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[十一酸睾酮低剂量胶囊联合他达拉非治疗伴有勃起功能障碍的迟发性性腺功能减退]

[Low-dose testosterone undecanoate capsules combined with tadalafil for late-onset hypogonadism accompanied with ED].

作者信息

Li Guang-Yu, Liang Ji-Hong, Meng Zhi-Bin, Huang Cun-Chao, Liang Shi-Kun, Wei Guo-Qiang, Shen Shu-Lin, Zhu Chun-Hui, Zhang Xun, Song Wei-Ru

机构信息

Department of Andrology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China.

出版信息

Zhonghua Nan Ke Xue. 2013 Jul;19(7):630-3.

Abstract

OBJECTIVE

To observe the clinical effect of low-dose testosterone undecanoate capsules combined with tadalafil on late-onset hypogonadism (LOH) accompanied with ED.

METHODS

Ninety cases of LOH accompanied with ED who met the inclusion criteria were randomly divided into a control group and a combination therapy group, the former treated with tadalafil and the latter with low-dose testosterone undecanoate capsules combined with tadalafil. The LOH symptoms, IIEF-5 scores, sexual encounter profile (SEP) scores, prostate volumes, and the levels of total testosterone (TT), free testosterone (FT) and prostatic specific antigen (PSA) were recorded and compared between the two groups before and after treatment.

RESULTS

The IIEF-5 and SEP scores and the TT and FT levels were 20.6 +/- 3.8, 4.02 +/- 1.08, (15.4 +/- 3.4) nmol/L and (0.391 +/- 0.062) nmol/L, respectively, in the combination therapy group after treatment, significantly higher both than 15.7 +/- 3.9, 1.49 +/- 0.82, (10.1 +/- 1.2) nmol/L and (0.200 +/- 0.045) nmol/L before treatment (P < 0.01) and than 8.6 +/- 3.6, 3.50 +/- 1.21, (10.2 +/- 1.2) nmol/L and (0.210 +/- 0.051) nmol/L in the control group after treatment (P < 0.01).

CONCLUSION

Low-dose testosterone undecanoate capsules combined with tadalafil has a definite clinical effect and no obvious adverse reactions in the treatment of LOH accompanied with ED.

摘要

目的

观察小剂量十一酸睾酮胶囊联合他达拉非治疗迟发性性腺功能减退(LOH)伴勃起功能障碍(ED)的临床疗效。

方法

将90例符合纳入标准的LOH伴ED患者随机分为对照组和联合治疗组,前者采用他达拉非治疗,后者采用小剂量十一酸睾酮胶囊联合他达拉非治疗。记录并比较两组治疗前后的LOH症状、国际勃起功能指数-5(IIEF-5)评分、性经历概况(SEP)评分、前列腺体积以及总睾酮(TT)、游离睾酮(FT)和前列腺特异抗原(PSA)水平。

结果

联合治疗组治疗后IIEF-5评分、SEP评分、TT水平和FT水平分别为20.6±3.8、4.02±1.08、(15.4±3.4)nmol/L和(0.391±0.062)nmol/L,均显著高于治疗前的15.7±3.9、1.49±0.82、(10.1±1.2)nmol/L和(0.200±0.045)nmol/L(P<0.01),也高于对照组治疗后的8.6±3.6、3.50±1.21、(10.2±1.2)nmol/L和(0.210±0.051)nmol/L(P<0.01)。

结论

小剂量十一酸睾酮胶囊联合他达拉非治疗LOH伴ED具有确切的临床疗效,且无明显不良反应。

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