Doumas Michael, Douma Stella
Departments of Internal Medicine, University of Thrace, Alexandroupolis, Greece.
J Clin Hypertens (Greenwich). 2006 Apr;8(4):269-74. doi: 10.1111/j.1524-6175.2006.04708.x.
Erectile dysfunction is currently considered a condition with high prevalence in the general population, exerting a major impact on patients' and their sexual partners' quality of life. Available data indicate that hypertension represents a risk factor for erectile dysfunction, which is more frequent in hypertensive compared with normotensive subjects. The pathophysiologic basis of erectile dysfunction in hypertension is under thorough investigation, and several mechanisms have been proposed. Erectile dysfunction has also been related to cardiovascular risk factors and might be used as a marker of cardiovascular disease in the future. Although male sexuality has been studied rather extensively, female sexual dysfunction in hypertension is underexplored. Recently published hypertension guidelines either ignore or superficially address sexual dysfunction, underlining the need for more attention and better education of health care professionals on this issue.
勃起功能障碍目前被认为是普通人群中一种高患病率的疾病，对患者及其性伴侣的生活质量产生重大影响。现有数据表明，高血压是勃起功能障碍的一个危险因素，与血压正常的受试者相比，高血压患者中勃起功能障碍更为常见。高血压患者勃起功能障碍的病理生理基础正在深入研究中，并且已经提出了几种机制。勃起功能障碍还与心血管危险因素有关，未来可能会被用作心血管疾病的一个标志物。尽管对男性性功能的研究相当广泛，但高血压患者中的女性性功能障碍却未得到充分探索。最近发布的高血压指南要么忽视性功能障碍，要么只是表面提及，这凸显了医疗保健专业人员需要对此问题给予更多关注并接受更好的教育。
