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目的探讨视听性刺激与性教育对服用西地那非无效的勃起障碍(ED)患者疗效。方法128例服药无效的ED患者,随机分为两组,治疗组64例接受夫妻性教育并服用西地那非100mg后接受视听性刺激诱导勃起。对照组给予常规门诊性教育,指导服药后的性刺激。治疗8周后后对性功能情况再次进行IIEF评分,评定疗效与安全性。结果完成治疗并进行有关检查者120例,治疗组61例,对照组59例。治疗组显效率、总有效率分别为31.12%、81.96%;对照组则为13.33%、62.71%,统计学处理两组有非常显著性差异(P<0.01)。结论对服用西地那非无效的ED患者,采取性教育和视听刺激诱导勃起,使患者掌握正确的性刺激方法,可明显改善勃起功能,疗效明显优于传统的门诊服药指导。
Objective To explore the effect of audio-visual stimulation and sex education on the erectile dysfunction (ED) patients taking sildenafil. Methods 128 patients with ineffective ED were randomly divided into two groups. The treatment group received erectile stimulation by inducing the audiovisual stimulation in 64 patients receiving marital sex education and taking 100mg of sildenafil. The control group was given routine out-patient education to guide the sexual stimulation after taking medicine. After 8 weeks of treatment, the IIEF score of sexual function was re-evaluated to evaluate the efficacy and safety. Results of the completion of the treatment and the inspection of 120 cases, 61 cases of treatment group, 59 cases of control group. The effective rate and total effective rate of the treatment group were 31.12% and 81.96% respectively, while that of the control group was 13.33% and 62.71% respectively. There was a significant difference between the two groups (P <0.01). Conclusions For ED patients taking sildenafil ineffective, sexual education and audiovisual stimulation can induce erectile dysfunction and make patients grasp the correct method of sexual stimulation, which can obviously improve the erectile function. The curative effect is obviously better than the traditional outpatient medication guidance.