Cov chaw soj ntsuam soj ntsuam ntawm kev kho mob thiab moxibustion ua ke nrog cov tshuaj kho hauv kev kho mob Ed ⅲ
Mar 28, 2025
Lub hauv paus rau phau ntawv
Erectile kawg li (ED)yog ib qho xwm txheej uas muaj peev xwm los ntawm qhov tsis muaj peev xwm ua tiav lossis tswj hwm erection txaus rau kev ua kev sib deev. Raws li cov neeg mob multifactorial, nws yog cuam tshuam los ntawm kev puas siab ntsws, lub cev, thiab kev sib raug zoo.Ua hauj lwm ed,txawv los ntawm cov organic ed, feem ntau tsis muaj qhov pom tau cov kev coj ua kom zoo thiab yog ntau zaustxuam nrog kev ntxhov siab lossis kev ntxhov siab lub hlwb.Tsoos suav tshuaj (TCM) muab ib qho kev xav tshwj xeeb ntawm ED, customorizing tus mob no ua rau muaj hluav taws kub, thiab hluav taws kub qis, thiab daim siab mus stagnation, ntawm lwm tus. Qhov kev kawm no lub hom phiaj tshawb nrhiav cov yam ntxwv kho mob, kev faib tawm thiab cuam tshuam nrogua hauj lwm ed, thaum ntsuas tusKev ua tau ntawm TCMthiab kev kho mob sib xyaw.
Kev ua tau zoo ntawm TCM Herbal Cistance cov tshuaj pab rau kho erectile kawg (ed)
Qho kawg
1. Cov ntaub ntawv dav dav
1.1 Lub Hnub Nyoog Txheej Txheem
Cov ntaub ntawv khaws cia rau cov ntaub ntawv ntawm 100 tus neeg mob, 61 tus uas tau ntsib cov qauv kuaj mob rau kev ua haujlwm ed thiab tau suav nrog kev soj ntsuam kuaj mob. Lub hnub nyoog ntawm cov neeg mob muaj 36,43 ± 1.0 tau xyoo (ntau yam: {6}}} {xyoo). Ntawm lawv:
12 tus neeg mob (19.7%) muaj hnub nyoog qis dua 30 xyoo.
27 tus neeg mob (44.3%) tau nyob nruab nrab ntawm 30 thiab 40 xyoo.
22 cov neeg mob (36. {0%) tau tshaj 40 xyoo.
1.2 Kev faib cov tsos mob TCM thiab syndromes
Cov tshuaj ntsuam TCM ntawm cov neeg mob 61 tus neeg mob tau raug tshuaj xyuas ntxiv. Kev sib txawv tau ua los ntawm ob tus kws kho mob TCM nrog nruab nrab lossis siab dua. Cov txiaj ntsig tau pom cov kev faib tawm hauv qab no:
Noo-ua kom sov qis dua:27 tus neeg mob (44.3%).
Kev poob qis ntawm Mingmen hluav taws:13 (21.3%).
Mob siab Qi Stagnation:5 rooj plaub (8.2%).
Lub raum puas tsuaj vim tias kev ntshai:6 (9.8%).
Lub plawv-mob tsis txaus:4 kis (6.6%).
Sib tov syndromes:6 (9.8%).
Kev tsom xam ntawm zaus ntawm TCM cov tsos mob tshwm sim cov tsos mob uas muaj zog nrog, o tuaj yeem ua kom muaj zog, tsis muaj kev nkees nkees, thiab cov tawv nqaij daj, thiab ntub dej. Ntawm cov no, txo qis li libido yog cov mob feem ntau pom cov tsos mob. Ib qho kev tsom xam dav ntawm TCM syndromes qhia tias cov tsos mob cuam tshuam nrognoo-cua sov qis duathiabKev poob qis ntawm mingmen hluav tawstshwm sim feem ntau ntau zaus. Saib cov lus 1 rau cov ntsiab lus.
Tab. 4 Lub tsev kuaj mob zaus zaus zaus TCM
| Mob li cas | Hov ntau | Feem pua (%) | Mob li cas | Hov ntau | Feem pua (%) |
|---|---|---|---|---|---|
| Txo qis libido | 52 | 85.2 | Insomnia thiab npau suav | 40 | 65.6 |
| O tus nplaig lub cev | 50 | 82.0 | Ntsiag TSHWJ XEEB | 38 | 62.3 |
| Kev tsis muaj peev xwm tswj tau erection | 49 | 80.3 | Npau taws | 37 | 60.7 |
| Kev qaug zog lub cev | 48 | 78.7 | Ntub cov scrotum | 36 | 59.0 |
| Daj Tus Phuam Txheej | 47 | 77.0 | Pale Tus nplaig | 32 | 52.5 |
| Ntub cov scrotum | 46 | 75.4 | Cov mem tes qaug zog | 31 | 50.8 |
| Nkees ceg | 45 | 73.8 | Ntshav Tus nplaig | 30 | 49.2 |
| Daj tso zis | 44 | 72.1 | Nquag tso zis | 29 | 47.5 |
| Kiv taub hau thiab tinnitus | 43 | 70.5 | Cov quav qhuav | 28 | 45.9 |
| Soreness hauv qab rov qab | 42 | 68.9 | Nyias mem mem mem quav | 27 | 44.3 |
| Qhov chaw nruab nrab ntawm kev ntsuas | 41 | 67.2 | Tso zis kom meej thiab ua kom ntev | 24 | 39.3 |
Nco tseg: Lub rooj qhia txog qhov zaus thiab feem pua ntawm cov mob chaw kuaj mob pom nyob rau hauv cov neeg mob ed raws TCM syndrome sib txawv.
1.3 Lub Cev Kev Ntsuas Loj (BMI)
Lub Cev Pawg Loj (BMI=kg / m²) yog qhov kev pom zoo tau pom zoo thiab muaj txiaj ntsig zoo rau kev ntsuam xyuas qhov hnyav [29]. Hauv txoj kev tshawb no, cov ntaub ntawv los ntawm 100 tus neeg mob tau raug tshuaj xyuas, pom qhov txawv ntawm cov pab pawg ED (61) thiab cov neeg tsis ua haujlwm).
Nyob rau hauvtsis-ua haujlwm pab pawg(39 kis):
BMI tau tshaj li 15.1 kg / m² txog 27.4 kg / m², nrog qhov nruab nrab ntawm23.84 ± 0.49.
Nyob rau hauvUa haujlwm Ed Group(61 rooj plaub):
Phaus ranged los ntawm 57 kg rau 85 kg.
Kev pham ua ntej (tseem hu ua "rog noj qab haus huv") tau txheeb xyuas hauv 35 tus neeg (57.4%, thiab qib kuv rog tau txheeb xyuas hauv 25 tus neeg (41%). Qhov kev faib ua feem ntawm cov me mus rau kev rog rog mus txog 98.4%.
BMI tau tshaj tawm ntawm 16.4 kg / m² / m² rau 29.8 kg / m², nrog qhov nruab nrab ntawm25.03 ± 0.20.
Kev sim t-sim piv nrog BMI nruab nrab ntawm ob pawg qhia txog qhov sib txawv tseem ceeb hauv kev txhais tau tias BMI (P <0. 05). Qhov tshwm sim no qhia tias kev rog dhau yog cov yam ntxwv uas muaj ntau ntawm cov neeg mob uas muaj kev ua haujlwm. Saib cov duab 2 thiab 3 kom paub meej.
1.4 Kev faib tawm thiab ua ib pawg
Tag nrho ntawm 61 cov neeg mob ed muaj nyob hauv qhov kev kawm no. Ntawm lawv:
Ed ed:47 rooj plaub (77%).
Moderate Ed:14 rooj plaub (23%).
Cov neeg mob 61 tau muab faib ua peb pawg, thiab lawv cov hauv paus hniav tau muab piv rau, thiab cov qhab nia BMI
Acupuncture-tshuaj ua ke pab pawg (pawg a):
21 kis.
Nruab Nrab Hnub Nyoog:40.86 ± 1.91.
Nruab nrab BMI:25.01 ± 0.32.
Qhov nruab nrab iIm -5 tus qhab nia:13.57 ± 0.31.
Acupuncture pab pawg (pab pawg b):
20 tus xwm txheej.
Nruab Nrab Hnub Nyoog:40.15 ± 1.68.
Nruab nrab BMI:25.47 ± 0.46.
Qhov nruab nrab iIm -5 tus qhab nia:13.05 ± 0.37.
Tadalafil pab pawg (pab pawg c):
20 tus xwm txheej.
Nruab Nrab Hnub Nyoog:40.86 ± 1.91.
Nruab nrab BMI:25.01 ± 0.32.
Qhov nruab nrab iIm -5 tus qhab nia:13.35 ± 0.39.
Cov txiaj ntsig tau pom tsis muaj qhov sib txawv ntawm cov yam ntxwv xws li muaj hnub nyoog, BMI, thiab I} qhab nia ntawm peb pawg ua ntej kev kho mob (P> 0.05). Qhov no qhia tau tias cov theem hauv theem ntawm cov pawg tau muaj feem ntau sib xws, ua rau pab pawg muaj nuj nqis thiab cov pab pawg sib piv. Saib cov duab 4 thiab 5 rau cov ntsiab lus.
Rooj 2. Piv ntawm BMI hauv 100 ED Cov Neeg Mob
| Pab | n | BMI (kg / m²) |
|---|---|---|
| Ua hauj lwm ed | 61 | 25.03 ± 0.20* |
| Tsis-Ua Haujlwm Ed | 39 | 23.84 ± 0.49 |
| Nco tseg:Piv nrog rau cov neeg tsis-ua haujlwm tau pab pawg, qhov sib txawv yog qhov tseem ceeb (P <{0. 05). |
Rooj 3. Kev soj ntsuam ntawm zaus ntawm BMI hauv cov neeg mob ED ua haujlwm
| Hom | Hov ntau | Cumulative zaus (%) |
|---|---|---|
| Zoo li ib txwm | 1 | 1.6% |
| Ua ntej-rog | 35 | 57.4% |
| Qib kuv rog | 25 | 41.0% |
Rooj 4. Kev faib tawm ntawm cov neeg mob ed cov neeg mob los ntawm qhov hnyav
| Qhov hnyav | Hov ntau | Feem ntau (%) |
|---|---|---|
| Dawb | 47 | 77.0 |
| Tswj kav | 14 | 23.0 |
Rooj 5. Cov ntaub ntawv dav dav sib piv ntawm peb pawg (txhais tau ± sd)
| Pab | Hnub nyoog (xyoo) | BMI (kg / m²) | Iief -5 |
|---|---|---|---|
| Ib pawg | 40.86 ± 1.91 | 25.01 ± 0.32 | 13.57 ± 0.31 |
| B pawg | 40.15 ± 1.68 | 25.47 ± 0.46 | 13.05 ± 0.37 |
| C Pab Pawg | 40.86 ± 1.91 | 25.01 ± 0.32 | 13.35 ± 0.39 |
Nco tseg:
Hnub nyoog, bmi, thiab iief -5 cov qhab nia tsis tau sib txawv ntawm cov pab pawg ua ntej kev kho mob (P> 0. 05). Qhov no qhia tau tias cov theem hauv qib tau zoo sib xws, thiab pab pawg yog muaj txiaj ntsig thiab sib piv.
2. Kev Ntsuam Xyuas Kev Txom Nyem
Txoj kev kho thiab kho qhov tseem ceeb tau muab piv nrog txhua pawg. Tom qab kho, cov txiaj ntsig rau 61 cov neeg mob ed muaj raws li hauv qab no:
Kho:2 rooj plaub (3.3%).
Qhov tseem ceeb txhim kho:27 tus neeg mob (44.3%).
Zoo:22 rooj plaub (36.1%).
Zoo:8 tus neeg (13.1%).
Lub sijhawm ua kom tau zoo tag nrho86.9%.
2.1 kev sib piv ntawm i6 -5 cov qhab nia ua ntej thiab tom qab kho hauv peb pawg
Tom qab kev kho, lub iient -5 cov qhab nia nyob rau hauv tag nrho peb pawg tau ua rau muaj kev nce qib. Qhov sib txawv tseem ceeb tau pom thaum sib piv cov qhab nia ua ntej- thiab cov qhab nia tom qab kev kho mob hauv txhua pawg (P <{0. 01). Ntawm cov pawg, pawg ib qho kev txhim kho tseem ceeb tshaj plaws.
Qhov no qhia tau tias txhua txoj kev kho mob tau ua tau zoo rau kev ua haujlwm ed, tab sis acupuncture ua ke nrog cov tshuaj tua cov txiaj ntsig zoo tshaj plaws. Saib Cov Lus 6.
2.2 Piv ntawm MSF -4 cov qhab nia ua ntej thiab tom qab kev kho mob hauv peb pawg
Tom qab kev kho, msf -4 (cov qhab nia thoob ntiaj teb ntawm peb pawg tau ua rau muaj kev txhim kho tseem ceeb tshaj plaws. Tseem ceeb sib txawv tau pom nyob rau hauv cov qhab nia npaj ua ntej hauv txhua pawg (P <{0. 01), qhia tias txhua txoj kev kho mob tau ua tau zoo rau kev ua haujlwm ed. Txawm li cas los xij, pab pawg ib qho txiaj ntsig zoo tshaj plaws. Saib rooj 7.
Rooj 6. Piv ntawm i7 {1}} qhab nia hauv peb pawg
| Pab | Ua ntej kev kho mob | Tom qab kho | P |
|---|---|---|---|
| A | 13.57 ± 0.31 | 20.14 ± 0.26*▲ | 0.001 |
| B | 13.05 ± 0.37 | 18.00 ± 0.29* | 0.001 |
| C | 13.35 ± 0.42 | 19.13 ± 0.21* | 0.001 |
Nco tseg:
Tseem ceeb sib txawv tau pom nyob rau hauv cov qhab nia npaj ua ntej hauv txhua pawg (P <{0. 01).
▲ Pab pawg ib qho kev txhim kho tseem ceeb tshaj plaws.
Rooj 7. Piv ntawm msf -4 qhab nia hauv peb pawg
| Pab | Ua ntej kev kho mob | Tom qab kho | P |
|---|---|---|---|
| A | 7.57 ± 0.42 | 11.43 ± 0.36*▲ | 0.001 |
| B | 7.70 ± 0.16 | 10.50 ± 0.17* | 0.001 |
| C | 6.65 ± 0.46 | 9.40 ± 0.37* | 0.001 |
Nco tseg:
Tseem ceeb sib txawv tau pom nyob rau hauv cov qhab nia npaj ua ntej hauv txhua pawg (P <{0. 01).
▲ Pab Pawg Pom tau hais txog cov lus tshaj tawm tshaj plaws piv rau pawg B thiab C (P <{0. 01).
2.3 Cov kev hloov pauv ntawm TCM cov txiaj ntsig cov qhab nia ua ntej thiab tom qab kho hauv peb pawg
Tom qab kho, cov qhab nia TCM hauv txhua yam peb pab tau ua rau cov qauv qis, taw qhia kev txhim kho hauv cov tsos mob thoob plaws txhua pab pawg. Kev sib piv ntawm kev soj ntsuam cov tsos mob ua ntej thiab tom qab kev kho mob tau qhia tsis thoob txhua pawg (P <{0. 01). Qhov no qhia tau tias peb txoj kev kho mob tau ua tau zoo rau kev ua haujlwm zoo, tab sis acupuncture ua ke nrog cov tshuaj ua rau muaj kev txhim kho tshwj xeeb tshaj plaws. Saib Cov Lus 8.
2.4 Kev sib piv ntawm kev kho thiab kev txhim kho tseem ceeb ntawm peb pawg (cov txheeb cais))
Txoj kev kho kho thiab kev txhim kho tseem ceeb tom qab kev kho mob tau muab piv ntawm peb pawg:
Pab pawg a:
21 tus neeg mob: 2 kho tau, 12 txoj kev txhim kho tseem ceeb, 5 ua tau zoo, 2 ua tau zoo.
TAG NRHO COV KHWV NYIAJ:90%.
Pawg b:
20 tus xwm txheej: 7 qhov kev txhim kho tseem ceeb, 9 ua tau zoo, 4 ua tsis tau zoo.
Qhov tseem ceeb txhim kho:35%, tag nrho cov nqi ua haujlwm zoo:80%.
Pab pawg c:
20 tus neeg: 8 kev txhim kho tseem ceeb, 8 ua tau zoo, 4 tau ua tiav.
Qhov tseem ceeb txhim kho:40%, tag nrho cov nqi ua haujlwm zoo:80%.
Tus nqi txhim kho tseem ceeb ntawm pawg ib qho tsis tshua muaj siab dua li cov pawg B thiab C, nrog cov lus piav qhia tseem ceeb (P <{0. 01). Tus nqi tag nrho ntawm cov pab pawg A kuj tau nce siab tshaj li cov pawg B thiab C, nrog cov ntsiab lus tseem ceeb (P <{0. 05). Qhov no qhia tau tias acupuncture ua ke nrog kev noj tshuaj txhim kho txoj kev ua tau zoo ntawm kev ua haujlwm ED. Saib Cov Lus 9.
Thaum sib piv thiab kev txhim kho tseem ceeb ntawm cov neeg mob uas muaj cov qib sib txawv ntawm cov haujlwm ed:
Me ed (47 kis):
2 Kho, 22 kev txhim kho tseem ceeb, 25 ua tau zoo, 6 tsis muaj txiaj ntsig.
Qhov tseem ceeb txhim kho:51.1%, tag nrho cov nqi ua haujlwm zoo:87.2%.
Nruab Nrab Ed (14 tus neeg):
5 kev txhim kho tseem ceeb, 7 ua tau zoo, 2 tsis muaj txiaj ntsig.
Qhov tseem ceeb txhim kho:35.7%, tag nrho cov nqi ua haujlwm zoo:85.7%.
Cov txiaj ntsig tau qhia tias kev kho mob kho kom zoo sib txawv nrog cov mob hnyav ntawm cov xwm txheej, nrog kev ua haujlwm me me ed qhia qhov kev txhim kho siab tshaj plaws ntawm51.1%Cov. Saib Cov Lus 10.
Rooj 9. Qhov sib piv ntawm peb pawg neeg kho thiab kev txhim kho tseem ceeb (n,%)
| Pab | n | Tshuaj kho | Qhov tseem ceeb tshaj plaws | Ua tau rau | Tsis zoo | Qhov tseem ceeb txhim kho tus nqi (%) | Tag Nrho Cov Nqi Siv Tau Zoo (%) |
|---|---|---|---|---|---|---|---|
| A | 21 | 2 | 12 | 5 | 2 | 67* | 90▲ |
| B | 20 | 0 | 7 | 9 | 4 | 35 | 80 |
| C | 20 | 0 | 8 | 8 | 4 | 40 | 80 |
Nco tseg:
* P <{{{0. 01: Pab pawg ib qho kev txhim kho tseem ceeb tau siab dua pawg B thiab C.
▲ P <{{{{0. 05: Pab pawg ib qho txiaj ntsig tag nrho tau ntau dua li pawg B thiab C.
Cov lus 10. Kev sib piv ntawm kev kho cov nyhuv nyhuv los ntawm kev ua haujlwm ntawm kev ua haujlwm
| Tiv kis | n | Tshuaj kho | Qhov tseem ceeb tshaj plaws | Ua tau rau | Tsis zoo | Qhov tseem ceeb txhim kho tus nqi (%) | Tag Nrho Cov Nqi Siv Tau Zoo (%) |
|---|---|---|---|---|---|---|---|
| Dawb | 47 | 2 | 22 | 15 | 6 | 51.1* | 87.2 |
| Tswj kav | 14 | 0 | 5 | 7 | 2 | 35.7 | 85.7 |
Nco tseg:
Qhov tseem ceeb txhim kho rau cov neeg ua haujlwm me me tau nce siab dua li qhov ntawd rau kev ua haujlwm nruab nrab ed (P <{0. 01).
Cov lus 11. Peb pawg ntawm kev kho kev nyab xeeb kev nyab xeeb (n)
| Pab | Tus kws muaj plaub ntug | Qeb 1 | Qib 2 | Qib 3 | Qib 4 |
|---|---|---|---|---|---|
| A | 21 | 18 | 3 | 0 | 0 |
| B | 20 | 18 | 2 | 0 | 0 |
| C | 20 | 18 | 2 | 0 | 0 |
Nco tseg:
Tsis muaj qhov sib txawv tseem ceeb ntawm cov pab pawg hauv kev nyab xeeb (P> 0. 05), qhia txog kev nyab xeeb rau txhua txoj kev kho mob.
2.5 sib piv ntawm kev nyab xeeb ntawm peb pawg neeg thaum kho
Cov neeg mob feem ntau ua raws cov lus qhia kho mob, ua raws li kev kho mob, thiab koom tes zoo thaum lub sijhawm kho mob, uas yog qhov muaj kev nyab xeeb tag nrho:
Pab pawg a:
3 kis tau ntsib cov kev cuam tshuam me me, xws li rab koob cia siab los yog tawv nqaij ntawm Acupuncture site. Cov no tau raug daws, thiab kev kho txuas ntxiv yam tsis muaj teeb meem ntxiv.
Pawg b:
2 kev teeb tsa tau ntsib cov kev tsis zoo sib xws me (rab koob
Pab pawg c:
2 kev taw qhia tau ntsib cov kev mob me, xws li qhov ncauj qhuav thiab mob taub hau, tej zaum muaj feem cuam tshuam nrog kev siv yeeb tshuaj. Cov tsos mob no tau tshwm sim thaum ntxov hauv kev kho thiab daws qhov tshwm sim tsis muaj kev cuam tshuam.
