抗高血压药物引起阳痿的机理与治疗

• 作 者: 丁国林
• 出 处: 国外医学(老年医学分册)
• 发表日期: 1996年03期
• 关键词: 抗高血压药物 抗交感神经药 β受体阻滞剂 螺内酯 噻嗪类 苯二氮 艹卓 三环类抗抑郁药 抗精神病药 海绵体

阳痿是中老年人常见症状并随增龄而增加。Feldman报告,阳痿发生率40岁为40％,70岁时上升到67％。阳痿有25％由药物引起,其中除少数可由抗精神病药物(如单胺氧化酶抑制剂,三环类抗抑郁药、选择性5-羟色胺、苯二氮(艹卓)类等)、甲氰(?)胍、地高辛、促蛋白合成类固醇等药物引起外,多数系抗高血压药物所致。引起阳痿的最常见抗高血压药物有噻嗪类,螺内酯,抗交感神经药物,β受体阻滞剂;有

Impotence is a common symptom in the elderly and increases with age. Feldman reports that the incidence of impotence is 40% at age 40 and 67% at age 70. 25% of impotence is caused by drugs, except for a few which may be caused by antipsychotics (eg, monoamine oxidase inhibitors, tricyclic antidepressants, selective serotonin, benzodiazepines, etc.) Guanidine, digoxin, aprotinin and other drugs caused by steroids, the majority of anti-hypertensive drugs caused. The most common anti-hypertensive drugs that cause impotence are thiazides, spironolactone, anti-sympathetic drugs, and beta-blockers;