太极拳锻炼联合还少胶囊对心理性勃起功能障碍患者勃起功能及性激素水平的影响

目的 观察还少胶囊联合太极拳锻炼对心理性勃起功能障碍(ED)患者勃起功能及心理、性激素水平的影响,探讨其改善ED患者勃起功能的可能机制.方法 选取夜间阴茎勃起(NPT)监测属于心理性ED患者53例,随机分为对照组(还少胶囊)26例和试验组(还少胶囊+太极拳运动)27例.连续治疗3个月,分别于治疗前后进行性激素水平检测,同时应用国际勃起功能评分(IIEF评分)和心理和人际关系问卷(SEAR问卷)对勃起功能进行评价.结果 与治疗前比较,两组性激素水平均有显著改善(P＜0.01)；治疗后试验组血清睾酮(T)水平高于对照组(P＜0.01).与治疗前比较,两组轻度、中度、重度障碍型治疗后IIEF评分、SEAR评分明显升高(P＜0.05)；试验组轻度、中度、重度障碍型IIEF治疗前后评分差值均高于对照组(P＜0.05).试验组中度、重度障碍型治疗前后SEAR评分差值显著高于对照组(P＜0.05).结论 心理性ED患者服用还少胶囊联合太极拳锻炼可改善勃起功能、性激素水平及心理和人际关系.

Effect of Taijiquan Exercise and Huanshao Capsule on the Erectile Function and Sex Hormone Levels in Patients with Psychogenic Erectile Dysfunction

Objective To observe the effect of Taijiquan Exercise combined with Huanshao Capsule (rejuvenation capsule) on the erectile function, psychology and sexual hormone levels in patients with psychogenic erectile dysfunction (ED) and approach the mechanism of improving the erectile function, psychology and interpersonal relations in psychogenic ED patients. Methods Fifty three cases of psychogenic ED were selected by nocturnal penile tumescence (NPT) monitoring and were randomized into the experiment group of 26 cases and control group of 27 cases. The control group was given Huanshao Capsule and the experiment group was combined with Taijiquan Exercise. The sexual hormone levels were detected before and after the treatment. The International Index of Erectile Function (IIEF) score and The Self-Esteem and Relationship (SEAR) questionnaire was used to evaluate the sexual self-confidence, natural index and time concerns. Results After the treatment, the sexual hormone levels were significantly improved in both groups (P<0.01). The serum testosterone level was significantly higher in the experiment group as compared with the control group (P<0.01). The scores of IIEF and SEAR were significantly increased in the mild, moderate and severe cases in both groups (P<0.05). The difference in IIEF score was significant in the mild, moderate and severe cases between groups (P<0.05). The difference in SEAR score was significant in the moderate and severe cases between groups (P<0.05). Conclusion Huanshao Capsule combined with Taijiquan Exercise is effective for psychogenic ED in improving the erectile function, sexual hormone levels, psychology and interpersonal relationships.