Thompson W L
Postgrad Med. 1986 May 15;79(7):41-4, 47, 50-2. doi: 10.1080/00325481.1986.11699406.
Chronic obstructive pulmonary disease (COPD) may be linked to several types of sexual dysfunction, but presence of the disease does not preclude enjoyment of sexual activity. A thorough medical and biopsychosocial evaluation of the patient with sexual dysfunction will help the physician to ascertain the cause of dysfunction and to assess contributory physical and psychological factors. In addition to appropriate medical and psychiatric treatment, management should include patient education and supportive psychotherapy. Open communication between the physician, patient, and partner is essential to a successful outcome. The patient and partner may need to alter their attitudes and develop new approaches to sex. The primary care physician can serve as a source of reassurance, information, and recommendations to help the patient live a full life, including a satisfying sex life.
慢性阻塞性肺疾病（COPD）可能与多种性功能障碍有关，但该疾病的存在并不妨碍享受性活动。对性功能障碍患者进行全面的医学和生物心理社会评估，将有助于医生确定功能障碍的原因，并评估相关的身体和心理因素。除了适当的医学和精神科治疗外，管理还应包括患者教育和支持性心理治疗。医生、患者及其伴侣之间的开放沟通对于取得成功结果至关重要。患者及其伴侣可能需要改变态度并开发新的性行为方式。初级保健医生可以作为安慰、信息和建议的来源，帮助患者过上充实的生活，包括满意的性生活。
