高海拔地区应用可视化精准电生理诊断与经皮低频电刺激治疗缺氧性勃起功能障碍的临床观察
Treatment of hypoxia-induced ED in high-altitude areas by transcutaneous low-frequency electrical stimulation based on the parameters obtained from visualized precision electrophysiological diagnosis
杨茸茸 1严积雄 1陈琦炜 1王发明 1冶占虎 1郭巍1
作者信息
- 1. 西宁市第一人民医院男科,青海西宁 810000
- 折叠
摘要
目的:探讨高海拔缺氧地区应用精准电生理诊断与经皮低频电刺激治疗缺氧性勃起功能障碍(ED)的效果.方法:本研究纳入152例高海拔缺氧地区ED患者,使用可视化精准电生理诊断(医用红外热成像仪)取得相应精准参数,低频电刺激治疗(低频神经肌肉治疗仪),治疗前后比较ⅡEF-5评分、NPTR及红外热像图温度(全身及靶器官)的变化.结果:所有患者均顺利完成经皮低频电刺激治疗1～3个疗程.ⅡEF-5治疗前后对比有显著统计学差异(P＜0.05);头端最佳勃起硬度、头端最佳勃起持续时间治疗前后对比均有显著统计学差异(P＜0.01).可视化精准电生理诊断治疗前后比较TMT图提示阴茎及双侧腹股沟区等疾病局部和全身整体温度变化＞1.5 ℃,属于有效电刺激.随访1～3个月无反复.结论:应用可视化精准电生理诊断,联合经皮低频电刺激、高流量吸氧可有效的提高阴茎海绵体氧供,改善其功能与结构,对缺氧性ED的治疗效果肯定,为治疗缺氧性ED开辟了有效的物理治疗手段.
Abstract
Objective:To investigate the effects of visualized precision electrophysiological diagnosis and transcutaneous low-frequency electrical stimulation(TES)on hypoxia-induced ED in high-altitude areas.Methods:This study included 152 ED pa-tients from high-altitude hypoxic areas treated by TES based on the parameters obtained from visualized precision electrophysiological diagnosis.We followed up the patients for 1 to 3 months and compared their ⅡEF-5 scores,nocturnal penile tumescence and rigidity(NPTR)and infrared thermal metabolic technology(TMT)-based temperature of the whole body and diseased parts before and after treatment.Results:All the patients successfully completed 1 to 3 courses of TES.There were no statistically significant differences in the ⅡEF-5 scores(P＜0.05)and penile tip optimal erection rigidity and duration(P＜0.01)of the patients before and after treat-ment.TMT images indicated a temperature change of＞1.5 ℃ in the penis and bilateral inguinal regions after treatment,suggesting the effectiveness of electrical stimulation.No recurrence was observed during the follow-up.Conclusion:TES based on the parame-ters obtained from visualized precision electrophysiological diagnosis has a definite effect on hypoxia-induced ED by enhancing oxygen supply to the penile corpus cavernosum and improving its function and structure.
关键词
勃起功能障碍/缺氧/ⅡEF-5/NPTR/电生理诊断/经皮低频电刺激/高海拔地区Key words
erectile dysfunction/hypoxia/ⅡEF-5/nocturnal penile tumescence and rigidity/electrophysiological diagnosis/transcutaneous low-frequency electrical stimulation/high-altitude area引用本文复制引用
出版年
2024
NETL
NSTL
万方数据