早泄与中央型腰椎间盘突出相关性的初步研究  

Correlation of Premature Ejaculation with Central Lumber Intervertebral Disc Herniation

作　　者：金保方[1,2] 张新东[1,3] 黄宇烽[2] 周玉春[1,3] 夏欣一[2] 商学军[2] 徐福松[1] 

机构地区：[1]南京中医药大学男科学研究所,江苏南京210046 [2]南京军区南京总医院解放军临床检验医学研究所生殖遗传研究室,江苏南京210002 [3]南京大学医学院,江苏南京210093

出　　处：《中华男科学杂志》2009年第3期244-247,共4页National Journal of Andrology

基　　金：江苏省“青蓝工程”基金(2006);江苏省中医药局康缘中医药科技创新基金(HZ0807KY)~~

摘　　要：目的:研究早泄(PE)与中央型腰椎间盘突出(CLIDH)的相关性,以探究PE可能的病因,并寻求简便有效、无创的治疗方法。方法:按照入选标准对门诊PE患者行腰椎间盘(腰3～骶1)CT/MR检查,240例CLIDH阳性患者随机分为治疗组(n=180)和对照组(n=60),分别行腰椎牵引和口服盐酸舍曲林治疗。治疗前后,均利用中国PE患者性功能评价表(CIPE-5)进行评分,记录射精潜伏期和性生活满意度,评价疗效。结果:治疗组患者通过腰椎牵引治疗,可以显著提高射精潜伏期,提高性生活满意度,与治疗前相比具有极显著性差异(P<0.01)。对照组治疗前后疗效无显著性差异。治疗组与对照组疗效相比有显著性差异(P<0.05)。结论:CLIDH可能是造成大多数"不明原因PE"的重要病因之一,对此类PE患者行腰椎牵引治疗,无创,简便易行,疗效明显,为临床诊断和治疗PE提供了一个新的思路和方法,值得临床推广和普及。Objective： To investigate the correlation of premature ejaculation （PE） with central lumber intervertebral disc herniation （CLIDH） and the pathogenesis of PE, and to search for a convenient, effective and non-invasive method for the treatment of PE. Methods ： A total of 263 selected PE patients underwent CT, and those that were found with CLIDH were randomized into a treatment group （n = 180） and a control （n = 60） , the former treated by lumbar traction and the latter with sertraline hydrochloride tablets, both for 2-4 weeks. CIPE-5 scores of all the patients were analyzed, and the ejaculation latency and sexual satisfaction were recorded before and after the treatment. Results ： Among the 263 PE patients, CLIDH was confirmed in 240 （91% ）. After the treatment, CIPE-5 scores, ejaculation latency and sexual satisfaction were markedly improved in the treatment group, with significant statistic difference from pre-treatment （ P 〈 0.01 ）. Significant differences were also observed between the treatment and the control groups after the treatment （ P .〈 0.05 ）, but not in the control group between pre- and post-treatment. Conclusion ： CLIDH may be one of the important causes of most ＂ inexplainable＂ PE cases. And lumbar traction, non-invasive, highly effective and easily manipulatable, has provided a new access to the diagnosis and treatment of the PE patients with CLIDH.

关 键 词：早泄 中央型腰椎间盘突出 病因 治疗 

分 类 号：R698.1[医药卫生—泌尿科学] R681.5[医药卫生—外科学]