物理治疗对前列腺腺切除术后的勃起功能障碍的影响:随机对照试验研究
Mahdi Afshar Safavi1, Hoda Niknam2, Farshad Okhovatian2
1Department of Physical Therapy, Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. mahdi3068@gmail.com.
Urology journal
|July 29, 2024
概括
手动治疗和盆地肌肉训练在前列腺切除术后的男性显著改善勃起功能和阴茎血流. 这种综合方法被推作为前列腺切除术后勃起功能障碍的主要治疗方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
- 性健康 性的健康
背景情况:
- 勃起功能障碍 (ED) 是前列腺切除术 (PA) 后的一个常见并发症.
- 盆地肌肉 (PFM) 训练和手动治疗是潜在的非侵入性治疗方法.
研究的目的:
- 评估手动治疗 (摩擦按摩) 与PFM培训相结合的有效性,以管理PA后的ED.
- 评估对PFM厚度和阴茎血液动力学的影响.
主要方法:
- 一个随机的,双盲的,受控的试验,涉及40名接受PA的患者.
- 干预组接受了PFM培训以及手动治疗;对照组仅接受了PFM培训.
- 通过IIEF-15和EHS评估勃起功能;通过超声波测量阴茎血流和PFM厚度.
主要成果:
- 干预组的勃起功能得分 (IIEF-15) 和勃起硬度得分显著改善.
- 超声波显示,干预组的PFM厚度增加,洞穴动脉血流速度改善.
- 在干预组中,后静脉血流速度的下降被注意到.
结论:
- 联合PFM训练和摩擦按摩在PA后管理ED方面是有效的.
- 这种治疗方法对于前列腺切除术后经历勃起功能障碍的男性来说具有显著的益处.
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