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星状神经节阻滞联合舍曲林治疗原发性早泄
引用本文:张国喜,王晓峰,白文俊,杨进军.星状神经节阻滞联合舍曲林治疗原发性早泄[J].中国性科学,2011,20(6):5-8.
作者姓名:张国喜  王晓峰  白文俊  杨进军
作者单位:1. 北京大学人民医院泌尿外科,北京,100044
2. 北京大学人民医院麻醉科,北京,100044
摘    要:目的:观察舍曲林联合星状神经节阻滞(SGB)治疗原发性早泄(PE)的近期疗效和安全性。方法:原发性PE患者50例,随机分为两组,每组25例。药物组每日口服舍曲林50mg;联合组(舍曲林+SGB组)每日口服舍曲林50mg,同时每周两次SGB,两组疗程共4w。评价治疗前后阴道内射精潜伏期(IELT)的变化;同时以问卷形式评价治疗前后射精控制感、性满意度、焦虑程度、人际关系紧张程度的变化;并进行组间对比。结果:与治疗前相比,治疗后两组IELT均有明显延长,药物组和联合组分别从治疗前的(0.75±0.36)分和(0.77±0.29)分,增加到治疗后的(2.63±1.66)分和(2.71±1.57)分;治疗前后IELT的差异有显著性,而组间IELT差异无显著性。两组治疗后射精控制感、性满意度、焦虑程度、人际关系紧张程度都有明显改善。联合组的射精控制感和性满意度优于药物组,差异具有显著性。结论:SGB与舍曲林联合治疗,可以有效地延长IELT,其效果与单纯舍曲林治疗无差异。但是,联合治疗可以更好地提高患者对射精的控制能力和性满意度。因此,SGB能否作为一种有效治疗原发性PE的手段,还有待于进一步临床验证。

关 键 词:原发性早泄  星状神经节阻滞  阴道内射精潜伏期

Sertraline combined with stellate ganglion block in treatment of premature ejaculation
ZHANG Guoxi,WANG Xiaofeng,BAI Wenjun,YANG Junjun.Sertraline combined with stellate ganglion block in treatment of premature ejaculation[J].The Chinese Journal of Human Sexuality,2011,20(6):5-8.
Authors:ZHANG Guoxi  WANG Xiaofeng  BAI Wenjun  YANG Junjun
Institution:ZHANG Guoxi1,WANG Xiaofeng1,BAI Wenjun1,YANG Junjun2 1 Department of Urology,People's Hospital,Peking University,Peking 100044,China2 Department of Anesthesiology,China
Abstract:Objectives:To investigate on the efficacy and safety of sertraline combined with stellate ganglion block(SGB)in treatment of premature ejaculation(PE).Methods:A total of 50 patients with PE were randomly enrolled into 2 groups,each including 25 members.Over a 4-week treatment period,the sertraline group took sertraline 50mg once a day;and the combined group(Sertraline with SGB)were given both sertraline 50mg once a day as well as SGB therapy twice a week.All patients finished PE questionnaires which include...
Keywords:Lifelong premature ejaculation  Stellate ganglion block(SGB)  Intravaginal ejaculation latency time(IELT)  
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