心因性勃起功能障碍的综合治疗

The comprehensive treatment of psychogenic erectile dysfunction

目的观察综合治疗对于心因性勃起功能障碍(ED)的疗效。方法40例心因性ED患者,使用性功能康复治疗仪进行治疗,每次30min,每天1次,5次为一疗程；配合性知识、性心理和性生理教育等综合治疗。治疗结束后3月评价其治疗效果并追踪观察6月。结果40例心因性勃起功能障碍患者治愈21例,占52．5%；好转14例,占35．0%；无效5例,占12．5%,总有效率达87．5%。治疗前后IIEF-5评分比较有统计学意义(P＜0．05)。35例治疗有效的患者中有31例获得半年随访,性生活正常。结论性功能康复治疗仪,配合性知识、性心理和性生理教育对病人恢复信心和诱发勃起完成性生活有重要作用。

Objective To investigate the effect of the comprehensive treatment of psychogenic erectile dysfunction. Methods 40 cases of psychogenic erectile dysfunction were analysed retrospectively. The device of sexual function recuperation was used and psychosexual therapy was also done, 30 min/section, once a bay, 5 sections as one sequence. The effects were watched after 3 month and followed for 6 months. Results After treatment, the cure rate was 52,5%（21）; the alleviation rate was 35%（14）; the nullity rate was 12.5%（5）; the total efficency rate was 87.5%. The scores of IIEF-5 were ascended （P 〈 0.05）. 31 cases were followed for 6 months and the sexual life was normal. Conclusion Besides psychosexual, the device of sexual function recuperation is a safe and effective way for treatment of psychogenic erectile dysfunction.