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益慕思凯片:治疗早泄安全有效

[Yimusake Tablet: safe and efficacious for premature ejaculation].

作者信息

Zhao Lian-ming, Jiang Hui, Hong Kai, Li Fu-biao, Xu Ji-xiu, Zhang Xiang-sheng, Mao Xiang-ming, Zhou Shao-hu, Chen Bin, Pu Xiao-yong, Zhu Cheng-bin, Yang Guo-sheng, Ma Liang-hong, Ma Sheng-li, Tu Xiang-an, Deng Chun-hua, Sun Xiang-zhou, Yao You-sheng, Zhang Bin, Lu Yi, Jia Jin-ming, Ma Wei-guo

机构信息

Department of Urology, Peking University Third Hospital, Beijing, China.

出版信息

Zhonghua Nan Ke Xue. 2014 Nov;20(11):1029-34.

Abstract

OBJECTIVE

To objectively evaluate the efficacy and safety of Yimusake Tablet in the treatment of premature ejaculation (PE) through a multi-centered large-sample trial.

METHODS

We conducted a multi-centered, open, fixed-dose, and self-compared clinical trial among 300 patients with diagnosed PE. The trial lasted 12 weeks, including 4 weeks without any medication and 8 weeks of treatment with Yimusake Tablet, 2 pills (1 g) per night. We observed the intravaginal ejaculation latency time (IELT) before and after treatment, evaluated the safety of medication, and performed a questionnaire investigation on the patients' satisfaction.

RESULTS

Of the 300 PE patients, 288 accomplished the clinical trial. The patients ranged in age from 22 to 60 years, averaging at 31.6 years. The mean IELT of the patient was 62.5 seconds at baseline, 168.9 seconds after 4 weeks of treatment with Yimusake Tablet, and 222.2 seconds after 8 weeks of medication. Among the 157 patients with normal erectile function (IIEF >21), the mean IELT was 71.4 seconds before treatment, 147.4 seconds after 4 weeks of medication, and 172.5 seconds after 8 weeks of medication. The patients' satisfaction was significantly increased after treatment. Those complicated by mild to moderate erectile dysfunction achieved different degrees of improvement in the IIEF-5 score, with a mean increase of 3.8. Only a few patients experienced mild adverse events, including constipation, dry mouth, nose bleeding, abdominal pain, and lumbosacral pain, which were all relieved without drug withdrawal.

CONCLUSION

Yimusake Tablet is a safe and effective medicine for the treatment of PE.

摘要

目的

通过多中心大样本试验客观评价益木萨克片治疗早泄(PE)的疗效及安全性。

方法

对300例确诊为PE的患者进行多中心、开放、固定剂量、自身对照的临床试验。试验为期12周,包括4周无任何药物治疗期及8周益木萨克片治疗期,每晚2片(1g)。观察治疗前后阴道内射精潜伏期(IELT),评估用药安全性,并对患者满意度进行问卷调查。

结果

300例PE患者中,288例完成临床试验。患者年龄22~60岁,平均31.6岁。患者基线时平均IELT为62.5秒,益木萨克片治疗4周后为168.9秒,用药8周后为222.2秒。157例勃起功能正常(IIEF>21)的患者中,治疗前平均IELT为71.4秒,用药4周后为147.4秒,用药8周后为172.5秒。治疗后患者满意度显著提高。合并轻至中度勃起功能障碍者IIEF-5评分有不同程度改善,平均提高3.8分。仅少数患者出现轻度不良事件,包括便秘、口干、鼻出血、腹痛及腰骶部疼痛,均未停药而缓解。

结论

益木萨克片是治疗PE的一种安全有效的药物。

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