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创伤性脑损伤中的性功能障碍:叙述审查和呼吁多学科框架

Ioannis Mavroudis^1,2,3,4, Foivos Petridis³, Dimitrios Kazis³

¹Department of Neuroscience, Leeds Teaching Hospitals, NHS Trust, Leeds LS1 3EX, UK.

Life (Basel, Switzerland)

|November 27, 2025

概括

性功能障碍 (SD) 是创伤性脑损伤 (TBI) 的常见后果,对男性和女性的影响不同. 解决SD需要性别敏感,多学科的护理,以改善患者的治疗结果.

科学领域:

神经科学是一个神经科学.
内分泌学在内分泌学.
心理学心理学心理学

背景情况:

性功能障碍 (SD) 是创伤性脑损伤 (TBI) 的普遍但未被认可的结果.
SD显著影响身体健康,心理健康,人际关系和社会重新融入.
当前的TBI研究和临床实践往往忽视了SD的影响.

研究的目的:

审查当前关于TBI后SD的流行,机制和管理的证据.
突出需要采取性别敏感和多学科的方法来管理TBI幸存者的SD.

主要方法:

进行了对2000-2025年英语文章的叙事审查,使用关键词如"创伤性脑损伤"和"性功能障碍".
优先进行同行评审的临床研究,系统性审查和指导方针,解决SD的神经,内分泌,认知,心理和社会方面的问题.
对病理生理机制和治疗策略的相关性进行选的文章.

主要成果:

创伤后SD有多因素的原因,包括神经损伤,神经内分泌功能障碍和心理因素.
男人通常经历勃起功能障碍和阴性腺功能障碍;女性经常面临兴奋和滑问题.
有效的干预措施包括药物治疗,激素替代,心理治疗和康复,多学科护理的最佳结果.

结论:

SD必须被认为是关键的TBI后续,而不是次要问题.
常规查,性别敏感评估和个性化的多学科护理对于改善结果至关重要.
提高临床意识和标准化护理可以提高TBI幸存者的康复和重返社会.

关键词:

认知行为疗法是一种认知行为疗法.性别敏感的方法.激素替代疗法是一种激素替代疗法.多学科康复是多学科康复.性功能障碍性功能障碍性功能障碍创伤性脑损伤是一种创伤性脑损伤

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