Gao Qing-Qiang, Song Tao, Wang Bin, Dai Yu-Tian
Department of Andrology, Nanjing Drum Tower Hospital / Gulou School of Clinical Medicine, Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Zhonghua Nan Ke Xue. 2024 Feb;30(2):123-127.
To explore the clinical effect of sexual therapy combined with physical methods in the treatment of primary intravaginal anejaculation (PIAE) and its possible action mechanism.
Ninety PIAE patients with anxiety symptoms were equally randomized into three groups and treated by sexual therapy combined with vacuum negative pressure hydro pneumatic / pneumatic bubble massage (group A), sexual therapy (group B) or (vacuum negative pressure hydro pneumatic / pneumatic bubble massage (group C). After 15 cycles of treatment, the therapeutic effects were compared among the three groups of patients.
The effectiveness rates in groups A, B and C were 86.67%, 46.67% and 30.00%, respectively, with statistically significant differences in the total effectiveness rate, the effective rate of the treatment of anxiety symptoms of the patients and their partners, and the effectiveness rate of the treatment of idiosyncratic masturbation (P<0.05). Pairwise comparison showed that the total effectiveness rate was dramatically higher in group A than in groups B and C (P<0.01), with no statistically significant difference between the latter two groups (P>0.05), that the effectiveness rate of the treatment of anxiety symptoms of the patients and sexual partners was remarkably higher in groups A and B than in C (P<0.01), with no statistically significant difference between the former two groups (P>0.05), and that the effectiveness rate of the treatment of idiosyncratic masturbation was significantly higher in group A than in B and C (P< 0.01), with no statistically significant difference between the latter two (P>0.05).
PIAE is often accompanied by negative psychological state of the patients and their partners and idiosyncratic masturbation, which responds well to sexual therapy combined with vacuum negative pressure hydro pneumatic / pneumatic bubble massage.
探讨性治疗联合物理方法治疗原发性阴道内射精障碍（PIAE）的临床效果及其可能的作用机制。
将90例伴有焦虑症状的PIAE患者随机分为三组，分别采用性治疗联合真空负压水气动/气动气泡按摩（A组）、性治疗（B组）或真空负压水气动/气动气泡按摩（C组）进行治疗。治疗15个周期后，比较三组患者的治疗效果。
A、B、C三组的有效率分别为86.67%、46.67%和30.00%，总有效率、患者及其配偶焦虑症状治疗有效率、特殊手淫治疗有效率比较，差异有统计学意义（P<0.05）。两两比较显示，A组总有效率显著高于B组和C组（P<0.01），后两组间差异无统计学意义（P>0.05）；A组和B组患者及其性伴侣焦虑症状治疗有效率显著高于C组（P<0.01），前两组间差异无统计学意义（P>0.05）；A组特殊手淫治疗有效率显著高于B组和C组（P<0.01），后两组间差异无统计学意义（P>0.05）。
PIAE常伴有患者及其配偶的负性心理状态和特殊手淫，性治疗联合真空负压水气动/气动气泡按摩对此有良好疗效。
