夜间排放或湿梦:来自系统范围审查的现代证据
Giuseppe Maiolino1,2, Esaú Fernández-Pascual1,2,3, Enrique Lledó-García1,2,4
1Department of Andrology and Sexual Medicine, Lyx Institute of Urology Universidad Francisco de Vitoria, Madrid, 28006, Spain.
Sexual medicine reviews
|February 10, 2026
概括
夜间排放 (NE),或湿梦,在男性青春期很常见,发生在70-90%的青少年中. 这些非自愿性射精是一种正常的生理事件,具有文化和临床相关性,尽管误解仍然存在.
科学领域:
- 生殖健康 生殖健康
- 青少年医学 青少年医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 夜间排放 (NEs),通常被称为湿梦,是睡眠期间的非自愿性射精.
- 虽然NEs是男性青春期的正常方面,但与其生理基础,患病率和临床意义有关的持续不确定性有关.
研究的目的:
- 对有关夜间排放的现有文献进行系统审查.
- 总结流行病学数据,探索生理机制,分析文化观点,评估临床相关性.
主要方法:
- 在PubMed和EMBASE的系统文献搜索 (至2025年4月),包括灰色文献和翻译的非英语研究.
- 包括FAERS和EudraVigilance数据库中的与毒品相关的NE数据.
- 使用纽卡斯尔-太华尺度和对定性作品的叙事评价进行偏见风险评估.
主要成果:
- 包括157个来源;第一个NE通常发生在12.6-15.6岁之间,青少年患病率高 (70-90%).
- 流行率在跨文化上有所不同,在一些亚洲群体中较低,在神经功能障碍中罕见;频率数据不一致.
- NE不是补偿性释放;与/没有色情梦一起发生,独立于脊柱上控制;在诊断阳射和辅助生殖方面可能发挥作用.
结论:
- 夜间排放是一种几乎普遍的生理现象,具有重要的文化,教育和临床维度.
- 对于性发育,青少年健康和特定的诊断背景来说,NE仍然很重要.
- 进一步高质量的前性研究对于阐明机制和影响至关重要.
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