Abstract:

Objective To explore the related factors for erectile dysfunction (ED) in middle-aged and elderly patients with hypertension. Methods Two hundred and fifty-seven patients with essential hypertension aged between 40 to 70 years were selected, the data of age, duration of hypertension, blood pressure, status of hypertensive target organs, body mass index and waist circumference were recorded, the erectile function was evaluated by International Index of Erectile Function-5, the status and severity of depression were investigated by Self-rating Depression Scale(SDS), and univariate and multivariate Logistic regression analyses were employed to explore the relationship between ED and related factors. Results There were 188 patients (73.15%) with ED in all the 257 patients, and the SDS score of patients with ED (47.49±10.74) was significantly higher than that of Chinese norm (41.88±10.57)(P<0.01). Logistic regression analyses revealed that duration of hypertension, pulse pressure, status of hypertensive target organs and depression were significantly related to ED in middle-aged patients (40 to 59 years old) with hypertension (P<0.05), and duration of hypertension and pulse pressure were significantly related to ED in elderly patients (60 to 70 years old) with hypertension (P=0.00). Conclusion The chance of ED should be considered in patients with long duration of hypertension, high pulse pressure, hypertensive target organ damage and depression.

Key words: erectile dysfunction, hypertension, depression