研究疾病:
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男性勃起功能障碍
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研究疾病代码:
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Target disease:
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Male erectile dysfunction
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Target disease code:
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研究类型:
Study type:
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干预性研究
Interventional study
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研究设计:
Study design:
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随机平行对照
randomized controlled trial(parallel group design)
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研究所处阶段:
Study phase:
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其它
Others
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研究目的:
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阳痿即勃起功能障碍(Erectile dysfunction),是指阴茎不能持续达到或维持充分的勃起以获得满意的性生活,属于男科的常见病、多发病,并且有逐年增加的趋势。最新研究显示,我国城市男性的ED总患病率为26. 1%[1],而40岁以上男性ED的患病率为40. 2-73. 1%[2],亦有文献报道[3]称对于40岁的男性,发生不同程度的勃起功能障碍(ED)的比例约为40 %,对于70岁的患者,其发生ED的比例可达70%。据WHO预计到2050年全球受ED困扰者将达到3. 22亿[4],此外,2型糖尿病、心血管疾病、血脂异常、阻塞性睡眠呼吸暂停低通气综合征和心理性因素等均可增加发生ED的风险[5-7]。它给患者带来严重的心理负担和经济负担,对患者的生活质量影响很大,已引起各国男科病学者极大的关注和世界各国的重视,如何有效解决ED给患者带来的生理、心理双重障碍成为了目前男科学研究领域的热点话题。本课题拟采用临床随机对照的方法,观察治疗组和对照组各53例勃起功能障碍患者,分别采用 “活血通络汤”和苁蓉益肾颗粒治疗4周后的国际勃起功能(IIEF-5)评分和中医证候评分与治疗前的变化。探讨“活血通络汤”治疗勃起功能障碍患者是否能够取得更为满意的临床疗效,具有深刻临床意义。
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Objectives of Study:
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Impotence dysfunction refers to the inability of the penis to continue to achieve or maintain a sufficient erection to achieve a satisfactory sexual life. It is a common and frequently-occurring disease in males and has a tendency to increase year by year. The latest study shows that the total prevalence of ED in urban males in China is 26.1% , while the prevalence of ED in men over 40 years old is 40. 2-73. 1% , also reported in the literature. It is said that for 40-year-old males, the proportion of erectile dysfunction (ED) is about 40%, and for 70-year-old patients, the proportion of ED is up to 70%. According to WHO, the number of people suffering from ED in the world will reach 322 million by 2050. In addition, type 2 diabetes, cardiovascular disease, dyslipidemia, obstructive sleep apnea hypopnea syndrome and psychological factors can be used. Increase the risk of developing ED. It brings serious psychological burden and economic burden to patients, and has a great impact on patients' quality of life. It has aroused great attention from national male scholars and the attention of countries all over the world. How to effectively solve the physiological and psychological problems brought by ED to patients Double obstacles have become a hot topic in the field of male scientific research. This study intends to use a randomized controlled clinical trial to observe 53 patients with erectile dysfunction in the treatment group and the control group. The international erectile function (IIEF-5) after 4 weeks of treatment with "Huoxue Tongluo Decoction" and Qirong Yishen Granules respectively.) Scores and TCM syndrome scores and changes before treatment. It is of profound clinical significance to explore whether "Huoxue Tongluo Decoction" can achieve more satisfactory clinical efficacy in patients with erectile dysfunction.
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药物成份或治疗方案详述:
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本课题拟采用临床随机对照的方法,观察治疗组和对照组各53例血瘀肾虚型勃起功能障碍患者,采用“活血通络汤”和苁蓉益肾颗粒治疗4周后的国际勃起功能(IIEF-5)评分和中医证候评分与治疗前的变化。探讨“活血通络汤”治疗血瘀肾虚型勃起功能障碍患者是否能够取得更为满意的临床疗效。
试验组:口服“活血通络汤”免煎颗粒(免煎颗粒由北京康仁堂制剂有限公司用同一批号的颗粒统一制备提供,用防潮免煎袋包装,备用)。服用方法:每次用40摄氏度温开水200ml冲服,每天两次,早晚饭前40min服用。治疗疗程4周。
对照组:苁蓉益肾颗粒(由内蒙古兰太药业有限责任公司生产,规格2g×10袋,由北京中医药大学药学部统一购买同一批号,拆包装装入免煎颗粒袋中)。治疗疗程4周。
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Description for medicine or protocol of treatment in detail:
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This study intends to use a randomized controlled clinical trial to observe 53 patients with erectile dysfunction with blood stasis and kidney deficiency in the treatment group and the control group. The international erectile function after 4 weeks of treatment with "Huoxue Tongluo Decoction" and Qirong Yishen Granules (IIEF-5) scores and TCM syndrome scores and changes before treatment. To explore whether "Huoxue Tongluo Decoction" can treat patients with erectile dysfunction with blood stasis and kidney deficiency and obtain more satisfactory clinical results.
Experimental group: Oral "Huoxue Tongluo Decoction" is not granules (free granules are prepared by Beijing Kangrentang Preparation Co., Ltd. with the same batch of granules, packaged in moisture-proof and frying bags, spare). How to use: Take 200ml of warm water at 40 degrees Celsius, twice a day, 40 minutes before meal. The treatment lasted for 4 weeks.
Control group: Qirong Yishen Granule (produced by Inner Mongolia Lantai Pharmaceutical Co., Ltd., the specification is 2g×10 bags, the same batch number is purchased by the Pharmacy Department of Beijing University of Traditional Chinese Medicine, and the package is packed into the fried granule bag). The treatment lasted for 4 weeks.
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纳入标准:
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1 符合阳痿(勃起功能障碍)西医诊断标准者;
2 符合阳痿-血瘀肾虚证中医诊断标准者;
3 20≤年龄≤60岁的男性,具备同条件,性欲正常;
4 IIEF-5<21分;
5 病程≥12周;
6 已自愿签署知情同意书者。
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Inclusion criteria
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1 meet the diagnostic criteria of impotence (erectile dysfunction) Western medicine;
2 meet the diagnostic criteria of impotence-blood stasis and kidney deficiency syndrome;
3 male, aged 20 to 69 years, have the same conditions, normal sexual desire;
4 IIEF-5<21 points;
5 The course of disease is >= 12 weeks;
6 people who have voluntarily signed informed consent.
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排除标准:
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1 过敏体质和对实验药品过敏者;
2 合并肾癌、膀胱结核、泌尿系结石患者;
3 合并其他恶性肿瘤患者;
4 血液系统疾病,凝血功能障碍及自身免疫性疾病患者;
5 合并严重心血管疾病、脑血管疾病,造血系统疾病,神经病患者;
6 试验前3个月参加过其他临床研究者;
对于以上6项排除标准,只要有1项满足即为符合排除标准,需要排除。
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Exclusion criteria:
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1 Allergic constitution and those who are allergic to experimental drugs;
2 Patients with renal cancer, bladder tuberculosis, and urinary calculi;
3 Combined with other malignant tumor patients;
4 Patients with blood system diseases, coagulopathy and autoimmune diseases;
5 Combined with severe cardiovascular disease, cerebrovascular disease, hematopoietic system disease, neuropathic patients;
6 Participated in other clinical researchers 3 months before the trial.
For the above 6 exclusion criteria, as long as one of the criteria is met, the exclusion criteria are met and need to be excluded.
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研究实施时间:
Study execute time:
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从From
2019-07-01
至To
2020-07-31
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征募观察对象时间:
Recruiting time:
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从From
2019-07-09
至To
2019-12-31
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