旺土丹与行为训练对脾肾阳虚型继发性早泄随机交叉对照临床观察
发布时间：2018-11-17 15:53
【摘要】：目的:本临床观察旨于《辨证录》旺土丹与行为训练对脾肾阳虚型继发性早泄的性生活满意度的改善,并给继发性早泄的中医药治疗提供临床观察依据。方法:患者为2016年01月-2016年12月,就诊于我院男科二诊室的60例患者,符合本临床观察纳入标准的脾肾阳虚型继发性早泄患者,60例患者均自愿接受本临床观察,将患者按就诊顺序,随机分为试验组A与对照组B两组,两组分别为30例患者,课题设计为两个阶段,每个阶段为2个月时间,第一阶段结束后,休息20天,然后接受第二阶段的治疗。第一阶段(2个月):试验组A接受口服中药旺土丹,对照组B练习行为训练;2个月后,休息20天,为洗脱期;第二阶段(2个月),第一组试验组A练习行为训练,对照组B 口服中药旺土丹,2x2交叉试验。分析治疗前后试验组A与对照组B继发性早泄患者的中医症状、中国早泄患者功能评价表(CIPE-5)、阴道内射精潜伏期(IELT)及其性伴侣满意度评分的改变情况。结果:第一阶段:两组患者治疗前IELT、CIPE-5、性伴侣满意度、中医症状积分比较差异无统计学意义(P0.05);与治疗前相比,试验组A患者治疗后IELT、CIPE-5、性伴侣满意度、中医症状积分比较差异有统计学意义(P0.05);与治疗前相比,对照组B患者治疗后IELT、CIPE-5、性伴侣满意度比较差异有统计学意义(P0.05),中医症状积分比较差异无统计学意义(P0.05);治疗后与对照组B相比,试验组A患者IELT、CIPE-5、中医症状积分比较差异有统计学意义(P0.05),性伴侣满意度比较差异无统计学意义(P0.05),试验组A在改善IELT、CIPE-5、中医症状积分方面疗效优于对照组B,在改善性伴侣满意度方面疗效与对照组B相当。第二阶段:两组患者治疗前IELT、CIPE-5、性伴侣满意度、中医症状积分比较差异无统计学意义(P0.05);与治疗前相比,试验组A患者治疗后CIPE-5、性伴侣满意度比较差异有统计学意义(P0.05),IELT、中医症状积分比较差异无统计学意义(P0.05);与治疗前相比,对照组B患者治疗后IELT、CIPE-5、性伴侣满意度、中医症状积分比较差异有统计学意义(P0.05);治疗后与试验组A相比,对照组B患者IELT、CIPE-5、性伴侣满意度、中医症状积分比较差异有统计学意义(P0.05);对照组B在改善IELT、CIPE-5、性伴侣满意度、中医症状积分方面疗效优于试验组A。结论:1、研究方法的两个阶段,患者运用行为训练治疗脾肾阳虚型继发性早泄的性交满意度,中国早泄患者射精功能有所提高。2、患者服用中药旺土丹治疗时,射精功能明显改善,中医症状、阴道内射精潜伏期、性伴侣满意度的评分明显提高,从数据上看明显优于行为训练。3、中药旺土丹为中医药治疗脾肾阳虚型继发性早泄提供了医学依据。
[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.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R277.5
本文编号：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.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R277.5
【相似文献】
相关硕士学位论文 前2条
1 陈浩;旺土丹联合行为疗法治疗脾肾阳虚型早泄的随机对照试验[D];黑龙江中医药大学;2016年
2 赵会谢;旺土丹与行为训练对脾肾阳虚型继发性早泄随机交叉对照临床观察[D];黑龙江中医药大学;2017年
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