摘要
勃起功能障碍(ED)是受生理和心理因素共同作用的性功能障碍疾病。生理上ED的发生与血管内皮的功能退化和性兴奋反射调节机制的紊乱紧密相关,而心理上性欲低下,焦虑和抑郁心理会直接导致ED的发生。心理因素在ED诊断和治疗中的作用近年来日益受到重视,各项对ED患者性心理进行评估的问卷为我们提供了评估心理因素对患者影响的工具。基于心理干预的各种疗法的单独使用或者与药物疗法的结合也为我们开拓了ED治疗的思路。在ED的治疗效果评价方面,患者及伴侣的满意度日渐成为主要的评价指标,而不仅仅强调客观的勃起能力的提升。再者PDE5抑制剂的广泛使用,以及其对患者性心理的改善作用的逐渐认识,使我们有必要对心理因素和药物的合理联合进行更加深入的认识。
Erectile dysfunction （ED） is a major sexual dysfunction involving both physiological and psychological factors. While the primary physiological cause of ED is associated with endocellular degeneration and disorders of neural reflex, its psychological causes are mainly hyposexuality, anxiety and depression. Increasing importance is being attached to the psychological aspects in the diagnosis and management of ED in recent years, and the evaluation questionnaires aimed at the psychosocial significance in ED patients＂ conditions and psychological interventions solo or combined with drugs have inspired many researches for an optimal solution of the disease. Improvement of the patient~ erectile performance is no longer the only outcome we pursue. Instead, the satisfaction of both the patient and his partner has a rising weight in the final evaluation of a therapy. The wide application of PED5 inhibitors and their psy- chological effect on ED patients makes it necessary for us gain a deeper insight into the combination of psychological intervention and drug therapy in the management of ED.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2011年第12期1146-1151,共6页
National Journal of Andrology
关键词
勃起功能障碍
心理因素
他达拉非
erectile dysfunction
psychological factor
tadalafil
