治疗持续性生殖器兴奋障碍:一个范围审查
Kimberly Magana1, Haley Howard1, Kyle Fitzgerald1
1Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, USA.
概括
持续性生殖器兴奋障碍 (PGAD) 管理缺乏证据和标准化的护理. 研究显示数据有限,强调需要改善治疗方法,解决身体和精神症状,以改善患者的生活质量.
科学领域:
- 妇科 妇科 妇科 妇科
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 持续性生殖器兴奋障碍 (PGAD) 是一种罕见的疾病,会导致令人痛苦的兴奋和失感.
- 目前对PGAD的管理策略尚不清楚.
- 了解患者的观点对于改善护理至关重要.
研究的目的:
- 对持续性生殖器兴奋障碍 (PGAD) 管理进行范围审查.
- 确定关于PGAD的现有文献中的空白.
- 了解PGAD患者的生活经历和观点.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行系统范围审查.
- 在Medline,Embase,Scopus和Web of Science中搜索了PGAD/生殖骨盆功能障碍 (GPD) 的文献.
- 从46项纳入研究中提取了关于出版特征和处理的数据.
主要成果:
- 缺乏系统研究和有限的基于证据的数据用于PGAD管理.
- 选择性血清素再吸收抑制剂 (SSRI),pramipexole和carbamazepine是常见的药物;盆地玻尿酸是常见的手术.
- 患者的病情显示出严重的痛苦,包括羞耻,自杀念头,社会隔离和生活质量下降.
结论:
- 对PGAD/GPD的管理需要改进,基于证据的治疗方案,包括患者报告的结果.
- 缺乏对PGAD/GPD管理的标准化框架.
- 进一步的研究和临床实践指南对于提高对PGAD/GPD患者的护理至关重要.
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