心身俱治是治疗勃起功能障碍的关键

Psychosomatic treatment:A key to the improvement of erectile dysfunction

勃起功能障碍(ED)被公认为是一种极具代表性的心身疾病。社会心理因素在ED的发病过程中起到了关键性作用。ED对患者及其伴侣的社会心理健康以及人际关系也会产生重大影响。治疗上既包括性心理治疗,又需要适当的药物等治疗,"心身同治"是其治疗的核心。而随着健康医学模式的发展,ED的治疗目标也随之发生了巨大变革,不再单单追求阴茎勃起的硬度和维持时间,更为注重重建患者和伴侣之间自然和睦的性生活以及亲密无间的伴侣关系。新型5型磷酸二酯酶抑制剂他达拉非可有效提高各种病因和程度的ED患者勃起功能,同时明显降低患者的性时间顾虑,并很好地满足了患者及其伴侣的治疗预期,使患者及其伴侣回归正常、自然的性生活,给患者和伴侣带来巨大的社会心理收益。

Erectile dysfunction（ED） has been widely accepted as a typical psychosomatic disorder.Psychosocial factors play a critical role in the pathogenesis of ED.In turn,ED also has a substantial effect on psychosocial health and interpersonal relationship between ED patients and their partners.It is rational that psychosomatic treatment is the key to the treatment of ED,including both psychosexual counseling and appropriate medical intervention.The evolution of human health mode has revolutionized the goal of ED management,focusing on the successful restoration of natural harmonious sexual life and intimate relationship between the patients and their partners,rather than the physiological outcomes of erection hardness and duration of maintenance.Tadalafil,a novel phosphodiesterase type 5（PDE5） inhibitory agent effective for ED of any etiology and severity,can significantly decrease the time concerns of the patients,greatly satisfy the treatment expectations of both the patients and their partners,restore the normal and natural sexual life,and improve the patients＇ psychosexual health.