旺土丹與行為訓(xùn)練對脾腎陽虛型繼發(fā)性早泄隨機交叉對照臨床觀察
發(fā)布時間：2018-11-17 15:53
【摘要】：目的:本臨床觀察旨于《辨證錄》旺土丹與行為訓(xùn)練對脾腎陽虛型繼發(fā)性早泄的性生活滿意度的改善,并給繼發(fā)性早泄的中醫(yī)藥治療提供臨床觀察依據(jù)。方法:患者為2016年01月-2016年12月,就診于我院男科二診室的60例患者,符合本臨床觀察納入標準的脾腎陽虛型繼發(fā)性早泄患者,60例患者均自愿接受本臨床觀察,將患者按就診順序,隨機分為試驗組A與對照組B兩組,兩組分別為30例患者,課題設(shè)計為兩個階段,每個階段為2個月時間,第一階段結(jié)束后,休息20天,然后接受第二階段的治療。第一階段(2個月):試驗組A接受口服中藥旺土丹,對照組B練習(xí)行為訓(xùn)練;2個月后,休息20天,為洗脫期;第二階段(2個月),第一組試驗組A練習(xí)行為訓(xùn)練,對照組B 口服中藥旺土丹,2x2交叉試驗。分析治療前后試驗組A與對照組B繼發(fā)性早泄患者的中醫(yī)癥狀、中國早泄患者功能評價表(CIPE-5)、陰道內(nèi)射精潛伏期(IELT)及其性伴侶滿意度評分的改變情況。結(jié)果:第一階段:兩組患者治療前IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分比較差異無統(tǒng)計學(xué)意義(P0.05);與治療前相比,試驗組A患者治療后IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分比較差異有統(tǒng)計學(xué)意義(P0.05);與治療前相比,對照組B患者治療后IELT、CIPE-5、性伴侶滿意度比較差異有統(tǒng)計學(xué)意義(P0.05),中醫(yī)癥狀積分比較差異無統(tǒng)計學(xué)意義(P0.05);治療后與對照組B相比,試驗組A患者IELT、CIPE-5、中醫(yī)癥狀積分比較差異有統(tǒng)計學(xué)意義(P0.05),性伴侶滿意度比較差異無統(tǒng)計學(xué)意義(P0.05),試驗組A在改善IELT、CIPE-5、中醫(yī)癥狀積分方面療效優(yōu)于對照組B,在改善性伴侶滿意度方面療效與對照組B相當。第二階段:兩組患者治療前IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分比較差異無統(tǒng)計學(xué)意義(P0.05);與治療前相比,試驗組A患者治療后CIPE-5、性伴侶滿意度比較差異有統(tǒng)計學(xué)意義(P0.05),IELT、中醫(yī)癥狀積分比較差異無統(tǒng)計學(xué)意義(P0.05);與治療前相比,對照組B患者治療后IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分比較差異有統(tǒng)計學(xué)意義(P0.05);治療后與試驗組A相比,對照組B患者IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分比較差異有統(tǒng)計學(xué)意義(P0.05);對照組B在改善IELT、CIPE-5、性伴侶滿意度、中醫(yī)癥狀積分方面療效優(yōu)于試驗組A。結(jié)論:1、研究方法的兩個階段,患者運用行為訓(xùn)練治療脾腎陽虛型繼發(fā)性早泄的性交滿意度,中國早泄患者射精功能有所提高。2、患者服用中藥旺土丹治療時,射精功能明顯改善,中醫(yī)癥狀、陰道內(nèi)射精潛伏期、性伴侶滿意度的評分明顯提高,從數(shù)據(jù)上看明顯優(yōu)于行為訓(xùn)練。3、中藥旺土丹為中醫(yī)藥治療脾腎陽虛型繼發(fā)性早泄提供了醫(yī)學(xué)依據(jù)。
[Abstract]:Objective: the purpose of this clinical observation is to improve the satisfaction degree of sexual life of secondary premature ejaculation of spleen and kidney yang deficiency type with behavior training, and to provide clinical observation basis for the treatment of secondary premature ejaculation with traditional Chinese medicine. Methods: from January 2016 to December 2016, 60 patients with secondary premature ejaculation of spleen and kidney yang deficiency type, who were admitted to the second department of andrology in our hospital from January 2016 to December 2016, were included in the clinical observation, and 60 patients accepted the clinical observation voluntarily. The patients were randomly divided into two groups: experimental group A and control group B, with 30 patients in each group. The subjects were designed as two stages, each stage was two months, the first stage was over, and the rest was 20 days. Then the second stage of treatment. The first stage (2 months): experimental group A received oral Chinese medicine Wangtudan, control group B practice behavior training, 2 months, rest 20 days, for the elution period; In the second stage (2 months), the first group (group A) practiced behavior training, and the control group B (oral Chinese medicine Wangtudan, 2x2 cross test). Before and after treatment, the changes of TCM symptoms of patients with secondary premature ejaculation in test group A and control group B, the functional evaluation table (CIPE-5) of Chinese premature ejaculation patients, the (IELT) of vaginal ejaculation latency and the score of sexual partner satisfaction were analyzed. Results: in the first stage, there was no significant difference in IELT,CIPE-5, sexual partner satisfaction and TCM symptom score between the two groups before treatment (P0.05). Compared with before treatment, the IELT,CIPE-5, sexual partner satisfaction and TCM symptom scores of patients in group A were significantly different after treatment (P0.05). Compared with before treatment, there was significant difference in IELT,CIPE-5, sexual partner satisfaction after treatment in control group B (P0.05), but there was no significant difference in TCM symptom score (P0.05). Compared with control group B, the scores of TCM symptom of IELT,CIPE-5, in group A were significantly higher than that of control group B (P0.05), but there was no significant difference in sexual partner satisfaction (P0.05). Group A was improving IELT,. The curative effect of TCM symptom score of CIPE-5, was better than that of control group B, and the effect of improving sexual partner satisfaction was similar to that of control group B. The second stage: there was no significant difference in IELT,CIPE-5, sexual partner satisfaction and TCM symptom score between the two groups before treatment (P0.05). Compared with before treatment, there was significant difference in CIPE-5, sexual partner satisfaction after treatment in group A (P0.05). There was no significant difference in TCM symptom scores of), IELT, (P0.05). Compared with before treatment, the control group B patients after treatment IELT,CIPE-5, sexual partner satisfaction, TCM symptom score difference was statistically significant (P0.05); After treatment compared with experimental group A, the control group B patients IELT,CIPE-5, sexual partner satisfaction, TCM symptom scores were significantly different (P0.05); Control group B was better than test group in improving IELT,CIPE-5, sexual partner satisfaction and TCM symptom score. Conclusion: 1. In the two stages of the study, the patients used behavioral training to treat the sexual satisfaction of the secondary premature ejaculation of the spleen and kidney yang deficiency type, and the ejaculation function of the Chinese premature ejaculation patients was improved. 2. When the patients were treated with Wangtudan, a traditional Chinese medicine, the ejaculation function of the patients was improved. The ejaculation function was obviously improved, the symptoms of traditional Chinese medicine, the latent period of ejaculation in vagina and the score of sexual partner satisfaction were obviously improved, which was obviously superior to behavior training in terms of data. The traditional Chinese medicine Wangtu Dan provides the medical basis for the treatment of secondary premature ejaculation of spleen-kidney yang-deficiency type.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R277.5
本文編號：2338363
[Abstract]:Objective: the purpose of this clinical observation is to improve the satisfaction degree of sexual life of secondary premature ejaculation of spleen and kidney yang deficiency type with behavior training, and to provide clinical observation basis for the treatment of secondary premature ejaculation with traditional Chinese medicine. Methods: from January 2016 to December 2016, 60 patients with secondary premature ejaculation of spleen and kidney yang deficiency type, who were admitted to the second department of andrology in our hospital from January 2016 to December 2016, were included in the clinical observation, and 60 patients accepted the clinical observation voluntarily. The patients were randomly divided into two groups: experimental group A and control group B, with 30 patients in each group. The subjects were designed as two stages, each stage was two months, the first stage was over, and the rest was 20 days. Then the second stage of treatment. The first stage (2 months): experimental group A received oral Chinese medicine Wangtudan, control group B practice behavior training, 2 months, rest 20 days, for the elution period; In the second stage (2 months), the first group (group A) practiced behavior training, and the control group B (oral Chinese medicine Wangtudan, 2x2 cross test). Before and after treatment, the changes of TCM symptoms of patients with secondary premature ejaculation in test group A and control group B, the functional evaluation table (CIPE-5) of Chinese premature ejaculation patients, the (IELT) of vaginal ejaculation latency and the score of sexual partner satisfaction were analyzed. Results: in the first stage, there was no significant difference in IELT,CIPE-5, sexual partner satisfaction and TCM symptom score between the two groups before treatment (P0.05). Compared with before treatment, the IELT,CIPE-5, sexual partner satisfaction and TCM symptom scores of patients in group A were significantly different after treatment (P0.05). Compared with before treatment, there was significant difference in IELT,CIPE-5, sexual partner satisfaction after treatment in control group B (P0.05), but there was no significant difference in TCM symptom score (P0.05). Compared with control group B, the scores of TCM symptom of IELT,CIPE-5, in group A were significantly higher than that of control group B (P0.05), but there was no significant difference in sexual partner satisfaction (P0.05). Group A was improving IELT,. The curative effect of TCM symptom score of CIPE-5, was better than that of control group B, and the effect of improving sexual partner satisfaction was similar to that of control group B. The second stage: there was no significant difference in IELT,CIPE-5, sexual partner satisfaction and TCM symptom score between the two groups before treatment (P0.05). Compared with before treatment, there was significant difference in CIPE-5, sexual partner satisfaction after treatment in group A (P0.05). There was no significant difference in TCM symptom scores of), IELT, (P0.05). Compared with before treatment, the control group B patients after treatment IELT,CIPE-5, sexual partner satisfaction, TCM symptom score difference was statistically significant (P0.05); After treatment compared with experimental group A, the control group B patients IELT,CIPE-5, sexual partner satisfaction, TCM symptom scores were significantly different (P0.05); Control group B was better than test group in improving IELT,CIPE-5, sexual partner satisfaction and TCM symptom score. Conclusion: 1. In the two stages of the study, the patients used behavioral training to treat the sexual satisfaction of the secondary premature ejaculation of the spleen and kidney yang deficiency type, and the ejaculation function of the Chinese premature ejaculation patients was improved. 2. When the patients were treated with Wangtudan, a traditional Chinese medicine, the ejaculation function of the patients was improved. The ejaculation function was obviously improved, the symptoms of traditional Chinese medicine, the latent period of ejaculation in vagina and the score of sexual partner satisfaction were obviously improved, which was obviously superior to behavior training in terms of data. The traditional Chinese medicine Wangtu Dan provides the medical basis for the treatment of secondary premature ejaculation of spleen-kidney yang-deficiency type.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R277.5
【相似文獻】
相關(guān)碩士學(xué)位論文 前2條
1 陳浩;旺土丹聯(lián)合行為療法治療脾腎陽虛型早泄的隨機對照試驗[D];黑龍江中醫(yī)藥大學(xué);2016年
2 趙會謝;旺土丹與行為訓(xùn)練對脾腎陽虛型繼發(fā)性早泄隨機交叉對照臨床觀察[D];黑龍江中醫(yī)藥大學(xué);2017年
，本文編號：2338363
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