摘要
目的:探讨早泄临床分度的合理性,及几种治疗方法对早泄分度治疗的临床应用效果。方法:按病情程度将其分为Ⅰ度组(轻度)、Ⅱ度组(中度)、Ⅲ度组(重度),每组分别随机抽取7人、7人、6人行骶神经感觉诱发电位(SSEP)检查。对每组病人均行四种治疗,以询问或信访获取临床效果。结果:SSEP检查三组间龟头、尿道外口处感觉阈值有显著性差异(P<0.05)。四种疗法对三组的治疗效果随分度的不同而各有差异,以单纯性行为疗法最低,以口服精神类药物为主的综合疗法最高,临床有效率达91.73％。结论:早泄病人的临床分度合理,按临床分度来选择治疗方式,可提高早泄治疗的针对性。尿道内注入并龟头涂抹局麻药是一种简单而有效的方式,而对重度早泄可选择以抗抑郁药为主的综合疗法。
Objective To study the reasonability of the premature ejaculation grading and to observe the therapeutic effects of the four methods to premature ejaculation. Methods:The premature ejaculation was divided into Group Ⅰ (mild) Group Ⅱ (moderate) and Group Ⅲ (severe) by the severness of the premature ejac- ulation. To verify the reasonability of the premature ejaculation grading, 7,7 and 6 men picked dividually at random from the patients of various degrees were examined by SSEP. The patients suffered from premature ejaculation of various degrees were treated dividually by the four therapy methods. Results :The sensory threshold of glan and urethra among the three groups had significant difference by SSEP (P<0.05), but the amplitude and latency of P1、N1、and P2 wave did not have significant difference (P>0.05). The therapy effects of the four methods to the three groups were different. The effective rate of the simple sexual behavior therapy was the lowest and the effective rate of the complex therapy mainly depended on psycho-drug was the highest 91.73%. Conclusion:Grading premature ejaculation combining SSEP and choosing therapy methods by the grading of premature ejaculation make therapies for premature ejaculation more oriented. The therapy of locally injecting anesthetic into urethra while locally smearing anesthetic on glan is a simple and effective method. The complex therapy mainly depended on psycho-drug have good effect for severe premature ejaculation.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2003年第5期278-282,共5页
Reproduction and Contraception
基金
山东省自然科学基金(Y2001C27)
