Li Peng, Zhu Gui-Sheng, Xu Peng, Sun Long-Hao, Wang Ping
Department of Urology, Fourth Clinical Hospital, China Medical University, Shenyang, Liaoning 110005, China.
Zhonghua Nan Ke Xue. 2006 Aug;12(8):717-9.
To investigate the interventional effect of comprehensive behaviour psychotherapy on the ejaculatory latency of premature ejaculation (PE) patients, sexual satisfaction of sexual partners, as well as its influence on the results of clinical treatment.
Ninety PE patients were randomly divided into a psychological intervention group (n = 45) and a control group (n = 45). Both groups were given medicine therapy, and the former also received comprehensive behaviour psychotherapy for 6 weeks. All the patients were assessed with the Chinese index of sexual function for PE and ejaculatory latency in the vagina, and the clinical efficacy was compared between the two groups.
Before treatment, the ejaculatory latency in the vagina was (0.69 +/- 0.25) min and (0.71 +/- 0.19) min respectively in the intervention and the control groups, as compared with (5.87 +/- 0.59) min and (4.76 +/- 0.54) min before treatment, with significant difference (P < 0.01). In the intervention group, the scores in the control of ejaculatory reflex, the sexual satisfaction of the patients and their sexual partners and anxiety or depress in sexual activity in CIPE were higher than in the control group, with significant difference between the two groups (t = 2.12, 2.31, 2.01, 2.24, P < 0.05). The difference in the SAS score after therapy was of significance (P < 0.01). A month after treatment, the effectivity rates of the two groups were 82.9% and 30% respectively, and the difference was significant (P < .01).
Comprehensive behaviour psychotherapy obviously adds to the clinical efficacy of drugs in the treatment of PE.
探讨综合行为心理治疗对早泄（PE）患者射精潜伏期、性伴侣性满意度的干预效果及其对临床治疗结果的影响。
将90例PE患者随机分为心理干预组（n = 45）和对照组（n = 45）。两组均给予药物治疗，心理干预组同时接受为期6周的综合行为心理治疗。采用中国早泄性功能指数及阴道内射精潜伏期对所有患者进行评估，比较两组的临床疗效。
治疗前，干预组和对照组阴道内射精潜伏期分别为（0.69±0.25）分钟和（0.71±0.19）分钟，治疗后分别为（5.87±0.59）分钟和（4.76±0.54）分钟，差异有统计学意义（P < 0.01）。干预组在射精反射控制、患者及其性伴侣的性满意度以及中国早泄性功能指数中性活动焦虑或抑郁方面的得分均高于对照组，两组差异有统计学意义（t = 2.12、2.31、2.01、2.24，P < 0.05）。治疗后两组SAS评分差异有统计学意义（P < 0.01）。治疗1个月后，两组有效率分别为82.9%和30%，差异有统计学意义（P < 0.01）。
综合行为心理治疗明显提高了药物治疗早泄的临床疗效。
