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目的探讨养心疏肝汤联合系统脱敏行为心理疗法治疗原发性早泄的临床疗效。方法将80例原发性早泄患者随机分为治疗组和对照组,每组40例。两组均予系统脱敏行为心理疗法,治疗组同时加服养心疏肝汤。两组疗程均为2个月,观察早泄程度(PEDT)、阴道内射精潜伏时间(IELT)、焦虑程度(SAS)、性生活满意度(CIPE-Q6、CIPE-Q7)变化情况。结果治疗组、对照组总有效率分别为72.22%和61.11%;组间临床疗效比较,差异有统计学意义(P<0.0 5)。治疗前后组内比较,两组PEDT、SAS、性生活满意度(CIPE-Q6、CIPE-Q7)积分及IELT差异均有统计学意义(P<0.05);组间治疗后比较,各量表积分及IELT差异均有统计学意义(P<0.05)。结论养心疏肝汤联合系统脱敏行为心理疗法治疗原发性早泄疗效良好,可以改善患者的早泄症状,延长阴道内射精潜伏时间,缓解焦虑,提高性生活满意度。
Objective To investigate the clinical efficacy of Yangxin Shugan Decoction combined with system desensitization psychotherapy in treating primary premature ejaculation. Methods Eighty patients with primary premature ejaculation were randomly divided into treatment group and control group, 40 cases in each group. Both groups were given systematic desensitization psychotherapy, while the treatment group plus Yang Xin Shugan Tang. The course of treatment was 2 months. The changes of PEDT, IELT, SAS, CIPE-Q7 were observed. Results The total effective rates of the treatment group and the control group were 72.22% and 61.11% respectively. There was significant difference in the clinical efficacy between the two groups (P <0.05). The scores of PEDT, SAS, CIPE-Q6, CIPE-Q7 and IELT between the two groups were statistically significant before and after treatment (P <0.05). After treatment, the score of each scale And IELT differences were statistically significant (P <0.05). Conclusion Yangxinshigan Decoction combined with system desensitization psychotherapy for the treatment of primary premature ejaculation good effect can improve the symptoms of premature ejaculation in patients with prolonged vaginal ejaculation latency to relieve anxiety and improve sexual satisfaction.