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男性的阿片类药物诱导的雄激素缺乏症:丸激素治疗的流行,病理生理学和疗效
Hussein Kafel1, Milena Braga-Basaria1, Shehzad Basaria1
1Section on Men's Health: Aging and Metabolism, Endocrinology Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
吸食阿片类药物可以导致男性雄激素缺乏症,这是一个常见但被忽视的疾病. 激素治疗可能会改善症状和疼痛,这需要进一步的研究.
科学领域:
- 内分泌学 在内分泌学.
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 类阿片类止痛药广泛用于慢性疼痛.
- 吸食阿片类药物是男性雄激素缺乏症的常见原因,常常被诊断不足.
- 本综述涉及阿片类药物诱导的雄激素缺乏症和丸激素治疗的疗效.
研究的目的:
- 审查关于阿片类药物诱导的雄激素缺乏症的文献.
- 为了评估丸激素治疗这种疾病的疗效.
- 为了探索的抗nociceptive作用.
主要方法:
- 在PubMed中搜索了1950年至2024年6月的文章.
- 使用的关键词:阿片类药物,低阴性,低丸激素,丸激素治疗.
- 从获取的出版物中进行研究的参考文献.
主要成果:
- 阿片类药物通过抑制GnRH来抑制淋巴腺轴.
- 阿片类药物诱导的雄激素缺乏症的患病率在20%至80%之间.
- 治疗可以改善性欲,身体组成,生活质量和疼痛.
结论:
- 由阿片类药物诱导的雄激素缺乏症很常见,而且被低估了.
- 需要临床医生的意识.
- 激素治疗是确诊缺乏症的潜在治疗方法,目前正在进行的试验正在探索其缓解疼痛的效果.
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