Abstract:
Erectile dysfunction (ED) is a common disease characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual activity. It affects a large proportion of men and may have profound psychological, relational, and physiological effects. The etiology of ED is multifactorial, including organic, psychological, and relational factors. In order to emphasize the efficacy of various psychological interventions (PIs) in combination with phosphodiesterase-5 inhibitors (PDE-5i), this study conducted a comprehensive search of relevant literature published between 2003 and 2022 using multiple search engines. Randomized controlled trials were included to compare the use of PDE-5i alone, PI alone, or a combination of PDE-5i and PI in the treatment of ED patients. The results showed that the combination of PI and PDE-5i was more effective than PI or PDE-5i alone in male erectile function and long-term satisfaction.
勃起功能障碍(erectiledysfunction,ED)是男科常见疾病,指在性生活中无法达到或维持足以令人满意的勃起状态。ED影响了很大一部分男性群体,并可产生深远的心理、人际关系和生理影响。ED的病因是多因素的,包括器质性、心理性和人际关系因素。为了探究各种心理干预(PI)与磷酸二酯酶-5抑制剂(PDE-5i)联合使用的疗效,本文通过多个数据库进行检索,对2003年至2022年期间发表的相关文献进行了全面梳理,纳入了随机对照试验,比较了单独使用PDE-5i、单独使用PI或联合使用PDE-5i和PI治疗ED患者的效果。综述结果显示,PI与PDE-5i联合使用在男性勃起功能和长期性满意度方面比单独使用PI或PDE-5i更具成效。