CAJ | 학술논문

目的探讨阴茎背神经体感诱发电位(DNSEP)在早泄患者中的改变,并初步讨论 DNSEP 对早泄的临床诊断价值.方法对16例健康男性、16例继发性早泄(SPE)患者及33例原发性早泄(PPE)患者均行 DNSEP 检查,记录所有受试者阴茎体皮肤生物感觉阈值、DNSEP 的潜伏期及波幅.结果 PPE 组和 SPE 阴茎皮肤生物感觉阈值均低于健康对照组,然后 PPE 组与健康对照组比较,差异具统计学意义(P <0.01),SPE 与健康对照组比较,差异无统计学意义(P >0.05).PPE 和 SPE 患者的 DNSEP 潜伏期均明显短于健康对照组且差异比较均具统计学意义(P <0.001,P <0.01),而 DNSEP 波幅在三者之间比较差异均无统计学意义(P >0.05).结论 PPE 和 SPE 患者均存在阴茎高敏感性和高兴奋性.同时,DNSEP 的神经电生理检查可辅助鉴别出阴茎敏感性和兴奋性较高的患者,为选择对应的治疗方案提供了依据.
목적탐토음경배신경체감유발전위(DNSEP)재조설환자중적개변,병초보토론 DNSEP 대조설적림상진단개치.방법대16례건강남성、16례계발성조설(SPE)환자급33례원발성조설(PPE)환자균행 DNSEP 검사,기록소유수시자음경체피부생물감각역치、DNSEP 적잠복기급파폭.결과 PPE 조화 SPE 음경피부생물감각역치균저우건강대조조,연후 PPE 조여건강대조조비교,차이구통계학의의(P <0.01),SPE 여건강대조조비교,차이무통계학의의(P >0.05).PPE 화 SPE 환자적 DNSEP 잠복기균명현단우건강대조조차차이비교균구통계학의의(P <0.001,P <0.01),이 DNSEP 파폭재삼자지간비교차이균무통계학의의(P >0.05).결론 PPE 화 SPE 환자균존재음경고민감성화고흥강성.동시,DNSEP 적신경전생리검사가보조감별출음경민감성화흥강성교고적환자,위선택대응적치료방안제공료의거.
Objective To investigate the changes of penial dorsal nerve somatosensory evoked potential (DNSEP) among patients with premature ejaculation (PE), and evaluate its diagnostic value for PE. Methods DNSEP tests were performed in sixteen normal potent male volunteers, sixteen patients with secondary premature ejaculation (SPE) and thirty-three patients with primary premature ejaculation (PPE). The sensory thresholds of penile shaft, the latencies and amplitudes of DNSEP of all subjects were recored and analyzed. Results The sensory thresholds of patients with PPE and SPE were lower than that of the normal potent men, and a significant difference was found in the former (P<0.01), but no significant difference in the latter (P>0.05). The latencies of DNSEP were significantly shorter in the patients with PPE and SPE than that in normal subjects, respectively ( P<0.001, P<0.01). However, there were no significant differents in the amplitude of DNSEP among the three groups ( P>0.05). Conclusion The patients with PPE or SPE had the characteristics of hypersensitivity and hyperexcitability of the penis which could be identified through DNSEP. It provided a way to choose the appropriate treatment for PE.