Complementary Medicine, Peninsula Medical School, University of Exeter, Exeter, UK.
Maturitas. 2011 Sep;70(1):37-41. doi: 10.1016/j.maturitas.2011.06.011. Epub 2011 Jul 22.
Older patients with sexual dysfunction (SD) and/or erectile dysfunction (ED) often use complementary and alternative medicine (CAM). The aim of this overview of systematic reviews is to critically evaluate the evidence for or against the effectiveness of CAM. Six electronic databases were searched to identify all relevant systematic reviews (SRs). Their methodological quality was assessed independently by two reviewers using the Oxman score. Four SRs met our inclusion criteria. They evaluated: acupuncture, ginseng, maca and yohimbine. The methodological quality of all of the SRs was good. However, the primary studies were often associated with considerable risk of bias. Cautiously positive conclusions were drawn for yohimbine and ginseng as treatment options for ED. For acupuncture and maca the evidence was insufficient for ED and SD respectively. It is concluded that there is some encouraging evidence but more and better studies are required to establish the value of CAM for SD and ED.
患有性功能障碍（SD）和/或勃起功能障碍（ED）的老年患者常采用补充替代医学（CAM）。本系统评价综述的目的是批判性地评估 CAM 有效性的证据。我们检索了六个电子数据库以确定所有相关的系统评价（SR）。两位评审员使用 Oxman 评分独立评估其方法学质量。有四项 SR 符合我们的纳入标准。它们评估了：针灸、人参、玛卡和育亨宾。所有 SR 的方法学质量都很好。但是，主要研究通常存在相当大的偏倚风险。谨慎地得出结论认为育亨宾和人参是 ED 的治疗选择。对于针灸和玛卡，ED 和 SD 的证据不足。结论是，虽然有一些令人鼓舞的证据，但需要更多和更好的研究来确定 CAM 在 SD 和 ED 中的价值。
