电针治疗肝经湿热型早泄的临床疗效观察

发布时间：2019-06-29 20:13

【摘要】：目的:本研究旨在观察电针治疗肝经湿热型早泄的疗效,并以内服龙胆泻肝汤治疗为对照进行比较,从而为电针治疗早泄提供客观的临床依据,希望能为针刺治疗肝经湿热型早泄提供科学有效的辨治思路及针刺治疗方法指导。方法:将40位符合病例选择标准的肝经湿热型的早泄患者,随机分为观察组和对照组各20例。观察组选用电针治疗,1日1次,1次留针30min,连续6次后休息1天,6次1个疗程,共4个疗程;对照组则以内服龙胆泻肝汤来治疗,1日1付,连续服6付后停药1天,6付1个疗程,两组均治疗4个疗程。观察治疗时及治疗后3个月随访的改变。结果:(1)两组治疗过程中的IELT较治疗前均有明显延长,且两组间相比,无显著性差异(P0.05)。(2)两组治疗过程中的配偶性生活满意度与治疗前相比,均有改善,有显著性差异(P0.05);两组间相比,无显著性差异(P0.05)。(3)随访结果:3个月后随访的IELT值,观察组随访的IELT值与治疗过程中的IELT值相比无显著性差异(P0.05);对照组随访的IELT值与治疗过程中的IELT值相比,明显缩短,有显著性差异(P0.05)。3个月后随访,观察组的配偶性生活满意度与治疗过程中相比无显著性差异(P0.05);对照组的配偶性生活满意度与治疗过程中相比,明显降低,有显著性差异(P0.05)。(4)临床疗效:观察组总有效率为80%,对照组总有效率为65%。结论:本研究结果表明电针与龙胆泻肝汤治疗肝经湿热型早泄均具有显著效果,且电针组在治疗后短期(3个月)内疗效稳定性优于龙胆泻肝汤组。
[Abstract]:Objective: the purpose of this study was to observe the curative effect of electro-acupuncture on premature ejaculation of dampness-heat type of liver meridians, and to compare the treatment with Longdan Xiegan decoction as control, so as to provide objective clinical basis for the treatment of premature ejaculation by electro-acupuncture, and hope to provide scientific and effective treatment ideas and guidance for acupuncture treatment of premature ejaculation of dampness-heat type of liver meridians. Methods: forty patients with premature ejaculation of dampness and heat type of liver meridians were randomly divided into observation group (n = 20) and control group (n = 20). The observation group was treated with electro-acupuncture once a day, once a time for 30 minutes, 6 times after rest for 1 day, 6 times for a course of treatment, a total of 4 courses of treatment, while the control group was treated with Longdan Xiegan decoction for 1 day, 1 day after 6 consecutive doses, 6 times for 1 course of treatment, both groups were treated with 4 courses of treatment. The changes of follow-up during treatment and 3 months after treatment were observed. Results: (1) the IELT of the two groups was significantly longer than that before treatment, and there was no significant difference between the two groups (P 0.05). (2). There was a significant difference in the satisfaction of spouse life between the two groups (P 0.05). There was no significant difference between the two groups (P 0.05). (3). After 3 months, there was no significant difference in the IELT value between the observation group and the treatment group (P 0.05). Compared with the IELT value in the treatment process, the IELT value in the control group was significantly shorter than that in the treatment process (P 0.05). After 3 months follow-up, there was no significant difference in spouse life satisfaction between the observation group and the treatment process (P 0.05). Compared with the course of treatment, the satisfaction rate of spouse life in the control group was significantly lower than that in the treatment process, and there was significant difference (P 0.05). (4). The total effective rate was 80% in the observation group and 65% in the control group. Conclusion: both EA and Longdan Xiegan decoction are effective in the treatment of premature ejaculation due to dampness and heat of liver meridians, and the curative effect of EA group is better than that of Longdan Xiegan decoction group in the short term (3 months) after treatment.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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