Servicio de Medicina Interna, Hospital de Barbastro, Huesca, Spain.
Servicio de Medicina Interna, Hospital Universitario Royo Villanova, Zaragoza, Spain; Departamento de Medicina, Universidad de Zaragoza, Zaragoza, Spain.
Rev Clin Esp (Barc). 2024 Mar;224(3):150-156. doi: 10.1016/j.rceng.2024.02.007. Epub 2024 Feb 16.
To determine the prevalence of sexual dysfunction in women with COPD and the factors related to its presence.
Cross-sectional observational study during 2021, including women with COPD diagnosed by spirometry through convenience sampling. Data on age, smoking status, spirometric data, comorbidities and medications used were collected. A sexual health questionnaire was administered.
The study included 101 women with a mean age of 59.7 (11.3) years. All had experienced a change in sexual activity, with 44% attributing it to COPD. Among them, 51.5% experienced dyspnea during coitus. The prevalence of sexual dysfunction was 52.5%. Women with sexual dysfunction were older and had a lower Tiffeneau index. Furthermore, they consumed alcohol more frequently and had hypertension and cerebrovascular disease, and less often, they had diabetes and heart failure. However, they scored lower on the Charlson index corrected for age. Patients with sexual dysfunction used inhaled triple therapy less frequently.
Sexual dysfunction is common in women with COPD. Further studies are needed to investigate its causes, mechanisms, and potential treatments.
确定 COPD 女性患者性功能障碍的患病率及其相关因素。
2021 年进行的一项横断面观察性研究，通过便利抽样纳入了经肺量计诊断为 COPD 的女性患者。收集了年龄、吸烟状况、肺量计数据、合并症和使用药物等数据。还进行了性健康问卷评估。
研究纳入了 101 名平均年龄为 59.7（11.3）岁的女性患者。所有患者均经历过性行为改变，其中 44%归因于 COPD。其中，51.5%在性行为时出现呼吸困难。性功能障碍的患病率为 52.5%。有性功能障碍的女性年龄更大，Tiffeneau 指数更低。此外，她们更频繁地饮酒，患有高血压和脑血管疾病，较少患有糖尿病和心力衰竭。但她们的年龄调整 Charlson 指数评分更低。有性功能障碍的患者较少使用吸入三联疗法。
COPD 女性患者中性功能障碍很常见。需要进一步研究以探讨其病因、机制和潜在治疗方法。
