电磁刺激振动按摩治疗功能性不射精症及机理探讨

Treatment and Mechanism Study of Electromagnetic Stimulation and Vibrational Massage for Patients with Ejaculatory Incompetence

为探讨功能性不射精症的有效治疗方法及机理 ,在临床实践的基础上 ,用电磁刺激阴部神经和阴茎振动按摩治疗功能性不射精症 90例 ,同时用神经电生理技术测定阴部神经兴奋传导时间及速度。90例功能性不射精症中 ,临床治愈 6 9例 (6 7.7% ) ,显效 19例 (2 1.1% ) ,好转 2例 (2 .2 % ) ,有效率为 10 0 %。与治疗前相比 ,阴部神经兴奋传导时间及速度均有显著性差异 (P<0 .0 5 )。说明经电磁刺激阴部神经和阴茎振动按摩治疗后 ,阴部神经兴奋传导性提高 ,可能使末梢合成释放乙酰胆碱增多 ,射精阈值降低 。

Studies on the effective methods and mechanism for the treatment of patients with functional ejaculatory incompetence were pursued on the basis of clinical practice. 90 patients with functional ejaculatory incompetence were treated by giving the electromagnetic stimulation to their pudendal nerve and the vibrational massage to their penis. Then the excitation conductive time and velocity of their pudendal nerve were simultaneously determined by the electro-neurophysiology technique. Of the 90 patients with functional ejaculatory incompetence, 69(76.7%) obtained cured effects, 19(21.1%) notable effects and 2(2.2%) improved effects. The total effective rate was 100%. The excitation conductive time and velocity of their pudendal nerve were both significantly different from those before treatment ( P <0.05). These suggest that it is practical to reach the ejaculatory threshold, trigger the ejaculatory reflex and complete the process of ejaculation because the nerve with improved excitational conductibility may release more acetylcholine from is endings after the electromagnetic stimulation to nerve and the vibrational massage to penis.