行为心理疗法配合药物在救灾军人早泄治疗中的应用

Interventional effect of behaviour psychotherapy on patients with premature eiaculation from earthquake relief military

目的针对抗震救灾部队所处的特殊环境，探讨综合心理行为配合药物治疗对早泄（premature ejaculation，PE）患者的治疗效果。方法通过调查，确诊84例PE患者，随机分为心理行为干预组和对照组，每组42例。两组均给予药物盐酸氟西汀治疗，干预组同时配合综合性心理行为治疗，共4周，治疗前后应用阴道内射精潜伏期、患者及其配偶性交满意度评分、焦虑自评量表（SAS）进行评定，并比较两组治疗效果。结果两组患者平均阴道内射精潜伏期和患者及其配偶性交满意度评分在治疗后较治疗前均显著增加（P〈0．01），治疗后干预组患者平均阴道内射精潜伏期和患者及其配偶性交满意度评分显著高于对照组（P〈0．01）。而两组患者的SAS评分在治疗后显著低于治疗前，治疗后干预组患者SAS评分显著低于对照组（P〈0．01）。结论对经历特殊环境的救灾军人，综合心理行为干预可改善传统药物治疗早泄的疗效。

Objective To investigate the interventional effect of comprehensive behaviour psychotherapy on premature ejaculation （PE） military patients under specific earthquake relief environmenL Methods Total of 84 PE patients were randomly divided into a psychological intervention group （n = 42） and a control group （n = 42）. Tow groups were treated with fluoxertine hydrochloride, and psychological intervention group received comprehensive behaviour psychotherapy for 4 weeks. Before and after the treatment, the mean intravaginal ejaculation latency time, the intercourse satisfaction and self-rating anxietyscale （SAS） were evaluated. Results The mean intravaginal ejaculatory latency time and the intercourse satisfaction after treatment were improved significantly in tow groups compared with that before treatment （P〈0.0 I）. After treatment, the mean intravaginal ejaculatory latency time and the intercourse satisfaction were improved significantly in psychological intervention group than that of control group（P〈0.01）. SAS score after treatment in tow groups were markedly lower than that before treatment（P〈0.01）. After treatment, SAS were improved significantly in psychological intervention group compared with that of control group （P〈 0.01）. Conclusion For the treatment of the military patients with PE after earthquake relief action, comprehensive behaviour psychotherapy obviously promoted the clinical efficacy of drugs.