勃起功能障碍患者性治疗的临床应用研究

Sex Therapy Is Effective for Erectile Dysfunction

目的:探讨ED性治疗的临床应用。方法:在男科门诊用性治疗的方法对ED患者及伴侣进行治疗。参加性治疗的ED患者及伴侣共11对,其中2例患者伴有射精障碍,2例患者伴有性欲减退,1例患者的伴侣患有阴道痉挛。治疗前后通过访谈对患者和伴侣的性关系和整体关系进行评估,用IIEF对患者的性功能包括勃起功能(EF)、性高潮(OF)、性欲(SD)、性交满意度(IS)、总体满意度(OS)进行评估,并在治疗过程中通过观察和访谈分析性治疗存在的问题。结果:11对病例中,有5对病例完成性治疗全过程,1对由治疗师中止治疗,5对中途先后退出。5对完成治疗的病例,患者与伴侣的性关系比治疗前更加满意。IIEF问卷结果除SD外,EF、OF、IS、OS都比治疗前有所提高,尤其是EF的提高最明显。结论:性治疗是有效的治疗ED的方法。性治疗不仅能够改善患者的ED、伴发的其他性功能障碍,以及伴侣的性功能障碍,还能改善患者与伴侣的整体关系。

Objective： To evaluate the sex therapy for erectile dysfunction （ED）. Methods： We recommended the sex therapy to ED patients and their partners （ 11 couples in all） in the outpatient department. Of the total number of volunteers, 2 males were accompanied by ejaculation disorder, another 2 with hyposexality, and I female had vaginismus. The effect of the therapy was assessed and the problems with it analyzed by interviews with the subjects and the msuhs of International Index of Erectile Function （IIEF） before and after the treatment. Results： Of the 11 pairs of volunteers, 5 quitted halfway and I discontinued at the therapists＇ decision. The 5 couples who accomplished the whole therapy felt more satisfied with their sexual life and general relationship, with improved scores on all the items of IIEF, particularly on erectile function （ EF）, with the only exception of sexual desire （SD）. Conclusion ： The sex therapy is effective not only for ED but also for other accompanying sexual dysfunctions, the sexual dysfunctions of the patients＇ partners and the improvement of the general relationship of the couples.