壮胆延时汤联合盐酸帕罗西汀治疗早泄的临床观察

Clinical observation of Zhuangdan Yanshi Decoction combined with paroxetine hydrochloride in the treatment of premature ejaculation

目的观察壮胆延时汤联合盐酸帕罗西汀治疗早泄的临床疗效。方法将2019年1—7月陕西省中医医院诊治的160例早泄患者随机分为观察组80例和对照组80例。对照组口服盐酸帕罗西汀20 mg/(次·d),午餐后顿服。观察组在对照组治疗的基础上加服壮胆延时汤,1剂/d,水煎分2次服用。2组均连续用药4周,记录并比较治疗前后患者阴道内射精潜伏时间(IELT)、早泄评估量表(PEP)评分、有效率和不良反应发生率。结果治疗后2组IELT及PEP评分均较治疗前显著提高(P均<0.05),且观察组明显高于对照组(P均<0.05)。观察组总有效率为93.4%(71/76),对照组为78.9%(56/71),观察组明显高于对照组(P<0.05)。观察组不良反应发生率为9.2%(7/76),对照组为31.0%(22/71),观察组明显低于对照组(P<0.05)。结论壮胆延时汤联合盐酸帕罗西汀治疗早泄疗效显著优于单用盐酸帕罗西汀,且安全性高。

Objective It is to observe the clinical efficacy of Zhuangdan Yanshi Decoction combined with paroxetine hydrochloride in the treatment of premature ejaculation.Methods 160 patients with premature ejaculation diagnosed and treated in Shaanxi Provincial Hospital of Traditional Chinese Medicine from January to July 2019 were randomly divided into an observation group of 80 cases and a control group of 80 cases.The control group was treated with paroxetine hydrochloride 20 mg/(time·d)orally,administered at draught after lunch.The observation group was given Zhuangdan Yanshi Decoction on the basis of the treatment of the control group,1 dose/d,decoction in water and divided into two doses.Both groups were treated continuously for 4 weeks.The intravaginal ejaculation latency time(IELT),premature ejaculation profile(PEP)score,effective rate and incidence of adverse reactions in the two groups were recorded and compared before and after treatment.Results After treatment,the IELT and PEP scores of the two groups were significantly higher than those before treatment in the two groups(P<0.05),and the observation group was significantly higher than the control group(P<0.05).The total effective rate of the observation group was 93.4%(71/76),and that of the control group was 78.9%(56/71),the observation group was significantly higher than the control group(P<0.05).The incidence of adverse reactions in the observation group was 9.2%(7/76),and that of the control group was 31.0%(22/71),the observation group was significantly lower than the control group(P<0.05).Conclusion Zhuangdan Yanshi Decoction combined with paroxetine hydrochloride has a significantly better efficacy with good safety in the treatment of premature ejaculation than paroxetine hydrochloride alone.