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前列腺素E1治疗阳痿,与罂粟碱的比较。

Prostaglandin E1 therapy for impotence, comparison with papaverine.

作者信息

Earle C M, Keogh E J, Wisniewski Z S, Tulloch A G, Lord D J, Watters G R, Glatthaar C

机构信息

Reproductive Medicine Research Institute, Queen Elizabeth II Medical Centre, Nedlands, Western Australia, Australia.

出版信息

J Urol. 1990 Jan;143(1):57-9. doi: 10.1016/s0022-5347(17)39864-6.

DOI:10.1016/s0022-5347(17)39864-6
PMID:2294263
Abstract

The efficacy of prostaglandin E1 as a pharmacological treatment of erectile dysfunction (impotence) was compared with the standard treatment, papaverine, in a single blind, crossover trial. A total of 129 impotent men received intracavernous injections of either prostaglandin E1 (5 micrograms) or papaverine (18 mg.) 1 month apart. Observations by 1 observer recorded 10 to 20 minutes after injection demonstrated that prostaglandin E1 generated a better erection in 72 men (55.8%) compared to papaverine. Papaverine was more effective than prostaglandin E1 in 23 men (17.8%, chi-square 6.26, p less than 0.025). Subjective assessment by the patients who detected a difference showed that 71 (55%) preferred prostaglandin E1 and 35 (27%) preferred papaverine (chi-square 11.56, p less than 0.001). A total of 34 men achieved full erections with prostaglandin E1 compared to 17 who used papaverine.

摘要

在一项单盲交叉试验中,将前列腺素E1作为勃起功能障碍(阳痿)的药物治疗效果与标准治疗药物罂粟碱进行了比较。共有129名阳痿男性接受了海绵体内注射,分别注射前列腺素E1(5微克)或罂粟碱(18毫克),间隔1个月。由1名观察者在注射后10至20分钟进行观察记录,结果显示,与罂粟碱相比,前列腺素E1使72名男性(55.8%)勃起情况更佳。罂粟碱在23名男性(17.8%)中比前列腺素E1更有效(卡方检验值6.26,p<0.025)。察觉到差异的患者进行主观评估,结果显示71名(55%)患者更喜欢前列腺素E1,35名(27%)患者更喜欢罂粟碱(卡方检验值11.56,p<0.001)。共有34名男性使用前列腺素E1后实现完全勃起,而使用罂粟碱的这一人数为17名。

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1
Prostaglandin E1 therapy for impotence, comparison with papaverine.前列腺素E1治疗阳痿,与罂粟碱的比较。
J Urol. 1990 Jan;143(1):57-9. doi: 10.1016/s0022-5347(17)39864-6.
2
Prostaglandin E1 versus phentolamine/papaverine for the treatment of erectile impotence: a double-blind comparison.前列腺素E1与酚妥拉明/罂粟碱治疗勃起功能障碍的双盲比较
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A prospective double-blind trial of intracorporeal papaverine versus prostaglandin E1 in the treatment of impotence.一项关于体内注射罂粟碱与前列腺素E1治疗阳痿的前瞻性双盲试验。
J Urol. 1989 Mar;141(3):551-3. doi: 10.1016/s0022-5347(17)40890-1.
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Papaverine-phentolamine and prostaglandin E1 versus papaverine-phentolamine alone for intracorporeal injection therapy: a clinical double-blind study.罂粟碱-酚妥拉明与前列腺素E1联合应用与单独应用罂粟碱-酚妥拉明用于体内注射治疗的临床双盲研究。
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[Intracavernous pharmacotherapy for treatment and evaluation of impotence].[阴茎海绵体内药物治疗用于阳痿的治疗与评估]
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引用本文的文献

1
[Conservative therapy of erectile dysfunction].[勃起功能障碍的保守治疗]
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2
Erectile dysfunction.勃起功能障碍
BMJ Clin Evid. 2011 Jun 29;2011:1803.
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Aetiology and management of male erectile dysfunction and female sexual dysfunction in patients with cardiovascular disease.心血管疾病患者男性勃起功能障碍和女性性功能障碍的病因及管理
Drugs Aging. 2005;22(10):823-44. doi: 10.2165/00002512-200522100-00003.
4
Comparative tolerability and efficacy of treatments for impotence.阳痿治疗方法的耐受性和疗效比较
Drug Saf. 1999 Feb;20(2):133-46. doi: 10.2165/00002018-199920020-00004.
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Intracavernous alprostadil. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in erectile dysfunction.海绵体内注射前列地尔。其药效学、药代动力学特性及在勃起功能障碍中的治疗潜力综述。
Drugs Aging. 1996 Jan;8(1):56-74. doi: 10.2165/00002512-199608010-00009.
6
Intracavernous prostaglandin E1 in erectile dysfunction.阴茎海绵体内注射前列腺素E1治疗勃起功能障碍
Clin Investig. 1994 Jan;72(2):139-49. doi: 10.1007/BF00184593.