中西医结合治疗勃起功能障碍合并早泄研究进展
Research Progress of Erectile Dysfunction Combined with Premature Ejaculation Treated with Traditional Chinese and Western Medicine
DOI: 10.12677/acm.2025.151206, PDF,   
作者: 赵丽君:黑龙江中医药大学研究生院,黑龙江 哈尔滨;张 瑞*:黑龙江中医药大学附属第二医院龙江医派示范门诊,黑龙江 哈尔滨
关键词: 勃起功能障碍早泄中西医结合研究进展Erectile Dysfunction Premature Ejaculation Integration of Traditional Chinese and Western Medicine Research Progress
摘要: 勃起功能障碍(ED)主要表现为阴茎不能持续达到或维持足够的勃起以完成满意的性生活。早泄(PE)指在性生活时射精潜伏时间不能令男女双方满意,甚至在性生活开始之前就发生射精,不能正常完成性生活,极大地影响了男女双方的身心健康及夫妻和谐。勃起功能障碍合并早泄近些年也越来越得到重视,目前ED合并PE的治疗方案尚未明确。本文就勃起功能障碍合并早泄流行病学、发病原因、发病机制及中西医治疗概况进行综述。
Abstract: Erectile dysfunction (ED) is characterized by the inability of the penis to consistently achieve or maintain an erection sufficient to complete a satisfactory sexual life. Premature ejaculation (PE) refers to the latent time of ejaculation during sexual life that can not make both men and women satisfied, even before the start of sexual life, ejaculation can not normally complete sexual life, which greatly affects the physical and mental health of both men and women and the harmony of husband and wife. Erectile dysfunction combined with premature ejaculation has been paid more and more attention in recent years. At present, the treatment plan for ED combined with PE is not clear. This article reviews the epidemiology, etiology, pathogenesis and treatment of erectile dysfunction combined with premature ejaculation.
文章引用:赵丽君, 张瑞. 中西医结合治疗勃起功能障碍合并早泄研究进展[J]. 临床医学进展, 2025, 15(1): 1544-1550. https://doi.org/10.12677/acm.2025.151206

参考文献

[1] Goldstein, I., Goren, A., Li, V.W., Tang, W.Y. and Hassan, T.A. (2019) Epidemiology Update of Erectile Dysfunction in Eight Countries with High Burden. Sexual Medicine Reviews, 8, 48-58. [Google Scholar] [CrossRef] [PubMed]
[2] 中国性学会中医性学分会专家共识编写组. 勃起功能障碍和早泄共病中西医结合诊治中国专家共识[J]. 中国实验方剂学杂志, 2024, 30(7): 147-153.
[3] Laumann, E.O., Nicolosi, A., Glasser, D.B., Paik, A., Gingell, C., Moreira, E., et al. (2004) Sexual Problems among Women and Men Aged 40-80 Y: Prevalence and Correlates Identified in the Global Study of Sexual Attitudes and Behaviors. International Journal of Impotence Research, 17, 39-57. [Google Scholar] [CrossRef] [PubMed]
[4] McMahon, C.G., Lee, G., Park, J.K. and Adaikan, P.G. (2012) Premature Ejaculation and Erectile Dysfunction Prevalence and Attitudes in the Asia-Pacific Region. The Journal of Sexual Medicine, 9, 454-465. [Google Scholar] [CrossRef] [PubMed]
[5] Chin, C., Tsai, C.M., Lin, J., Chen, Y., Chen, I. and Jiann, B. (2021) A Cross-Sectional Observational Study on the Coexistence of Erectile Dysfunction and Premature Ejaculation. Sexual Medicine, 9, Article 100438. [Google Scholar] [CrossRef] [PubMed]
[6] Sansone, A., Yuan, J., Hou, G., Zhang, L., Gao, M., Zhang, Z., et al. (2023) From Waterloo to the Great Wall: A Retrospective, Multicenter Study on the Clinical Practice and Cultural Attitudes in the Management of Premature Ejaculation, in China. Andrology, 12, 247-258. [Google Scholar] [CrossRef] [PubMed]
[7] Barbonetti, A., D’Andrea, S., Cavallo, F., Martorella, A., Francavilla, S. and Francavilla, F. (2019) The Journal of Sexual Medicine, 16, 624-632. [Google Scholar] [CrossRef] [PubMed]
[8] 中华医学会男科学分会勃起功能障碍诊断与治疗指南编写组. 勃起功能障碍诊断与治疗指南[J]. 中华男科学杂志, 2022, 28(8): 722-755.
[9] 中华医学会男科学分会, 早泄诊断与治疗编写组. 早泄诊断与治疗指南[J]. 中华男科学杂志, 2022, 28(7): 656-665.
[10] Corona, G., Rastrelli, G., Limoncin, E., Sforza, A., Jannini, E.A. and Maggi, M. (2015) Interplay between Premature Ejaculation and Erectile Dysfunction: A Systematic Review and Meta-Analysis. The Journal of Sexual Medicine, 12, 2291-2300. [Google Scholar] [CrossRef] [PubMed]
[11] Corona, G. (2022) Erectile Dysfunction and Premature Ejaculation: A Continuum Movens Supporting Couple Sexual Dysfunction. Journal of Endocrinological Investigation, 45, 2029-2041. [Google Scholar] [CrossRef] [PubMed]
[12] 中华中医药学会. 中医外科临床诊疗指南[M]. 北京: 中国中医药出版社, 2020.
[13] Lai, B., Cao, H., Yang, G., Jia, L., Grant, S., Fei, Y., et al. (2019) Acupuncture for Treatment of Erectile Dysfunction: A Systematic Review and Meta-Analysis. The World Journal of Mens Health, 37, 322-328. [Google Scholar] [CrossRef] [PubMed]
[14] Sunay, D., Sunay, M., Aydoğmuş, Y., Bağbancı, Ş., Arslan, H., Karabulut, A., et al. (2011) Acupuncture versus Paroxetine for the Treatment of Premature Ejaculation: A Randomized, Placebo-Controlled Clinical Trial. European Urology, 59, 765-771. [Google Scholar] [CrossRef] [PubMed]
[15] 王福, 耿强, 郭军, 等. 针刺对照帕罗西汀治疗原发性早泄的临床观察及机制探讨[J]. 中国性科学, 2013, 22(2): 59-61.
[16] Russo, A., Capogrosso, P., Ventimiglia, E., La Croce, G., Boeri, L., Montorsi, F., et al. (2016) Efficacy and Safety of Dapoxetine in Treatment of Premature Ejaculation: An Evidence-Based Review. International Journal of Clinical Practice, 70, 723-733. [Google Scholar] [CrossRef] [PubMed]
[17] 徐亚威, 张园园, 杨永姣, 等. 按规律联合按需服用西地那非治疗合并早泄的勃起功能障碍的临床观察[J]. 现代泌尿外科杂志, 2018, 23(12): 948-951+962.
[18] 李响, 张思孝, 程鸿鸣, 等. 西地那非治疗合并勃起功能障碍的早泄病人的临床观察[J]. 中华男科学, 2003(4): 266-269.
[19] 孙祥宙, 邓春华. 左洛复和艾力达治疗合并勃起功能障碍的早泄患者的临床观察[C]//中华医学会男科学分会. 中华医学会第八次全国男科学学术会议论文集. 2007: 1.
[20] 庞军, 梁佳, 钟语红, 等. 曲唑酮联合低剂量西地那非治疗合并勃起功能障碍的早泄患者的临床观察[J]. 中国性科学, 2012, 21(8): 25-28.
[21] 陈庆, 黄志扬, 辛军, 等. 达泊西汀联合中等剂量西地那非治疗早泄合并轻度勃起功能障碍的临床效果[J]. 中国性科学, 2021, 30(9): 27-30.
[22] 骆学永. 达克罗宁联合他达拉非治疗早泄伴勃起功能障碍的临床研究[J]. 海峡药学, 2014, 26(11): 175-176.
[23] Althof, S.E. (2016) Psychosexual Therapy for Premature Ejaculation. Translational Andrology and Urology, 5, 475-481. [Google Scholar] [CrossRef] [PubMed]
[24] 黄华武, 黄群, 黄勇平, 等. 他达那非与表面麻醉剂外用联合心理行为干预对勃起功能障碍伴早泄的临床疗效[J]. 上海交通大学学报(医学版), 2014, 34(11): 1626-1630.
[25] Carboni, C., Fornari, A., Bragante, K.C., Averbeck, M.A., Vianna da Rosa, P. and Mea Plentz, R.D. (2018) An Initial Study on the Effect of Functional Electrical Stimulation in Erectile Dysfunction: A Randomized Controlled Trial. International Journal of Impotence Research, 30, 97-101. [Google Scholar] [CrossRef] [PubMed]
[26] Uribe, O.L., Sandoval-Salinas, C., Corredor, H.A., Martínez, J.M. and Saffon, J.P. (2019) Transcutaneous Electric Nerve Stimulation to Treat Patients with Premature Ejaculation: Phase II Clinical Trial. International Journal of Impotence Research, 32, 434-439. [Google Scholar] [CrossRef] [PubMed]
[27] 早泄与勃起功能障碍共病诊疗中国专家共识编写组. 早泄与勃起功能障碍共病诊疗中国专家共识[J]. 中华男科学杂志, 2021, 27(5): 461-466.
[28] 张绍, 徐兵, 刘凯峰, 等. 经皮神经肌肉电刺激治疗勃起功能障碍合并早泄的临床观察[J]. 中国男科学杂志, 2023, 37(2): 92-96.
[29] 赵阳, 管庆军, 张楠. 疏肝益阳胶囊联合西药治疗勃起功能障碍合并早泄的效果[J]. 河南医学研究, 2022, 31(2): 326-328.
[30] 蔺小峰, 雷光辉, 王珂, 等. 疏肝益阳胶囊联合文拉法辛治疗早泄伴有勃起功能障碍的临床观察[J]. 中国性科学, 2017, 26(5): 18-21.
[31] 李霄, 鲍丙豪, 代恒恒, 等. 中西医结合治疗轻中度勃起功能障碍合并早泄的临床研究[J]. 世界中西医结合杂志, 2021, 16(4): 589-592.
[32] 朱湘生, 谭育红, 周巧奇. 负压吸引结合中药浸泡治疗合并ED的早泄患者[J]. 中国性科学, 2006(8): 29-31.