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偏瘫性中风后的性问题。II. 特别关注伴侣关系的调整与满足。

Sexuality after stroke with hemiplegia. II. With special regard to partnership adjustment and to fulfilment.

作者信息

Sjögren K

出版信息

Scand J Rehabil Med. 1983;15(2):63-9.

PMID:6867637
Abstract

Aspects of sexual function, partnership responsiveness and fulfilment after stroke were, together with sexually performance orientated and stigmatic attitudes, investigated in 51 subjects. Erectile and orgastic spectatoring were frequent after stroke and were in the males significantly associated. Retarded ejaculation occurred for no males before but for 15% after the stroke. Marked decreases in different kinds of caressive behaviour were followed by discontentment and up to and about half the subjects felt that sexual partnership responsiveness had deteriorated. After the stroke the commonly occurring reduction in general sexual satisfaction was significantly associated with symptoms of increased sexual dysfunction, disturbed partnership responsiveness and reduced sexual fulfilment. The high prevalence of sexual maladjustment in stroke victims appears mostly to be psychogenic. Important precipitating factors are performance orientation and sexual stigmatism. Moreover, lack of sexual information and counselling may contribute to deterioration of partnership sexuality.

摘要

对51名受试者的性功能、伴侣反应能力和中风后的满足感等方面,以及性表现导向和污名化态度进行了调查。中风后勃起和性高潮旁观很常见,且在男性中显著相关。中风前没有男性出现射精延迟,但中风后有15%的男性出现。不同类型的爱抚行为显著减少,随之而来的是不满,多达约一半的受试者认为性伴侣反应能力下降。中风后普遍出现的总体性满意度下降与性功能障碍增加、伴侣反应能力紊乱和性满足感降低的症状显著相关。中风患者中性适应不良的高发生率似乎主要是心理性的。重要的促发因素是表现导向和性污名化。此外,缺乏性信息和咨询可能会导致伴侣性行为恶化。

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