目的 研究改良Masters-Johnson性感集中训练治疗早泄的可行性与疗效.方法 选择100例早泄患者,随机分为两组,每组50例.试验组在医生指导下进行改良Masters-Johnson性感集中训练治疗,为期8周,同时口服舍曲林50 mg,每晚1次,连服8周.对照组:口服舍曲林50 mg,每晚1次,连服8周.治疗前后及治疗半年后,根据中国早泄患者性功能评价表(CIPE-5)评估.结果 试验组治疗后CIPE-5积分及各分项得分明显优于对照组(P<0.01).试验组有效率为92% (46/50),显著高于对照组为68%(34/50) (P<0.01).半年后随访试验组复发者有6例,显著低于对照组(22例)(P<0.01).结论 改良Masters-Johnson性感集中训练治疗早泄具有疗效好、复发率低的优点,值得临床推广.
Objective To study and evaluate the feasibility and clinical effects of the treatment of premature ejaculation with modified Masters-Johnson sensate focus exercise.Methods 100 male outpatients with premature ejaculation were divided randomly into two equal groups randomly.The experiment group was treated with the modified Masters-Johnson sensate focus exercise and oral sertraline 50 mg/day for 8 weeks.The control group was given oral sertraline 50 mg/day for 8 weeks.The scores were evaluated with CIPE-5 and compared between the groups before and after the treatment and after the flown-up for 6 moths.Results After treatment,the score of CIPE-5 were better in experiment group than that in control group (P<0.01).The effective rate 92% (46/50) in experiment group was significantly higher than that in control group 68% (34/50) (P<0.01).The relapse cases (6 cases) were significantly lower than that in the control group (22 cases) (P<0.01).Conclusions The method of Masters-John