男人“不行”往往源于“心病” man"no"Often stems from a"heart"

　　俗话说“男人40一枝花”，本是风华正茂的时候，ED(男性勃起功能障碍)问题却时不时找上门来，令不少男人烦心！调查显示，在40岁以上的中年男性中，四成有不同程度的ED。在许多人看来，ED就是一个生理问题，然而，日前在成都举行的“男性心身健康专业委员会第一次全体委员会议暨成立大会”上，与会专家指出，男性ED与心理因素关系密切，超过六成ED患者属于心因性ED。如果心因性ED得不到及时、合理的治疗和心理干预，将逐渐转变为器质性ED。

As the saying goes"Men 40 a flower",This is the summer time,ED(Male erectile dysfunction)Questions are now and then seek to come,Many a man to upset!Investigation shows that,In the 40 years old in middle-aged men,Forty percent had different degree of ED.It seems to many people,ED is a physiological problems,however,Recently held in chengdu"Male psychosomatic health professional committee member of the first plenary meeting and founding conference"on,The expert points out,Male ED and psychological factors closely relationship,More than sixty percent of patients with ED belong to psychogenic ED.If psychogenic ED not promptly/The reasonable treatment and psychological intervention,Will gradually turn into organic ED.

过半ED源于心理因素 More than half ED from psychological factors

　　在本次大会上，全国精神科、泌尿科专家就男性心身健康问题进行了跨学科的交流。成都中医药大学第二附属医院副院长、泌尿外科常德贵教授指出：“现代医学认为，生理健康和心理健康密不可分，尤其在男性疾病的诊疗中，跨学科的合作能事半功倍。ED的病因复杂，既有生理因素又有心理因素。大多数男人认为，ED是身体出了问题，殊不知，在男科门诊中，很大部分ED源于心理因素，即心因性ED。”

In this conference,The national psychiatric/Urology experts is male psychosomatic health problems in the interdisciplinary communication.Chengdu university of traditional Chinese medicine the second affiliated hospital deputy director/Professor noted that ChangDeGui urology:"The modern medical science thinks,Physical health and mental health are inseparable,Especially in the diagnosis and treatment of male diseases in,Interdisciplinary cooperation can be twice the result with half the effort.The cause of ED complex,Both physiological factors and psychological factors.Most men think,ED is a body out of the question,Little imagine,Male in outpatient service,Large portions of the ED from psychological factors,Namely psychogenic ED."

　　据一项针对北京、广州、重庆2226例成年男性的临床调查显示，成年男性ED的总患病率为26.1%，40岁及以上人群的患病率为40.2%。其中，心因性ED患者占全部ED患者的62.6%。生活和工作压力过大、情绪焦虑紧张、夫妻感情不和睦、性心理障碍等都容易造成心因性ED。如果心因性ED得不到及时、合理的治疗和心理干预，病情加重，将逐渐转变为器质性ED。

According to a study of Beijing/guangzhou/Chongqing 2226 cases of adult male clinical survey,Adult male ED the total prevalence rate was 26.1%,40 years old and above the crowd incidence was 40.2%.the,Psychogenic ED patients accounted for 62.6% of all patients with ED.The life and the work stress/Emotional anxiety and tension/Couples not harmonious/The psychological obstacles are easy to cause the psychogenic ED.If psychogenic ED not promptly/The reasonable treatment and psychological intervention,illness,Will gradually turn into organic ED.

治疗需要双管齐下 Treatment need to work along both lines

　　ED问题不单是男性的健康问题，更影响到夫妻关系和家庭的稳定。ED治疗的特殊之处在于不仅要关注患者生理的需求，也要关注患者的心理和情感需求。患者伴侣的影响是ED治疗不可忽视的因素，伴侣在性生活中的指责、抱怨也会加重男性ED的症状。四川大学华西医院心理卫生中心孙学礼教授谈道：“ED和心理健康呈正相关性，大多数有心理障碍的男性均有不同程度的勃起功能障碍。反过来，这些男性又可能会因为ED问题而加重心理障碍，最后形成‘心理障碍→ED→心理障碍更严重→ED更严重’的恶性循环。”

ED problem is not only male health problems,More affect the spousal relationship and family stability.ED treatment of special lies in not only the attention to patients physiological needs,Also want to pay attention to the patients psychological and emotional needs.With the influence of the partner is ED treatment factors can not be ignored,In sex partner of the accused/Complain will also aggravate the male ED symptoms.West China hospital of sichuan university mental health center SunXueLi professor said:"ED and mental health of parturients,Most have a mental disorder of men all have different degrees of erectile dysfunction.In turn,These men and may be because ED problem and increase psychological disorder,The final shape‘Psychological disorder - ED psychological barriers and more serious - ED more serious’Vicious cycle of."

　　如何让这些“身心”都备受煎熬的患者重获高质量的性福生活？常德贵教授建议“双管齐下”，即从生理和心理两方面同步治疗。

How to make these"Body and mind"All the suffering of patients regain high quality life year?ChangDeGui professor advice"Work along both lines",That is, from physiological and psychological two aspects synchronous treatment.

　　心理干预则包括了缓解焦虑情绪、性刺激强化和夫妻交流训练等。“夫妻同治”更是其中的重要原则。夫妻同治的主要目的是解除患者的心理障碍，这是男性功能障碍治疗的一个关键。根据临床经验，有性功能障碍的男性在夫妻生活时必然会受到心理因素的影响，心理负担加重，病情进一步复杂化，造成生理和心理的恶性循环，这时候妻子的安慰和鼓励显得尤其重要。

Psychological intervention, including the ease anxiety/Sexual stimulation strengthen and husband and wife communication training, etc."Pathogenesis of husband and wife"Is one of the important principles.Husband and wife of pathogenesis main purpose is to relieve the patients psychological obstacles,This is the male dysfunction treatment of a key.According to the clinical experience in the,Have sexual dysfunction of men in the husband and wife when life inevitably will be affected by the influence of psychological factors,Psychological burden,The illness is further complicated,Cause physiological and psychological vicious cycle,This time his wife's comfort and encourage appears especially important.

　　在改善生理方面，通过改善阴茎硬度从而使心因性ED患者重获自信。根据国际上通用的勃起硬度评分，男性勃起硬度分为4个级别。随着现代生活节奏的加快，工作生活压力大的男性，勃起硬度从4级向3级滑坡的较多。常德贵教授分析：“人在长期紧张焦虑的状态下，导致血管强烈收缩，造成阴茎血液供应减少，由4级硬度逐渐递减至3级，甚至于更差的2级硬度。而由于偶尔的不举，会引发性生活时的焦虑，担心‘我会不会像上次那样不行呢’，这种焦虑情绪会进一步诱发ED。所以在恢复治疗中，迅速提升患者的硬度是关键。多年的临床治疗显示，通过使用万艾可等PDE5抑制剂治疗，可以安全有效地帮助这类ED患者达到4级硬度，改善性生活。”

In improving physical aspects,By improving the penis hardness and psychogenic ED patients regain confidence.According to common international erectile hardness score,Male erectile hardness is divided into four levels.As the pace of modern life,Work and life pressure big men,Erectile hardness from grade 4 to 3 level landslide more.ChangDeGui professor analysis:"People in the long nervous anxiety condition,Blood vessels strong contraction,Creates penis blood supply to reduce,By the 4th level hardness gradually decline to 3 level,Even worse level 2 hardness.And because of the occasional not lift,Can cause sexual life anxiety,worry‘I will not like last time? It's no good’,This anxiety will further induce ED.So the recovery treatment,Rapidly promote the hardness of patients is the key.Many years of clinical treatment show,Through the use of viagra, etc PDE5 inhibitor treatment,Can safely and effectively help this kind of ED patients for up to four level hardness,Improve sex."

　　通过心理和生理两方面的同步治疗，可在改善生理功能的同时，让患者建立信心，重塑夫妻和谐关系，帮助患者摆脱心因性ED。(文/记者 胡菁)

Through the psychological and physiological two aspects of synchronous treatment,Can be in improving physiological function at the same time,Let the victim to build up confidence,Harmonious relationship between husband and wife remodeling,To help patients to get rid of psychogenic ED.(Text/reporter HuJing)