东革阿里治疗更年期男性勃起功能障碍的临床研究

Clinical study of eurycoma longifolia in treatment of erectile dysfunction in climacteric males

目的探讨东革阿里治疗更年期男性勃起功能障碍的(ED)的疗效和安全性。方法将134例更年期男性ED患者分为观察组与对照组,每组67例,观察组予东革阿里治疗,对照组用十一酸睾酮治疗。治疗3个月后,比较两组患者治疗前后勃起硬度分级量表(EHS)、男性性健康量表(SHIM)评分、老年男性症状量表(AMS)、勃起功能障碍治疗满意度问卷(EDITS)评分和血清总睾酮(TT)、血清游离睾酮(FT)、黄体生成激素(LH)、促卵泡激素(FSH)和性激素结合球蛋白(SHGB)变化情况及并发症的发生率。结果经3个月治疗后,两组患者的EHS、SHIM、AMS评分和血清TT、FT水平与治疗前比较均明显改善(P<0.05),观察组的结果明显优于对照组(P<0.05);观察组患者血清LH、FSH水平较治疗前无明显变化(P>0.05),而对照组患者血清LH、FSH水平较治疗前明显降低(P<0.05);观察组患者血清SHGB水平较治疗前降低(P<0.05),对照组患者血清SHGB水平较治疗前升高(P<0.05);观察组患者EDITS评分较对照组高(P<0.01);观察组患者并发症发生率为2.99%,明显低于对照组(16.41%),差异有统计学意义(P<0.05)。结论东革阿里能明显提高更年期男性ED患者的性欲和性功能。

Objective To investigate the effect and safety of eurycoma longifolia in the treatment of erectile dysfunction(ED)in climacteric males.Methods One hundred and thirty-four climacteric males with ED were divided into the observation group and control group,67 cases in each group.The observation group was given the therapy of eurycoma longifolia and the control group was treated with testosterone undecanoate.After 3-month treatment,the scores of EHS,SHIM,AMS,EDITS,changes of serum total testosterone(TT),free testesterone(FT),luteinizing hormone(LH),follicle stimulating hormone(FSH)and sex hormone-binding globulin(SHGB)and complication occurrence rate were compared between the two groups.Results After 3-month treatment,the scores of EHS,SHIM,AMS and EDITS,and serum TT and FT levels in the two groups were significantly improved(P<0.05),moreover the results in the observation group were better than those in the control group(P<0.05);serum LH and FSH in the observation group had no obvious changes compared with before treatment(P>0.05),while which in the control group were significantly decreased compared with before treatment(P<0.05);serum SHGB level in the observation group was decreased compared with before treatment(P<0.05),while which in the control group was increased compared with before treatment(P<0.05);the EDITS score in the observation group was higher than that in the control group(P<0.01);the complication incidence rate in the observation group was 2.29%,which was significantly lower than 16.41%in the control group(P<0.05).Conclusion Eurycoma longifolia can significantly improve sexuality and sexual function in climacteric males.