CAJ | 학술논문

勃起功能障碍是糖尿病患者常见的慢性并发症之一,糖尿病性勃起功能障碍的发病率为19.0%～ 86.3%,其发病是糖尿病性血管和神经病变、内分泌激素改变、社会和心理等多因素共同作用的结果.临床上应紧密结合糖尿病性勃起功能障碍的发病机制进行综合治疗,并遵循个体化治疗原则.严格控制血糖是基础治疗之一,同时根据情况选择不同作用机制的药物进行综合治疗以改善症状,必要时行手术治疗.基因治疗为糖尿病性勃起功能障碍患者带来曙光,也是目前的研究热点.
발기공능장애시당뇨병환자상견적만성병발증지일,당뇨병성발기공능장애적발병솔위19.0%～ 86.3%,기발병시당뇨병성혈관화신경병변、내분비격소개변、사회화심리등다인소공동작용적결과.림상상응긴밀결합당뇨병성발기공능장애적발병궤제진행종합치료,병준순개체화치료원칙.엄격공제혈당시기출치료지일,동시근거정황선택불동작용궤제적약물진행종합치료이개선증상,필요시행수술치료.기인치료위당뇨병성발기공능장애환자대래서광,야시목전적연구열점.
Erectile dysfunction (ED) is a common and distressing chronic complication of diabetes mellitus. The incidence of diabetic ED is from 19.0% to 86.3%. Diabetic ED is due to the interaction of diabetic vascular disease,neuropathy,changes of hormone,social and psychological factors. The management of diabetic ED should be closely integrated to the pathogenesis,following the principle of individual treatment. Intensive control of blood glucose is the basic treatment,meanwhile multiple drugs should be used to improve symptoms according to different mechanisms,surgical treatment can be considered when necessary. Gene therapy will provide perspective for patients with diabetic ED and is a hot topic now.