台灣南部即將入伍役男之血清睪固酮與勃起功能障礙相關性調查

A survey of testosterone levels and erectile dysfunction of men conscripted into the military in southern Taiwan

本研究以日常生活模式、身體質量指數及血清睪固酮濃度，找出勃起功能障礙與正常控制組之差異性，並進一步探討日常生活模式、身體質量指數及血清睪固酮濃度與勃起功能障礙之關係。方法: 本研究採取兵役體檢之役男182 名為施測對象，除血液檢驗外，另加測驗血清睪固酮檢查，並分別施測國際性功能障礙指標及一般基本問卷，並針對各項因素做一評估，其中屬於勃起功能障礙患者共31 名，正常控制組共151 名。結果: 本研究以SPSS統計方法，針對二組做統計分析，二組之間並無年齡、教育程度上之差異。以邏輯式迴歸分析調整抽菸及喝酒兩變項後，顯示在目前肥胖及血清睪固酮濃度偏低等兩分項之間有顯著之差異。結論: 預防勃起功能障礙，我們應針對我們可以改變的生活型態去做調整，適度的飲食及飲酒、抽菸的控制，控制體重在正常體位，如睪固酮濃度偏低，我們可補充適量之睪固酮，如此也可減少勃起功能障礙的發生。

The purpose of this study was to examine the difference between the group with erectile dysfunction and the normal control groups through three dimensions: daily lifestyle, body mass index and serum testosterone concentration level, and further explored the associations of erectile function with daily lifestyle, body mass index and serum testosterone concentration level. Methods: Data were obtained and assessed from a baseline survey of 182 young adult military conscripts, with their demographic data, blood test, serum testosterone test, and responses to the IIEF questionnaire . There were 31 subjects with erectile dysfunction in the experimental group, while there were a total of 151 in the normal control groups. Results: SPSS was used to analyze the data of the two groups. There were no significant differences in age and education level between the two groups. Logistic regression analysis was used for analysis of all the variables. There was a significant difference between obesity and lower testosterone concentration, alcohol consumption and lower testosterone concentration. Conclusion: For the prevention of erectile dysfunction, we should focus on the adjustment to the lifestyle, which we can change --such as moderate eating, drinking and smoking control, weight control. The proper amount of testosterone supplement may reduce the incidence of erectile dysfunction.