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目的为临床合理应用抗高血压药物提供参考。方法根据相关文献从各类抗高血压药物对性功能的影响及如何解决抗高血压药物引起的性功能问题两个方面进行归纳总结。结果性功能问题涉及性生理和性心理两方面,因此不仅要考虑药物的不良反应,同时也要考虑患者的心理问题。对高血压患者实施治疗计划前,应了解患者的一般性功能情况;根据一般常识和医学理论,因人而异选择用药;谨慎判断产生的症状,警惕精神因素引起性功能紊乱的可能性。结论纠正因服用降压药所产生的性功能问题可用另一种药物充分控制血压;酌情减少该药的剂量;加用某种新药;增加正在服用的另一种药物的剂量;采用联合用药方式。药物引起的性功能问题是可逆的,通过正确合理的选药,可以降低药物对性功能的影响。
Objective To provide a reference for clinical rational use of antihypertensive drugs. Methods Based on the related literatures, the effects of various antihypertensive drugs on sexual function and how to solve the sexual dysfunction caused by antihypertensive drugs were summarized. Results of sexual function problems involving sexual and psychological aspects, so not only to consider the adverse drug reactions, but also to consider the psychological problems of patients. Hypertensive patients before the implementation of treatment plans should be aware of the patient’s general functional status; according to common sense and medical theory, choice of medication from one person to another; carefully determine the symptoms and be alert to the possibility of mental disorders caused by sexual dysfunction. Conclusion To correct the problem of sexual function caused by taking antihypertensive drugs, another drug can be used to adequately control the blood pressure; to reduce the dosage of the drug as appropriate; to add a new drug; to increase the dosage of another drug being taken; . Drug-induced sexual function problems are reversible, through the correct and reasonable selection of drugs, can reduce the impact of drugs on sexual function.