性功能障碍在慢性肾脏病(CKD)患者中普遍存在,严重影响患者的生活质量。性功能障碍与CKD可能有着共同的致病因素,如内分泌因素、血管因素、神经因素、心理因素等。在临床表现上,男性主要以勃起功能障碍为主,女性则以性交痛、性欲降低等为主。本文简要综述了CKD患者合并性功能障碍的流行病学特点、病理生理机制、诊断及治疗等方面的研究进展。
性功能障碍在慢性肾脏病(CKD)患者中普遍存在,严重影响患者的生活质量。性功能障碍与CKD可能有着共同的致病因素,如内分泌因素、血管因素、神经因素、心理因素等。在临床表现上,男性主要以勃起功能障碍为主,女性则以性交痛、性欲降低等为主。本文简要综述了CKD患者合并性功能障碍的流行病学特点、病理生理机制、诊断及治疗等方面的研究进展。
Sexual dysfunction is highly prevalent among patients with chronic kidney disease (CKD) and significantly impairs their quality of life. Sexual dysfunction and CKD may share common pathogenic factors, including endocrine, vascular, neurological, and psychological factors. Clinically, erectile dysfunction is predominant in male patients, while dyspareunia and decreased libido are major manifestations in female patients. This paper briefly reviews the research progress on the epidemiological characteristics, pathophysiological mechanisms, diagnosis, and treatment of sexual dysfunction in CKD patients.