勃起障碍的临床研究新进展(DSM-5新标准)

New Progress of Clinical Research to Erectile Disorder(DSM-5 Update)

勃起障碍(Erectile disorder,ED)既往称为阳萎(Impotence),是一种典型的男性性功能障碍。其特征是性交时阴茎不能勃起或维持勃起以满足性生活,且病程在6个月以上。美国精神病学会的《精神疾病诊断与统计手册》第4版(DSM-IV,1994)的诊断术语为勃起功能障碍(Erectile dysfunction)。第4版修订版(DSM-IVTR,2000)更名为男性勃起障碍(Male erectile disorder)。美国精神病学会在2013年5月出版了《精神疾病诊断与统计手册》第5版(DSM-5)。DSM-5修订诊断术语为勃起障碍(Erectile disorder)。近年来,在人类性学、精神病学和临床心理学领域对勃起障碍进行了大量的临床研究。根据DSM-5的标准和新的临床研究成果,本文对勃起障碍的病因和发病机制、临床表现、诊断标准、诊断和鉴别诊断、治疗、预防和保健进行了分析。

Erectile disorder（ED）previously called impotence.ED is a representative male sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity,and course of disease is more than 6months.On 1994,American Psychiatry Association（APA）has publishedDiagnostic and Statistical Manual of Mental Disorders,4th Edition（DSM-IV）;Diagnosis term was erectile dysfunction.On 2000,Diagnostic and Statistical Manual of Mental Disorders,4th Edition Text Revision（DSM-IV-TR）change diagnosis term was male erectile disorder.American Psychiatry Association（APA）has published Diagnostic and Statistical Manual of Mental Disorders,5th Edition（DSM-5）in 2013.DSM-5has updated diagnosis term-erectile disorder.In recent years,a lot of clinical research on erectile disorder has been practiced in human sexuality,psychiatry,and clinical psychology fields.According to update of DSM-5and new achievement of clinical research,this paper has analyzed to etiology and pathogenesis,clinical manifestations,diagnostic criteria,diagnosis and differential diagnosis,treatment,prevention and health care of erectile disorder.