心理行为干预在早泄治疗中的作用

Interventional Effect of Behaviour Psychotherapy on Patients with Premature Ejaculation

目的:探讨综合心理行为治疗对早泄(PE)患者射精潜伏期、夫妻双方对性生活满意程度的干预效果及对临床疗效的影响。方法:90例PE患者随机分为心理行为干预组和对照组,每组45例。两组均给予药物治疗,干预组同时配合综合性心理行为治疗,共6周,干预前后应用阴道内射精潜伏期及中国早泄患者性功能评价表(C IPE)、焦虑自评量表(SAS)进行评定,并比较两组临床疗效。结果:治疗前干预组和对照组阴道内射精潜伏期分别为(0.69±0.25)、(0.71±0.19)m in,治疗后分别为(5.87±0.59)、(4.76±0.54)m in,两组治疗后差值差异有显著性(P<0.01)。干预组C IPE的控制射精难易程度、患者性生活满意度、配偶性生活满意度、性生活焦虑程度评分高于对照组,两组差值差异有显著性(t=2.12,2.31,2.01,2.24,P均<0.05)。两组治疗后SAS评分差值差异有显著性(P<0.01)。治疗后1个月两组显效率分别为82.9%、30.0%。两组差值差异有显著性(P<0.01)。结论:心理行为干预可进一步改善传统药物治疗PE的疗效。

Objective： To investigate the interventional effect of comprehensive behaviour psychotherapy on the ejaculatory latency of premature ejaculation （PE） patients, sexual satisfaction of sexual partners, as well as its influence on the results of clinical treatment. Methods ： Ninety PE patients were randomly divided into a psychological intervention group （ n = 45 ） and a control group （ n = 45 ）. Both groups were given medicine therapy, and the former also received comprehensive behaviour psychotherapy for 6 weeks. All the patients were assessed with the Chinese index of sexual function for PE and ejaculatory latency in the vagina, and the clinical efficacy was compared between the two groups. Results ： Before treatment, the ejaculatory latency in the vagina was （ 0.69 ± 0.25 ） min and （0.71 ±0.19） min respectively in the intervention and the control groups, as compared with （5.87 ±0.59） min and （4.76 ±0.54） min before treatment ,withsignificant difference （P 〈0.01 ）. In the intervention group, the scores in the control of ejaculatory reflex, the sexual satisfaction of the patients and their sexual partners and anxiety or depress in sexual activity in CIPE were higher than in the control group, with significant difference between the two groups （ t = 2.12, 2.31, 2.01, 2.24, P 〈 0.05 ）. The difference in the SAS score after therapy was of significance（ P 〈 0.01 ）. A month after treatment, the effectivity rates of the two groups were 82.9% and 30% respectively, and the difference was significant （ P 〈 0.01 ）. Conclusion ： Comprehensive behaviour psychotherapy obviously adds to the clinical efficacy of drugs in the treatment of PE.