Sexual Disorder

性障碍
  • 文章类型: Journal Article
    勃起障碍(ED)是在性交过程中连续或重复地无法达到勃起或保持足够长的时间。鉴于利用高质量临床实践指南(CPGs)诊断ED的重要性,研究小组对勃起障碍CPGs进行了范围审查,以解决基于最佳质量临床指南的问题.这项范围界定审查分五个步骤进行:1-确定研究问题,2-识别相关研究,3-选择研究,4-数据提取,5-总结和报告结果。最初的搜索产生了1888篇文章,CPG和书籍,但经过两名评估师的一级和二级筛选,提取9个CPGs。之后,两位评估师使用AGREEII工具检查了这些指南的质量。最终,提取5个CPGs。在回顾了5条准则后,回答了5个问题。总的来说,在回答标记的问题时,CPG有理想的重叠;然而,在细节上也有一些差异。这篇评论表明,检查受影响个人的首要原则是完整详细的历史,然后进行身体检查并使用相关问卷来完成诊断问题所需的信息。下一步是进行常规实验室测试;也可以检查荷尔蒙概况,如果有必要,应根据个人条件进行特殊测试。
    Erectile disorder (ED) is the continuous or repeated inability to achieve an erection or maintain its firmness for an adequate amount of time during sexual intercourse. Given the importance of utilizing quality clinical practice guidelines (CPGs) for the diagnosis of ED, the research team conducted a scoping review of erectile disorder CPGs to address the questions based on the clinical guideline of the best quality. This scoping review was conducted in five steps: 1 - identification of the research question, 2 - identification of relevant studies, 3 - selection of studies, 4 - data extraction, 5 - summarizing and reporting the results. The initial search yielded 1,888 articles, CPGs and books but after primary and secondary screening by two appraisers, 9 CPGs were extracted. After that, the two appraisers examined the quality of these guidelines using the AGREE II tool. Eventually, 5 CPGs extracted. After reviewing 5 guidelines, 5 questions were answered. Overall, the CPGs had desirable overlap in response to the marked questions; nevertheless, there were some differences in details too. This review shows that the first and foremost principle in examining the affected individuals is taking a complete detailed history, followed by a physical examination and use of relevant questionnaires to complete the information necessary to diagnose the problem. The next step is to perform routine lab tests; hormonal profiles may also be checked, and if necessary, special tests should be performed based on an individual\'s conditions.
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