天麻钩藤饮加减联合舍曲林治疗早泄临床观察.docVIP

天麻钩藤饮加减联合舍曲林治疗早泄临床观察 　　【摘要】目的：观察天麻钩藤饮加减联合舍曲林治疗早泄的临床疗效。方法：将100例早泄患者随机分为单用组和联合组， 各50 例。 单用组予口服舍曲林，每日睡前服用50mg，1次/d；若预计当日发生性生活，则在性生活前4～6h服用50mg。联合组：在上述治疗的同时，给予口服天麻钩藤饮（天麻、钩藤、石决明、栀子等）加减方药， 1剂/d，早晚服用。上述两组均治疗4周。对比观察两组治疗前、治疗后的阴道内射精潜伏时间（intravaginal ejaculationg latency time，IELT）、配偶性生活满意度评分及临床总有效率。结果：单用组有效率为5918%，联合组总有效率7907%，两组总疗效比较，有统计学差异（P005），联合组射精潜伏期时间，改善患者及性伴侣的性生活满意度方面优于单用组（P005）。结论：天麻钩藤饮加减联合舍曲林治疗早泄疗效明确， 为治疗早泄的一种可行性治疗方法。 　　【关键词】早泄；天麻钩藤饮；舍曲林；疗效 　　【Abstract】Objectives： To observe the clinical curative effect of gastrodia and uncaria decoction joint sertraline in the treatment of premature ejaculation. Methods： 100 premature ejaculation patients were randomly divided into control group and observation group， 50 cases in each group. The control group received oral sertraline， 50 mg daily before bedtime， 1 time/day； If sex was expected on the day， 50 mg sertraline should be taken 4 ～ 6 hours before sex. On the basis of the treatment above， observation group received oral gastrodia and uncaria decoction （gastrodia elata， uncaria， haliotis， gardenia， etc.） at the same time， once a day in the morning or evening. The above two groups received the treatment for 4 weeks. Vagina ejaculation latency time （intravaginal ejaculationg latency time， IELT）， spouses sexual satisfaction score and clinical total effective rate of two groups before and after the treatment were compared. Results： The total effective rate of control group and observation group was 59.18% and 79.07% respectively， with statistically significant differencce （P005）. The ejaculation latency time， improvement of the sexual satisfaction in patients and sexual partners in observation group was better than these of control group （P005）. Conclusion： Curative effect of gastrodia and uncaria decoction joint sertraline treatment on premature ejaculation is clear， which is feasible in the treatment of premature ejaculation. 　　【Key words】Premature ejaculation； Gastrodia and uncaria decoction； Sertraline； Curative effect