针挑治疗功能性不射精症疗效及其对性激素水平的影响

作者	单位
陈栋	暨南大学第一临床医学院
钟键	暨南大学第一临床医学院
陈恕仁	南方医科大学
肖远辉	中山市中医院
章岳娟	暨南大学第一临床医学院
弓健	暨南大学第一临床医学院
邓列华	暨南大学第一临床医学院
徐浩	暨南大学第一临床医学院

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中文摘要:

目的观察针挑治疗功能性不射精症的临床疗效及对性激素水平的影响。方法122例功能性不射精症患者按随机数字表分为两组,治疗组62例采用针挑治疗,选取骶丛神经刺激点(双),第1腰椎旁点(双)为主,5天1次。对照组60例口服左旋多巴及性交前1h口服或肌肉注射麻黄碱。均45天为1个疗程。观察治疗前后功能性不射精症的改善情况及性激素改变。结果治疗组总有效率82·3%(51/62)明显高于对照组58·3%(35/60,P<0·05)。治疗组黄体生成素(LH)、卵泡生成素(FSH)、雌二醇(E2)治疗前后比较差异有统计学意义(P<0·01);对照组LH及E2治疗前后比较差异有统计学意义(P<0·05,P<0·01);且治疗组治疗后LH及FSH的改变优于对照组(P<0·01)。结论针挑可改善功能性不射精临床症状,调整内分泌,在提高LH及FSH方面优于左旋多巴加麻黄碱治疗。

英文摘要:

Objective To observe the therapeutic effect of needle-pricking (NP) for treatment of anejaculation (AE),and its influences on sex hormone levels.Methods One hundred and twenty-two AE patients were randomized into the treated group (62 patients) treated with NP applied mainly on bilateral points of sacral plexus and para-vertebra L1,every 5 days;and the control group (60 patients) treated orally with L-dopa and ephedrine 1 h before sexual intercourse.The therapeutic course for both was 45 days.Changes of clinical conditions and blood sex hormones levels were observed.Results The total effective rate was 82.3% (51/62) in the treated group,which was significantly higher than that in the control group,58.3% (35/60,P<0.05);levels of luteinzing hormone (LH),follicular stimulating hormone (FSH) and estradiol (E2) were improved significantly in the treated group after treatment (P<0.01),but in the control group no significant change of FSH was shown,and the improvement of LH and FSH was inferior to that in the treated group (P<0.01).Conclusion NP could improve the clinical symptoms and adjust the blood levels of sex hormone in patients with AE,showing an effect better than L-dopa plus ephedrine in increasing LH and FSH levels.

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