摘要
目的观察功能性电刺激治疗男性勃起功能障碍(ED)的临床疗效和安全性。方法选取2019年3月-2021年6月在我院泌尿外科门诊诊治的24例ED患者作为研究对象,随机分成试验组和对照组各12例:试验组采用低频电刺激治疗;对照组采用同一台仪器,亮灯但不予以低频电刺激。每周接受2次治疗,4周为一个疗程。分别在治疗前和治疗后记录和比较两组患者国际勃起功能指数(IIEF-5)评分、阴茎硬度评分(EHS)、男性性欲量表四项(MSF-4)、生活质量评分(QoL)、生存质量测定量表简表(QoL-BREF)、焦虑自评量表(SAS)及血清总睾酮(TT)水平,并观察患者治疗期间的不良反应。结果组内比较:试验组治疗前后IIEF-5、EHS、MSF-4评分及TT水平升高,差异具有统计学意义(P<0.05),而对照组治疗前后各项指标无统计学差异(P>0.05)。组间比较:治疗前两组各项指标差异无统计学意义(P>0.05),治疗后试验组IIEF-5、EHS、MSF-4评分及TT水平比对照组高,差异具统计学意义(P<0.05)。2组患者均未见严重不良反应。结论采用功能性电刺激治疗男性勃起功能障碍,具有一定的疗效,且安全可靠,值得临床推广。
Objective To evaluate the efficacy and safety of functional electrical stimulation(FES)in the treatment of male erectile dysfunction(ED).Methods A total of 24 ED patients treated during Mar.2019 and Jun.2021 were randomly divided into the trial group(n=12)and control group(n=12).The trial group was treated with low-frequency electrical stimulation.For the control group,the light of the instrument was turned on but no electrical stimulation was given.Both groups were treated twice every week for 4 weeks.The scores of International Index of Erectile Function-5(IIEF-5),Erectile Hardness Score(EHS),Four Items on the Male Sexual Desire Scale(MSF-4),Quality of Life Scale(QoL),Quality of Life-BREF(QoL-BREF),Self-rating Anxiety Scale(SAS)and total testosterone(TT)before and after treatment were recorded and compared between the two groups.The adverse reactions were observed.Results Intragroup comparison:IIEF-5 score,EHS,MSF-4 and TT were significantly increased in the trial group after treatment(P<0.05),while there were no differences in the control group.Intergroup comparison:IIEF-5,EHS,MSF-4 and TT were significantly higher in the trial group than in the control group(P<0.05)after treatment,while there were no differences before treatment.No serious adverse reactions were observed.Conclusion FES is effective,safe and reliable in the treatment of ED,which is worthy of clinical promotion.
作者
屠民琦
史朝亮
马赞颂
徐耀宗
张燕宾
施国伟
TU Minqi;SHI Chaoliang;MA Zansong;XU Yaozong;ZHANG Yanbin;SHI Guowei(Department of Urology,The Fifth People s Hospital of Shanghai,Fudan University,Shanghai 200240,China)
出处
《现代泌尿外科杂志》
CAS
2022年第7期548-551,共4页
Journal of Modern Urology
基金
上海市闵行区自然科学研究课题资助(No.2019MHZ096)。
