural-dynamic relationships: Part Ⅲ-Clinical considerations of penile hemodynamic and rigidity erectile responses[J]. Int J Impot Res, 1998, 10(2): 89-99.
Erdogru T, Savas M, Yilmaz N, et al. Are normal hemodynamic responses invariably associated with normal penile rigidity and potency?[J]. Int J Impot Res, 2001, 13(1): 10-13.
Jannini EA, Granata AM, Hatzimouratidis K, et al. Use and abuse of Rigiscan in the diagnosis of erectile dysfunction[J]. Sex Med, 2009,6(7):1820-1829.
Bradley WE, Timm GW, Gallagher JM, et al. New method for continuous measurement of nocturnal penile tumescence and rigidity[J]. Urology, 1985,26(1): 4-9.
Hatzichristou DG, Hatzimouratidis K, Ioannides E, et al. Nocturnal penile tumescence and rigidity monitoring in young potent volunteers: reproducibility, evaluation criteria and the effect of sexual intercourse[J]. J Urol, 1998, 159(6): 1921-1926.
张炎,张海涛, 王忠, 等. RigiScan勃起功能障碍诊治临床应用中国专家共识[J]. 中国性科学, 2019, 28(12): 5-10.
Zhang Y, Zhang HT, Wang Z, et a1. Chinese expert consensus on the clinical application of RigiScan in the diagnosis and treatment of erectile dysfunction[J]. Chin J Hum Sex, 2019, 28(12): 5-10.
Roehrs T, Hyde M, Blaisdell B, et a1. Sleep loss and REM sleep loss are hyperalgesic[J]. Sleep, 2006, 29(2): 145-151.
Wang Y, Zhang J, Li HJ. Narrative review: pathogenesis, diagnosis, and treatment of sleep-related painful erection[J]. Transl Androl Urol, 2021, 10(12): 4422-4430.
孙颖浩. 吴阶平泌尿外科学[M]. 人民卫生出版社, 2019.
Sun YH. Wu Jieping's urology[M]. PMPH, 2019.
van Driel MF, Beck JJ, Elzevier HW, et a1. The treatment of sleep-related painful erections[J]. J Sex Med, 2008, 5(4): 909-918.
Rourke KF, Fischler AH, Jordan GH. Treatment of recurrent idiopathic priapism with oral baclofen[J]. J Urol, 2002, 168(6): 2552-2553.
0
浏览量
1
下载量
1
CSCD
关联资源
相关文章
相关作者
相关机构