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早泄的临床特征及夫妻双方对早泄的态度:一项多中心横断面研究。

Clinical features of and couple's attitudes towards premature ejaculation: a multicenter cross-sectional study.

作者信息

Zhang Jianzhong, Li Fubiao, Li Haisong, Zhang Zhichao, Yang Bin, Li Hongjun

机构信息

Department of Urology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Department of Urology, First Hospital of Jilin University, Changchun, China.

出版信息

Aging Male. 2020 Dec;23(5):946-952. doi: 10.1080/13685538.2019.1640194. Epub 2019 Jul 15.

Abstract

INTRODUCTION

The current study aimed to investigate the clinical features of and couple's attitudes towards premature ejaculation (PE).

METHODS

Qualified patients were continuously enrolled from 15 medical centers in different regions of China. Patient data were collected from March 1 2017 to July 31 2017. All men were assessed by the Premature Ejaculation Diagnostic Tool (PEDT) and Intravaginal Ejaculation Latency Time (IELT). Besides, sexual desire, force of ejaculation, and the five-item International Index of Erectile Function (IIEF-5) score were recorded. The couple's attitudes towards PE were evaluated by a self-designed questionnaire.

RESULTS

In total, 1033 males diagnosed with PE and their sexual partners and 3176 males without PE were enrolled. The mean PEDT and IELT scores of the patients with PE were 14.38 ± 3.68 and 1.59 ± 0.85, respectively. IIEF-5, sexual desire, and force of ejaculation significantly decreased in patients with PE. Among the 1033 couples, 44.3%, 21.39%, and 33.98% of the couples were seeking PE because of the dissatisfaction of the males, the females or both partners, respectively. In terms of the males who were dissatisfied with PE, 49.51% and 17.86% complained of short IELT and inability to control ejaculation. In terms of the females dissatisfied with PE, 41.61%, 19.93%, 21.68%, and 14.51% complained of arousal difficulty, weak sexual desire, failing to have organism and poor relationship, respectively.

CONCLUSIONS

PE has a negative impact on erectile function, sexual desire, and force of ejaculation. Sexual partners play important roles in the medical procedures for addressing PE.

摘要

引言

本研究旨在调查早泄(PE)的临床特征以及伴侣对早泄的态度。

方法

从中国不同地区的15个医疗中心持续招募符合条件的患者。收集2017年3月1日至2017年7月31日的患者数据。所有男性均通过早泄诊断工具(PEDT)和阴道内射精潜伏期时间(IELT)进行评估。此外,记录性欲、射精力度以及国际勃起功能指数五项问卷(IIEF-5)得分。通过自行设计的问卷评估伴侣对早泄的态度。

结果

共纳入1033名被诊断为早泄的男性及其性伴侣以及3176名无早泄的男性。早泄患者的平均PEDT和IELT得分分别为14.38±3.68和1.59±0.85。早泄患者的IIEF-5、性欲和射精力度显著降低。在1033对伴侣中,分别有44.3%、21.39%和33.98%的伴侣因男性、女性或双方伴侣的不满而寻求治疗早泄。对于对早泄不满意的男性,49.51%和17.86%的人抱怨IELT短和无法控制射精。对于对早泄不满意的女性,分别有41.61%、19.93%、21.68%和14.51%的人抱怨性唤起困难、性欲低下、无法达到性高潮和关系不佳。

结论

早泄对勃起功能、性欲和射精力度有负面影响。性伴侣在治疗早泄的医疗过程中发挥着重要作用。

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