雄性激素与男性性腺功能减退症诊断及治疗演示文稿.pptVIP

那么会有哪些表现和症状呢？ 这项调查显示，50岁以上男性各项症状可能出现的比例。80%的有性欲低下和精力不足的表现。其他常见的还有勃起功能障碍、记忆力下降，掉头发，情绪的改变如烦躁易怒等，耐力也下降等等。 * 那么什么是男性性功能障碍呢？正常男性的性功能包括性欲、阴茎勃起、附属性腺分泌、性交、射精或曰性高潮和勃起消退等一系列环节。如果其中某一环节或多个环节发生异常，则会导致性功能或性感受的不全或缺失，这种状况称为男性性功能障碍。 看这个图，作为一个男人有性功能障碍要承受很大的心理压力。 * 横断面研究，有64名住在疗养所的孱弱老年男性（平均年龄85岁；年龄范围63-100岁） 内源性睾酮显示与日常生活活动的依赖性有关联： 灵活性 (p=0.055) 进食 (p=0.007) 如厕 (p=0.158) 移动(p=0.007) 日常生活依赖性指数 (p=0.03) 孱弱男性中，睾酮水平低与依赖性强有明显关联 NOTES A nursing home study was performed in order to determine the relationships between dependency in activities of daily living (ADL) and blood levels of estrone, testosterone, androstenedione, and dehydroepiandrosterone. Little is known about this issue. This was a cross-sectional study of 370 nursing home residents. Hormone levels in blood specimens drawn in 1997 and 1998 were correlated with degree of ADL dependency recorded in medical charts. In males, the following were inversely related: testosterone levels with dependency in transferring and eating; estrone with eating and a summary ADL index; and androstenedione with toileting and a summary ADL index (in all cases, r=-0.4; P=0.007ˉ0.015). Inverse trends existed between testosterone levels and dependency in mobility and a summary ADL index; and androstenedione and eating (in all cases r=-0.3; P=0.030ˉ0.055). In male residents, higher sex hormone levels are associated with better activities of daily living performance. Reference Breuer B, Trungold S, Martucci C, Wallenstein S, Likourezos A, Libow LS, Zumoff B. Relationships of sex hormone levels to dependence in activities of daily living in the frail elderly. Maturitas 2001;39:147-159 * 还有人表现为少肌症， 少肌症意为发生在中老年中的肌肉量和力量减少 小于70岁的男性，其少肌症发生率为15％，而大于80岁的男性该发病率增加至30％ 少肌症的病理生理学涉及多种因素，但迟发性性腺功能减退起了重要的作用 少肌症会伴随： 操作功能受损 身体残疾 脆弱 跌倒风险增加 NOTES Disability is a major cause of nursing home institutionalization and hospitalization of elderly adults, with projected costs approaching $50 billion by the year 2000. Physical impairment leading to disability has b