首页|补肾壮阳方对勃起功能障碍患者性功能、血清性激素、MAPK、p-ERK及VEGF水平的影响

补肾壮阳方对勃起功能障碍患者性功能、血清性激素、MAPK、p-ERK及VEGF水平的影响

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目的 探讨补肾壮阳方治疗勃起功能障碍(ED)患者的疗效,以及对其性功能、血清性激素、丝裂原活化蛋白激酶(MAPK)、磷酸化细胞外信号调节激酶(p-ERK)及血管内皮生长因子(VEGF)水平的影响.方法 选取2019年1月至2022年12月杭州市萧山区中医院收治的152例ED患者作为研究对象.采用随机数字表法分为研究组和对照组,各76例.对照组采用常规药物治疗,研究组采用常规药物联合补肾壮阳方治疗.比较两组临床治疗效果、血清性激素、MAPK、p-ERK、VEGF水平及勃起功能.结果 研究组治疗总有效率高于对照组,差异具有统计学意义(P<0.05);治疗后研究组国际勃起功能指数-5(IIEF-5)评分、睾酮(T)水平显著高于对照组,黄体生成素(LH)、卵泡刺激素(FSH)、催乳素(PRL)、雌二醇(E2)水平低于对照组,差异具有统计学意义(P<0.05);治疗后研究组血清MAPK、p-ERK、VEGF水平低于对照组,差异具有统计学意义(P<0.05).结论 补肾壮阳方可以通过调控MAPK信号通路,抑制p-ERK、VEGF,发挥治疗ED的效果,有助于改善患者的性激素水平,达到提升性功能的目的.
Effects of tonify kidney and invigorate Yang prescription on sexual function,serum sex hormones,mitogen activated protein kinase,phosphorylated extracellular signal-regulated kinase and vascular endothelial growth factor levels in patients with erectile dy
Objective To investigate the effect of tonify kidney and invigorate Yang prescription on sexual function,serum sex hormones,mitogen activated protein kinase(MAPK),phosphorylated extracellular signal-regulated kinase(p-ERK),and vascular endothelial growth factor(VEGF)levels in patients with erectile dysfunction(ED).Methods A total of 152 ED patients admitted to Xiaoshan District Hospital of Traditional Chinese Medicine from January 2019 to December 2022 were selected as study objects.They were randomly divided into the study group and the control group according to random number table method,with 76 cases each.The control group was treated with conventional drugs,while the study group was treated with conventional drugs combined with tonify kidney and invigorate Yang prescription.The clinical therapeutic effect,serum sex hormone level,serum MAPK,p-ERK,VEGF and erectile function were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the international index of erectile function-5(IIEF-5)score and testosterone(T)levels in the study group were significantly higher than those in the control group,while the luteinizing hormone(LH),follicle-stimulating hormone(FSH),prolactin(PRL),and estradiol(E2)levels were lower than those in the control group,and the differences were statistically significant(P<0.05).The serum levels of MAPK,p-ERK,and VEGF in the study group were lower than those in the control group after treatment,and the differences were statistically significant(P<0.05).Conclusions The tonify kidney and invigorate Yang prescription can regulate MAPK signaling pathway,inhibit p-ERK and VEGF to exert the effect of treating ED,and help to improve the sex hormone levels of patients,and achieve the purpose of improving sexual function.

Tonify kidney and invigorate Yang prescriptionErectile dysfunctionSex hormonesSexual functionMitogen activated protein kinase signal pathway

安文进、俞同炳、沈栋、陈利伟、孙洁

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杭州市萧山区中医院泌尿外科,杭州 311201

浙江省中山医院男科,杭州 310000

补肾壮阳方 勃起功能障碍 性激素 性功能 丝裂原活化蛋白激酶信号通路

浙江省中医药科学研究基金项目

2021ZA082

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(10)