摘要
目的:探讨高海拔缺氧地区应用精准电生理诊断与经皮低频电刺激治疗缺氧性勃起功能障碍(ED)的效果。方法:本研究纳入152例高海拔缺氧地区ED患者,使用可视化精准电生理诊断(医用红外热成像仪)取得相应精准参数,低频电刺激治疗(低频神经肌肉治疗仪),治疗前后比较IIEF-5评分、NPTR及红外热像图温度(全身及靶器官)的变化。结果:所有患者均顺利完成经皮低频电刺激治疗1~3个疗程。IIEF-5治疗前后对比有显著统计学差异(P<0.05);头端最佳勃起硬度、头端最佳勃起持续时间治疗前后对比均有显著统计学差异(P<0.01)。可视化精准电生理诊断治疗前后比较TMT图提示阴茎及双侧腹股沟区等疾病局部和全身整体温度变化>1.5℃,属于有效电刺激。随访1~3个月无反复。结论:应用可视化精准电生理诊断,联合经皮低频电刺激、高流量吸氧可有效的提高阴茎海绵体氧供,改善其功能与结构,对缺氧性ED的治疗效果肯定,为治疗缺氧性ED开辟了有效的物理治疗手段。
Objective:To investigate the effects of visualized precision electrophysiological diagnosis and transcutaneous lowfrequency electrical stimulation(TES)on hypoxia-induced ED in high-altitude areas.Methods:This study included 152 ED patients from high-altitude hypoxic areas treated by TES based on the parameters obtained from visualized precision electrophysiological diagnosis.We followed up the patients for 1 to 3 months and compared their IIEF-5 scores,nocturnal penile tumescence and rigidity(NPTR)and infrared thermal metabolic technology(TMT)-based temperature of the whole body and diseased parts before and after treatment.Results:All the patients successfully completed 1 to 3 courses of TES.There were no statistically significant differences in the IIEF-5 scores(P<0.05)and penile tip optimal erection rigidity and duration(P<0.01)of the patients before and after treatment.TMT images indicated a temperature change of>1.5℃in the penis and bilateral inguinal regions after treatment,suggesting the effectiveness of electrical stimulation.No recurrence was observed during the follow-up.Conclusion:TES based on the parameters obtained from visualized precision electrophysiological diagnosis has a definite effect on hypoxia-induced ED by enhancing oxygen supply to the penile corpus cavernosum and improving its function and structure.
作者
杨茸茸
严积雄
陈琦炜
王发明
冶占虎
郭巍
YANG Rong-rong;YAN Ji-xiong;CHEN Qi-wei;WANG Fa-ming;YE Zhan-hu;GUO Wei(Department of Andrology,Xining First People's Hospital,Xining,Qinghai 810000,China)
出处
《中华男科学杂志》
CAS
CSCD
2024年第2期132-138,共7页
National Journal of Andrology
关键词
勃起功能障碍
缺氧
IIEF-5
NPTR
电生理诊断
经皮低频电刺激
高海拔地区
erectile dysfunction
hypoxia
IIEF-5
nocturnal penile tumescence and rigidity
electrophysiological diagnosis
transcutaneous low-frequency electrical stimulation
high-altitude area
