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梗死患者及其伴侣的性功能障碍:对夫妻关系的影响

[Sexual dysfunction in infarct patients and their partner: repercussions on the couple's relations].

作者信息

Cappelli V, D'Alonzo D, Iappelli R, Svetoni N, Manusia F, Lanzetta T

出版信息

G Ital Cardiol. 1984 Jul;14(7):505-7.

PMID:6489661
Abstract

We have studied the sexual dysfunction in 115 couples under 60 years a member of whom had overcome a myocardial infarction (M.I.) not less than 6 months and no more than 2 years. We used two distinct questionnaires filled in anonymously one by the patients, the other by their partners. 70 (60,8%) patients have sexual dysfunction in post infarction as: partner's lack of co-operation 34 (48,6%), premature ejaculation 12 (17,1%), erectile failure 7 (10%), frigidity 6 (8,6%), sexual dissatisfaction 4 (5,7%), retarded ejaculation 2 (2,9%), various disorders 5 (7,1%), 58 (50,4%) partners have sexual dysfunction as: frigidity 22 (37,9%), sexual dissatisfaction 19 (32,8%), partners lack of co-operation 7 (12,1%), erectile failure 3 (5,2%), retarded ejaculation 2 (3,5%), various disorders 5 (8,6%). An important factor in sexual dysfunction is the partner's fear concerning the coitus which could provoke another heart attack due to stress and consequently the consort's death. We emphasize the importance acquired by the physician's tasks in favouring a complete psychophysical recovery in patients with previous M.I. whenever there are no rehabilitation institutes.

摘要

我们研究了115对60岁以下的夫妇的性功能障碍情况,其中一方曾患心肌梗死(M.I.),病程不少于6个月且不超过2年。我们使用了两份不同的问卷,一份由患者匿名填写,另一份由他们的伴侣填写。70名(60.8%)患者在心肌梗死后出现性功能障碍,表现为:伴侣缺乏配合34例(48.6%)、早泄12例(17.1%)、勃起功能障碍7例(10%)、性冷淡6例(8.6%)、性不满4例(5.7%)、射精延迟2例(2.9%)、各种障碍5例(7.1%);58名(50.4%)伴侣出现性功能障碍,表现为:性冷淡22例(37.9%)、性不满19例(32.8%)、伴侣缺乏配合7例(12.1%)、勃起功能障碍3例(5.2%)、射精延迟2例(3.5%)、各种障碍5例(8.6%)。性功能障碍的一个重要因素是伴侣对性交的恐惧,担心性交会因压力引发另一次心脏病发作,进而导致配偶死亡。我们强调,在没有康复机构的情况下,医生在促进既往有心肌梗死的患者实现身心完全康复方面所承担任务的重要性。

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