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结合物理方法的性治疗在原发性阴道内不射精中的应用研究

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目的:探讨结合物理方法的性治疗在原发性阴道内不射精中的临床疗效及可能机制.方法:对符合纳入标准的原发性阴道内不射精伴随焦虑的患者90例,随机分为3组,A组(性治疗联合真空负压装置组)30例;B组(性治疗组)30例,C组(真空负压装置组)30例,比较3组治疗结果.结果:治疗后,A组有效率为86.67%;B组有效率46.67%,C组有效率30.00%,3组总有效率、患者及伴侣焦虑治疗有效率、特殊手淫方式治疗有效率比较,差异有统计学意义(P<0.05).同时两两比较,A组总有效率优于B组、C组(P<0.01),B组、C组比较无统计学意义(P>0.05).患者及性伴侣伴焦虑症状的治疗效果A组、B组差异无统计学意义(P>0.05),但均优于C组(P<0.01);患者伴有特殊手淫方式的治疗效果A组优于B组和C组,差异有统计学意义(P<0.01),B组、C组差异无统计学意义(P>0.05).结论:原发性阴道内不射精常伴随夫妻不良心理状态及特殊手淫方式.性治疗联合真空负压水动气动按摩对于阴道内不射精有较好的治疗效果,可能是通过改善患者的心理、社会、行为方式达到治疗效果.
Sexual therapy combined with physical methods for the treatment of primary intravaginal anejaculation
Objective:To explore the clinical effect of sexual therapy combined with physical methods in the treatment of pri-mary intravaginal anejaculation(PIAE)and its possible action mechanism.Methods:Ninety PIAE patients with anxiety symptoms were equally randomized into three groups and treated by sexual therapy combined with vacuum negative pressure hydro pneumatic/pneumatic bubble massage(group A),sexual therapy(group B)or(vacuum negative pressure hydro pneumatic/pneumatic bubble massage(group C).After 15 cycles of treatment,the therapeutic effects were compared among the three groups of patients.Re-sults:The effectiveness rates in groups A,B and C were 86.67%,46.67%and 30.00%,respectively,with statistically significant differences in the total effectiveness rate,the effective rate of the treatment of anxiety symptoms of the patients and their partners,and the effectiveness rate of the treatment of idiosyncratic masturbation(P<0.05).Pairwise comparison showed that the total effectiveness rate was dramatically higher in group A than in groups B and C(P<0.01),with no statistically significant difference between the lat-ter two groups(P>0.05),that the effectiveness rate of the treatment of anxiety symptoms of the patients and sexual partners was re-markably higher in groups A and B than in C(P<0.01),with no statistically significant difference between the former two groups(P>0.05),and that the effectiveness rate of the treatment of idiosyncratic masturbation was significantly higher in group A than in B and C(P<0.01),with no statistically significant difference between the latter two(P>0.05).Conclusion:PIAE is often accompa-nied by negative psychological state of the patients and their partners and idiosyncratic masturbation,which responds well to sexual therapy combined with vacuum negative pressure hydro pneumatic/pneumatic bubble massage.

sexual therapyvacuum negative pressure hydro pneumatic/pneumatic bubble massageintravaginal anejacula-tionejaculatory dysfunction

高庆强、宋涛、王彬、戴玉田

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南京医科大学鼓楼临床医学院男科,江苏南京 210029

性治疗 真空负压水动气动按摩 阴道内不射精 射精功能障碍

南京市卫生科技发展专项

YKK19059

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(2)
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