摘要
目的:性活动对健康的影响长久以来一直是人们关注的焦点,其对健康的不利影响主要集中在心血管系统疾病上。综述国内外在此方面的研究成果,对正确认识性活动与健康的关系很有必要。资料来源:计算机Medline在线检索PubMed数据库1980-01/2004-06期间的文章,检索词“sexualactivity,cardiovascular,human”。限定语言种类为English。同时计算机检索万方数据资源系统与中国全文期刊数据库1994-01/2004-06期间的文章,限定文章语言种类为中文,检索词“性活动/性行为,心血管,人类”。资料选择:对资料进行初审,选取实验研究和流行病学研究的文献,排除与心血管疾病无关的性功能障碍研究的文献。对剩余的文献查找全文,排除重复性的实验研究。资料提炼:共收集到47篇相关文献,28篇为实验研究和流行病学研究的文献,19篇符合纳入标准,排除6篇重复性的研究,排除3篇过于陈旧的文献。资料综合:19篇文献分别涉及性活动的神经支配,健康人性活动对心血管系统81-3的影响,慢性心血管病患者性活动对心血管系统的影响,性活动与急性心脏事件,性活动相关药物的心血管危险性方面的研究。结论:心血管系统和阴茎都受神经中枢的控制。健康人和慢性心血管疾病患者在性活动过程中都会出现心率、血压、氧耗量的升高,在高潮期达到高峰。其运动量相当于中等体力活动的水平。性活动是造成急性心脏事件的一种较微弱的触发因素,只在性活动后2h内具有危险性。
OBJECTIVE： The effects of sexual activity on cardiovascular system have been paid attention to for a long time. It is thought that its harmful effects mainly concentrated on the cardiovascular diseases. The aim of the paper was to review the research achievements in this field at home and abroad, it is helpful for the correct understanding the association between sexual activity and health. DATA SOURCES： An online search of Pubmed database was undertaken to identify relevant papers published in English from January 1980 to June 2004 by using the keywords of “sexual activity, cardiovascular, human”. Meanwhile, Wanfang database and Chinese journals full-text database were scanned with computer to search relevant articles published from January 1994 to June 2004, the keywords were “sexual activity, cardiovaseular, human” with language limited to Chinese. STUDY SELECTION： Throughout tbe above search, the articles of experimental study and epidemiological study were selected, while articles about erectile disfunction but had nothing to do with cardiovascular diseases were excluded, and then the full-texts of the selected articles were searched, and the repetitive experimental studies were deleted. DATA EXTRACTION： Forty-seven relevant articles were collected, including 28 articles of experimental study and epidemiologlcal study, 19 were ha accordance with the inclusion criteria, 6 repetitive and 3 olden ones were deleted. DATA SYNTHESIS： The 19 articles were involved in nerve control of sexual activity, the effects of sexual activity on the cardiovascular system in healthy adults and patients with cardiovascular diseases, sexual activity related to acute heart events, and the cardiovascular risk of medicines related to sexual activity. CONCLUSION： Both the cardiovascular system and penis are controlled by central nervous system. Increased heart rate, blood pressure and oxygen uptake during coitus and the peak values of them appeared at the time of orgasm have been reported both in healthy population and the patients with chronic cardiovascular diseases. Sexual activity amount is equal to the level of moderate physical activity. Sexual activity is a relatively weak trigger factor for acute cardiac event. Cardiovascular risk exists only within the first 2 hours after coitus.
出处
《中国临床康复》
CAS
CSCD
北大核心
2005年第24期181-183,共3页
Chinese Journal of Clinical Rehabilitation
基金
首都医学科研发展基金(TS1998-09)
清华大学第二附属医院科研基金资助项目~~
