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海绵体内注射诱导阴茎勃起:酚苄明与罂粟碱 - 酚妥拉明与生理盐水的双盲比较

Induction of penile erection by intracavernosal injection: a double-blind comparison of phenoxybenzamine versus papaverine-phentolamine versus saline.

作者信息

Szasz G, Stevenson R W, Lee L, Sanders H D

机构信息

Department of Psychiatry, University of British Columbia, Vancouver, Canada.

出版信息

Arch Sex Behav. 1987 Oct;16(5):371-8. doi: 10.1007/BF01541420.

DOI:10.1007/BF01541420
PMID:3689105
Abstract

Recent data suggest that intracavernous injections of phenoxybenzamine in saline, and/or papaverine with phentolamine mesylate in saline, result in erection in otherwise impotent men. A double-blind study using normal saline and normal saline mixed with phenoxybenzamine or papaverine-phenotolamine mesylate showed that none of 11 subjects with organic erection dysfunction responded with appreciable penile swelling to saline injection, but all responded with some degree of penile swelling to the other solutions. The mechanism of penile erection in response to intracavernous injections is still unclear, but it is thought to be related to the alpha-adrenergic blocking and/or smooth muscle relaxant actions of these drugs; the volume of the injection or the normal saline content of the solution are not factors in causing penile tumescence.

摘要

近期数据表明,向海绵体内注射苯苄胺的生理盐水溶液,和/或注射罂粟碱与甲磺酸酚妥拉明的生理盐水溶液,可使原本阳痿的男性勃起。一项使用生理盐水以及混合了苯苄胺或罂粟碱-甲磺酸酚妥拉明的生理盐水进行的双盲研究显示,11名患有器质性勃起功能障碍的受试者中,无人因注射生理盐水而出现明显的阴茎肿胀反应,但所有人对其他溶液均有一定程度的阴茎肿胀反应。海绵体内注射引发阴茎勃起的机制尚不清楚,但据认为与这些药物的α-肾上腺素能阻断作用和/或平滑肌松弛作用有关;注射溶液的体积或其中生理盐水的含量并非导致阴茎肿胀的因素。

相似文献

1
Induction of penile erection by intracavernosal injection: a double-blind comparison of phenoxybenzamine versus papaverine-phentolamine versus saline.海绵体内注射诱导阴茎勃起:酚苄明与罂粟碱 - 酚妥拉明与生理盐水的双盲比较
Arch Sex Behav. 1987 Oct;16(5):371-8. doi: 10.1007/BF01541420.
2
Penile function following intracavernosal injection of vasoactive agents or saline.海绵体内注射血管活性药物或生理盐水后的阴茎功能。
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Treatment of impotence by intrapenile injections of papaverine and phenoxybenzamine: a double blind, controlled trial.阴茎内注射罂粟碱和酚苄明治疗阳痿:一项双盲对照试验。
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[Action of vasoactive drugs in male sexual impotence].[血管活性药物在男性性功能障碍中的作用]
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Objective double-blind evaluation of erectile function with intracorporeal papaverine in combination with phentolamine and/or prostaglandin E1.采用双盲法评估阴茎海绵体内注射罂粟碱联合酚妥拉明和/或前列腺素E1对勃起功能的影响。
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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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本文引用的文献

1
Evoked responses from the pudendal nerve.来自阴部神经的诱发反应。
J Urol. 1982 Nov;128(5):974-80. doi: 10.1016/s0022-5347(17)53306-6.
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Practical diagnostic screening for impotence.阳痿的实用诊断筛查
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Cavernosal alpha-blockade: a new technique for investigating and treating erectile impotence.海绵体α-阻滞剂:一种用于研究和治疗勃起功能障碍的新技术。
Br J Psychiatry. 1983 Oct;143:332-7. doi: 10.1192/bjp.143.4.332.
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Intracavernous injection of papaverine for erectile failure.海绵体内注射罂粟碱治疗勃起功能障碍。
Lancet. 1982 Oct 23;2(8304):938. doi: 10.1016/s0140-6736(82)90910-2.
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New theory on the mechanism of erection involving hitherto undescribed vessels.关于勃起机制的新理论,涉及迄今未被描述的血管。
Lancet. 1982 Feb 20;1(8269):416-8. doi: 10.1016/s0140-6736(82)91618-x.
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Auto-injection of the corpus cavernosum with a vasoactive drug combination for vasculogenic impotence.
J Urol. 1985 Jan;133(1):39-41. doi: 10.1016/s0022-5347(17)48774-x.
7
Phalloarteriography in the diagnosis of erectile impotence.阴茎动脉造影术在勃起功能障碍诊断中的应用
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