关键词: Clinical Study Erectile Dysfunction Low-Intensity Extracorporeal Shockwave Therapy Sexual Disorder

来  源:   DOI:10.18502/jfrh.v17i2.12872   PDF(Pubmed)

Abstract:
UNASSIGNED: Erectile dysfunction (ED) is a common cause of sexual disorders in men with limited treatment options. This study aimed to determine the efficacy of low-intensity extra corporal shockwave therapy (LI-ESWT) in patients suffering from ED.
UNASSIGNED: A single-group, pre-test, and post-test pre-experimental study were conducted. Thirty-one ED patients were prospectively selected according to the eligibility criteria. In each session, 3000 shocks were applied at 5 points over the penis. Eight sessions were delivered in total with a 2-3-day interval. The patient\'s condition was assessed using the International Index of Electric Function (IIEF-5) questionnaire at baseline and one month after the last treatment session. Paired t-test was used to determine the difference between the pre-test and post-test.
UNASSIGNED: Mean age of the patients was 44.6 (± 14.70) ranging from 25 to 78 years. The majority of them were married (83.9%) and service providers (51.6%). We have also found 51.6% overweight, 9.7% obese, 48.4% diabetic, 45.2% hypertensive, 12.9% with enlarged prostate, 45.2% smoker, 25.8% alcoholic, and 71% with sleep disturbances. During the pre-test, 9.7% had severe ED and 51.6% had moderate ED. After the treatment, no patients were found with severe ED, and few of them had moderate ED (9.7%). The mean difference in IIEF-5 score during the pre-test and post-test was statistically significant (p= < 0.001).
UNASSIGNED: The study showed efficacy of LI-ESWT in a subset of patients with ED. Future studies with larger sample size, placebo group, and longer follow-up periods are recommended.
摘要:
勃起功能障碍(ED)是治疗选择有限的男性性功能障碍的常见原因。这项研究旨在确定低强度额外身体冲击波疗法(LI-ESWT)对ED患者的疗效。
单组,预测试,并进行了后期试验前的实验研究。根据资格标准前瞻性选择了31名ED患者。在每个会话中,在阴茎上方的5个点处施加了3000次电击。总共进行了8个疗程,间隔2-3天。在基线和最后一次治疗后一个月,使用国际电功能指数(IIEF-5)问卷评估患者的病情。使用配对t检验来确定前测和后测之间的差异。
患者的平均年龄为44.6(±14.70),范围为25至78岁。他们中的大多数是已婚(83.9%)和服务提供者(51.6%)。我们还发现51.6%的人超重,9.7%肥胖,48.4%有糖尿病,45.2%高血压,12.9%前列腺肿大,45.2%吸烟者,25.8%的酒鬼,71%的人患有睡眠障碍。在预测试期间,9.7%为重度ED,51.6%为中度ED。治疗后,没有发现严重ED的患者,很少有中度ED(9.7%)。测试前和测试后IIEF-5评分的平均差异具有统计学意义(p=<0.001)。
该研究显示LI-ESWT在部分ED患者中的疗效。未来样本量更大的研究,安慰剂组,建议延长随访期。
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