摘要：
目的：探讨中药浸泡联合真空负压吸引治疗对心因性勃起功能障碍（pED）患者的临床研究。方法：选取 2020 年 4 月至 2021 年 10 月我院收治的 pED 患者 160 例作为研究对象。根据 EXCEL 表格随机生成数据，将患者随机分为 4 组，每组各 40 例，分别进行心理治疗、单纯真空负压吸引治疗、单纯中药浸泡治疗及中药浸泡联合负压吸引治疗。对比分析四组治疗前后的性功能评分（IIEF-5）和血清睾酮激素水平变化。结果：治疗后，四组 IIEF-5 评分的水平比较存在明显差异，中药联合负压吸引治疗组与单纯中药浸泡组治疗后 IIEF-5 评分均高于治疗前，治疗后四组血清睾酮的水平比较有明显差异，真空负压吸引治疗组、单纯中药浸泡组及中药联合负压吸引治疗组治疗后的血清睾酮的水平高于治疗前，均P＜0.05。结论：中药浸泡联合真空负压吸引治疗对 pED 患者有良好的临床疗效，可有效改善患者的性功能，促进血清睾酮激素水平恢复。

关键词：中药浸泡；真空负压吸引；心理护理；心因性勃起功能障碍

Abstract:
Objective: To investigate the clinical efficacy of traditional Chinese herbal immersion combined with vacuum negative pressure device therapy in patients with psychogenic erectile dysfunction (pED). Methods: A total of 160 pED patients admitted to our hospital from April 2020 to October 2021 were enrolled. Using Excel-generated random numbers, patients were randomly divided into four groups (n=40 each): psychotherapy alone, vacuum negative pressure therapy alone, traditional Chinese herbal immersion alone, and combination therapy (herbal immersion + vacuum negative pressure). Comparative analysis was performed on changes in sexual function scores (IIEF-5) and serum testosterone levels before and after treatment. Results: Post-treatment comparisons revealed significant differences in IIEF-5 scores among the four groups. Both the combination therapy group and the herbal immersion-alone group showed higher IIEF-5 scores after treatment compared to baseline. Significant differences in serum testosterone levels were also observed among the four groups post-intervention. The vacuum therapy group, herbal immersion group, and combination therapy group all exhibited increased serum testosterone levels compared to pre-treatment levels (all P<0.05). Conclusion: The combination of traditional Chinese herbal immersion and vacuum negative pressure therapy demonstrates superior clinical efficacy for pED patients, effectively improving sexual function and promoting recovery of serum testosterone levels.

Keywords: Traditional chinese herbal immersion; Vacuum negative pressure therapy; Psychological nursing; Psychogenic erectile dysfunction (pED)

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参考文献 / References：

常淑莹, 周圆, 张红梅, 等. 结构式团体心理治疗对心因性勃起功能障碍患者的干预效果[J]. 护士进修杂志, 2021, 36(4):4. DOI:10.16821/j.cnki.hsjx.2021.04.014.
黄新凯. 负压吸引结合中药灌洗治疗肾虚型糖尿病勃起功能障碍的相关性研究[J]. 北方药学, 2016, 13(2):2. DOI:CNKI:SUN:BFYX.0.2016-02-070.
尤传静, 田红飞, 刘建国, 等. 补肾填精法通过调控一氧化氮和血管内皮素治疗糖尿病勃起功能障碍的作用机制研究[J]. 中国性科学, 2021, 30(5):4.DOI:10.3969/j.issn.1672-1993.2021.05.033.
孙松,王继升,徐少强, 等. 活血通络起痿汤联合小剂量他达拉非治疗血瘀肾虚型糖尿病勃起功能障碍临床观察[J]. 时珍国医国药, 2021. DOI:10.3969/j.issn.1008-0805.2021.01.35.
Li E, Hou J, Li D, et al. The mechanism of vacuum constriction devices in penile erection: The NO/cGMP signaling pathway?[J]. Medical Hypotheses, 2010,75(5):422-424. DOI:10.1016/j.mehy.2010.04.011.
方丹波, 汪朔. 勃起功能障碍治疗进展[J]. 现代实用医学, 2019,31(6):710-712. DOI:10.3969/j.issn.1671-0800.2019.06.002.
黄奉献, 李培轮, 刘擎, 等. 中医药治疗勃起功能障碍研究进展[J]. 中华全科医学, 2020, 18(4):646-650. DOI:10.16766/j.cnki.issn.1674-4152.001320.
李赛花,黄萍. 心理干预对糖尿病勃起功能障碍患者心理状态的影响[J]. 大众科技, 2013(7):123-124,126. DOI:10.3969/j.issn.1008-1151.2013.07.044.