在早泄中各种治疗的有效性:系统性审查和网络元分析
Hyun Young Lee1, Jong Hyun Pyun2, Sung Ryul Shim3
1Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
The world journal of men's health
|August 28, 2023
概括
这次对早泄 (PE) 治疗的审查发现,特拉马多尔100毫克在改善射精延迟时间 (ELT) 中最有效. 其他有效的选择包括SSRI,克洛米胺,局部药物和PDE5抑制剂.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 药理学 药理学是指药理学的学科.
- 性医学性医学性医学性医学
背景情况:
- 早泄 (PE) 是一个常见的男性性功能障碍.
- 治疗策略包括行为,药物和手术干预.
研究的目的:
- 研究和比较早期射精 (PE) 的各种治疗策略.
- 评估不同干预措施的有效性,包括药物,行为和手术选择.
主要方法:
- 在PubMed和Cochrane图书馆进行系统的文献搜索,截至2022年9月.
- 包括59项直接比较试验,涉及10,474名患者.
- 分析了43种不同治疗PE的143种效果大小.
主要成果:
- 九种单一疗法和四种组合疗法显示出具有统计学意义的疗效.
- 特拉马多尔100毫克证明了改善射精延迟时间 (ELT) 的最高排名.
- 大多数用于PE的药物是在标签之外使用的,达西丁是例外.
结论:
- 在PE治疗中,SSRI,特拉马多尔,克洛米胺,局部药物和PDE5抑制剂是有效的.
- 这些发现与美国泌尿病学会和北美性医学协会的建议一致.
- 多种管理方法在随机对照试验中已证明有效.
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