基于“气机升降”理论治疗肝郁气滞型勃起功能障碍临床分析

Clinical Research on the Treatment of Erectile Dysfunction of Liver Qi Stagnation Type with"Qi Machine Ascending and Descending"Theory

目的:基于"气机升降"理论探讨升降散治疗肝郁气滞型勃起功能障碍患者的临床疗效。方法:采用随机、对照的方法,将符合标准的72例受试者分为试验组和对照组,每组各36例,试验组予升降散治疗,对照组予柴胡疏肝散治疗,治疗前和治疗后4周,各随访1次,记录并运用统计学方法分析被试者的IIEF-5评分、EQS评分、SEAR评分、EDITS评分、SAS与SDS评分、QEQ评分、EHS评分。结果:升降散组有效率为56.25%,柴胡疏肝散组的有效率为63.63%,2组差异无统计学意义(P>0.05)。IIEF-5评分方面,2组相互之间的比较,差异无统计学意义(P>0.05)。EQS评分、QEQ评分、SEAR评分与EDITS评分方面,比较各自2组之间的评分变化,差异无统计学意义(P>0.05)。SAS、SDS量表评分方面,比较试验组治疗前后的量表评分区别,差异无统计学意义(P>0.05)。中医证候评分方面,治疗后2组差异具有统计学意义(P<0.05)。结论:"气机升降"理论指导运用升降散治疗肝郁气滞型勃起功能障碍患者临床有效,丰富了中医理论指导临床治疗的内涵。

Objective:Based on the theory of“Qiji Shengjiang”,to explore the clinical efficacy of Shengjiang powder in the treatment of erectile dysfunction of liver-stagnation and qi-stagnation.Methods:Using a randomized,controlled method,72 subjects who met the criteria were divided into a test group and a control group,each with 36 cases.The test group was treated with Shengjiang Powder,and the control group was treated with Chaihu Shugan Powder.Before and 4 weeks after treatment,each follow-up was conducted once,and the subjects’IIEF-5 score,EQS score,SEAR score,EDITS score,SAS and SDS score,QEQ score,and EHS score were recorded and analyzed by statistical methods.Results:The effective rate of Shengjiang Powder group was 56.25%,the effective rate of Chaihu Shugan Powder group was 63.63%,and the difference between the two groups was not statistically significant(P>0.05).In terms of IIEF-5 score,there was no statistically significant difference between the two groups(P>0.05).In terms of EQS score,QEQ score,SEAR score and EDITS score,the score changes between the two groups were compared,and the difference was not statistically significant(P>0.05).In terms of SAS and SDS scale scores,the difference in scale scores before and after treatment in the test group was compared,and the difference was not statistically significant(P>0.05).In terms of TCM syndrome score,the difference between the two groups after treatment was statistically significant(P<0.05).Conclusion:The theory of“Qiji Shengjiang”guides the use of Sheng Jiang powder to treat erectile dysfunction patients with liver-stagnation and qi stagnation,which is clinically effective,and enriches the connotation of TCM theory to guide clinical treatment.