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早泄患者门诊就诊时的流行情况和影响:使用阴道内射精潜伏时间和患者报告的结局测量指标。

Prevalence and impact of premature ejaculation in outpatients complaining of ejaculating prematurely: using the instruments of intravaginal ejaculatory latency time and patient-reported outcome measures.

机构信息

Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Academy of Public Health of Anhui Medical University, Hefei, China.

出版信息

Int J Impot Res. 2014 May-Jun;26(3):94-9. doi: 10.1038/ijir.2013.42. Epub 2014 Jan 2.

DOI:10.1038/ijir.2013.42
PMID:24384563
Abstract

This study was designed to assess the impact of premature ejaculation (PE) on a large population of men and their female partners using the instruments of intravaginal ejaculatory latency time (IELT) and patient-reported outcome (PRO) measures. A non-interventional, observational and cross-sectional field survey enrolled 2704 men with self-reported PE and their female partners from January 2010 to January 2012. PE was diagnosed by the International Society for Sexual Medicine (ISSM) criterion. IELT and sexual dysfunction were measured using a stopwatch and PRO measures, respectively. The incidence of PE in this study was 19.27%. PE negatively impacted on subjects and their partners, including reduced ejaculatory control and sexual satisfaction, and increased personal distress and interpersonal difficulty (P<0.001 for all). The severity of PE was considered worse by subjects than by their female partners (P<0.001). Reduced ejaculatory control and sexual satisfaction were considered the central themes of PE. Furthermore, a correlation was observed among the outcomes of IELT and PRO measures for subjects and their partners (absolute correlation coefficient ranged from 0.33 to 0.67). This in-depth qualitative study provides valuable insight into the PE status in Chinese men. Further research is needed to confirm and extend these results.

摘要

这项研究旨在使用阴道内射精潜伏期 (IELT) 和患者报告的结局 (PRO) 评估早泄 (PE) 对大量男性及其女性伴侣的影响。一项非干预性、观察性和横断面现场调查于 2010 年 1 月至 2012 年 1 月招募了 2704 名自我报告有 PE 的男性及其女性伴侣。PE 通过国际性行为医学学会 (ISSM) 标准进行诊断。使用秒表测量 IELT,使用 PRO 测量评估性障碍。本研究中 PE 的发生率为 19.27%。PE 对受试者及其伴侣产生负面影响,包括降低射精控制和性满意度,增加个人困扰和人际困难(所有 P<0.001)。受试者认为 PE 的严重程度比其女性伴侣更严重(P<0.001)。降低的射精控制和性满意度被认为是 PE 的核心主题。此外,研究观察到受试者及其伴侣的 IELT 和 PRO 测量结果之间存在相关性(绝对相关系数范围为 0.33 至 0.67)。这项深入的定性研究提供了对中国男性 PE 状况的宝贵见解。需要进一步的研究来证实和扩展这些结果。

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