{"id":292,"date":"2026-01-22T02:18:37","date_gmt":"2026-01-22T02:18:37","guid":{"rendered":"https:\/\/thuoc115.com\/suckhoe\/?p=292"},"modified":"2026-01-22T02:18:38","modified_gmt":"2026-01-22T02:18:38","slug":"cong-thuc-chai-xit-chong-xuat-tinh-som-lam-sang","status":"publish","type":"post","link":"https:\/\/thuoc115.com\/suckhoe\/cong-thuc-chai-xit-chong-xuat-tinh-som-lam-sang\/","title":{"rendered":"C\u00f4ng th\u1ee9c chai x\u1ecbt ch\u1ed1ng xu\u1ea5t tinh s\u1edbm l\u00e2m s\u00e0ng"},"content":{"rendered":"\n<p>Gi\u1edbi thi\u1ec7u (Introduction)<\/p>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c ph\u1ed1i h\u1ee3p x\u1ecbt thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n v\u1edbi li\u1ec7u ph\u00e1p gi\u1ea3m m\u1eabn c\u1ea3m trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t<\/p>\n\n\n\n<p>Xu\u1ea5t tinh s\u1edbm (PE) l\u00e0 m\u1ed9t trong nh\u1eefng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam gi\u1edbi r\u1ea5t ph\u1ed5 bi\u1ebfn, v\u1edbi **t\u1ef7 l\u1ec7 m\u1eafc kho\u1ea3ng 20\u201330%**\u00b9\u02d2\u00b2. C\u00f9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i trong nh\u1eadn th\u1ee9c x\u00e3 h\u1ed9i v\u1ec1 th\u00e1i \u0111\u1ed9 \u0111\u1ed1i v\u1edbi t\u00ecnh d\u1ee5c, ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u s\u1ef1 quan t\u00e2m \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng c\u1ee7a PE \u0111\u1ed1i v\u1edbi ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 b\u1ea1n t\u00ecnh c\u1ee7a h\u1ecd. C\u1ea3 b\u1ec7nh nh\u00e2n l\u1eabn b\u1ea1n t\u00ecnh \u0111\u1ec1u th\u01b0\u1eddng than phi\u1ec1n v\u1ec1 s\u1ef1 suy gi\u1ea3m t\u1ef1 tin t\u00ecnh d\u1ee5c, gi\u1ea3m l\u00f2ng t\u1ef1 tr\u1ecdng, v\u00e0 nh\u00ecn chung l\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng b\u1ecb gi\u1ea3m s\u00fat\u00b3.<\/p>\n\n\n\n<p>PE \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i th\u00e0nh xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (su\u1ed1t \u0111\u1eddi) ho\u1eb7c xu\u1ea5t tinh s\u1edbm th\u1ee9 ph\u00e1t (m\u1eafc ph\u1ea3i), n\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y xu\u1ea5t hi\u1ec7n g\u1ea7n nh\u01b0 trong m\u1ecdi l\u1ea7n giao h\u1ee3p ngay t\u1eeb l\u1ea7n quan h\u1ec7 \u0111\u1ea7u ti\u00ean tr\u1edf \u0111i. M\u1eb7c d\u00f9 c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (PPE) v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7, nh\u01b0ng hi\u1ec7n nay \u0111\u00e3 r\u00f5 r\u1eb1ng c\u1ea3 y\u1ebfu t\u1ed1 th\u1ef1c th\u1ec3 v\u00e0 y\u1ebfu t\u1ed1 t\u00e2m l\u00fd \u2013 x\u00e3 h\u1ed9i \u0111\u1ec1u \u0111\u00f3ng vai tr\u00f2 trong c\u0103n nguy\u00ean c\u1ee7a b\u1ec7nh\u2074. Qu\u00e1 m\u1eabn v\u00e0 t\u0103ng k\u00edch th\u00edch c\u1ee7a quy \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt \u0111\u01b0\u1ee3c xem l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu c\u1ee7a PPE\u2075\u2013\u2077.<\/p>\n\n\n\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y b\u1ec7nh nh\u00e2n PPE c\u00f3 s\u1ed1 l\u01b0\u1ee3ng d\u00e2y th\u1ea7n kinh l\u01b0ng d\u01b0\u01a1ng v\u1eadt nhi\u1ec1u h\u01a1n so v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh; s\u1ef1 ph\u00e2n b\u1ed1 b\u1ea5t th\u01b0\u1eddng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nh\u1ea1y c\u1ea3m quy \u0111\u1ea7u, l\u00e0m gi\u1ea3m ng\u01b0\u1ee1ng k\u00edch th\u00edch v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian ti\u1ec1m t\u00e0ng xu\u1ea5t tinh\u2078. Ngo\u00e0i ra, h\u1ecd th\u01b0\u1eddng c\u00f3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng kh\u00e1c c\u1ee7a c\u00e1c \u0111\u01b0\u1eddng ph\u1ea3n x\u1ea1 th\u1ea7n kinh t\u1ef1 ch\u1ee7 li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh xu\u1ea5t tinh, bao g\u1ed3m th\u1eddi gian ti\u1ec1m t\u00e0ng ph\u1ea3n x\u1ea1 c\u01a1 h\u00e0nh\u2013hang ng\u1eafn h\u01a1n v\u00e0 \u0111i\u1ec7n th\u1ebf g\u1ee3i c\u01a1 h\u00e0nh\u2013hang cao h\u01a1n\u2076\u02d2\u2079\u02d2\u00b9\u2070. Do \u0111\u00f3, c\u00e1c li\u1ec7u ph\u00e1p l\u00e0m gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a quy \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb PPE.<\/p>\n\n\n\n<p>C\u00e1c th\u1ea3o d\u01b0\u1ee3c t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c v\u00e0 \u1ea4n \u0110\u1ed9 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam gi\u1edbi\u00b9\u00b9\u02d2\u00b9\u00b2. Nhi\u1ec1u lo\u1ea1i th\u1ea3o d\u01b0\u1ee3c c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, ho\u1ea1t h\u00f3a m\u1ea1ch m\u00e1u v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng sinh h\u1ecdc kh\u00e1c. Ph\u1ee5 t\u1eed (Radix Aconiti, Chuanwu) \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng t\u1ea1i Nh\u1eadt B\u1ea3n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ea3m gi\u00e1c \u201cl\u1ea1nh kh\u00f3 ch\u1ecbu \u1edf ngo\u1ea1i bi\u00ean\u201d\u00b9\u00b3; c\u00e1c **ho\u1ea1t ch\u1ea5t c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng m\u1ea1ch m\u00e1u ngo\u1ea1i vi th\u00f4ng qua h\u1ec7 nitric oxide (NO)**\u00b9\u2074. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y NO c\u00f3 th\u1ec3 l\u00e0 ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh tham gia v\u00e0o \u0111i\u1ec1u h\u00f2a trung \u01b0\u01a1ng v\u00e0 ngo\u1ea1i bi\u00ean c\u1ee7a qu\u00e1 tr\u00ecnh xu\u1ea5t tinh\u00b9\u2075\u02d2\u00b9\u2076.<\/p>\n\n\n\n<p>T\u1ebf t\u00e2n (Herba Asari, Xixin) l\u00e0 v\u1ecb thu\u1ed1c c\u1ed5 truy\u1ec1n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec7t mi\u1ec7ng, \u0111au r\u0103ng, vi\u00eam l\u1ee3i v\u00e0 l\u00e0m thu\u1ed1c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 \u1edf H\u00e0n Qu\u1ed1c v\u00e0 Trung Qu\u1ed1c\u00b9\u2077. Hoa ti\u00eau (Pericarpium Zanthoxyli, Chuanjiao) l\u00e0 d\u01b0\u1ee3c li\u1ec7u v\u1eeba l\u00e0m thu\u1ed1c v\u1eeba l\u00e0m th\u1ef1c ph\u1ea9m; th\u00e0nh ph\u1ea7n tinh d\u1ea7u c\u1ee7a n\u00f3 c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 m\u1ea1nh\u00b9\u2078. \u0110inh h\u01b0\u01a1ng (Syzygium aromaticum, Dingxiang) kh\u00f4ng ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf Trung Qu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam, m\u00e0 c\u00f2n \u0111\u01b0\u1ee3c d\u00f9ng \u1edf \u1ea4n \u0110\u1ed9 nh\u01b0 m\u1ed9t v\u1ecb thu\u1ed1c k\u00edch d\u1ee5c trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng; c\u00e1c ho\u1ea1t ch\u1ea5t c\u1ee7a \u0111inh h\u01b0\u01a1ng c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ROCK-II, d\u1eabn \u0111\u1ebfn gi\u00e3n th\u1ec3 hang, t\u1eeb \u0111\u00f3 c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c\u00b9\u00b2.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 th\u1ea3o d\u01b0\u1ee3c truy\u1ec1n th\u1ed1ng n\u00eau tr\u00ean \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm, trong khi m\u1ed9t s\u1ed1 kh\u00e1c th\u00ec ch\u01b0a. Tr\u00ean c\u01a1 s\u1edf l\u00fd lu\u1eadn Y h\u1ecdc c\u1ed5 truy\u1ec1n, ch\u00fang t\u00f4i \u0111\u00e3 ph\u1ed1i h\u1ee3p t\u00e1m v\u1ecb thu\u1ed1c Y h\u1ecdc c\u1ed5 truy\u1ec1n (bao g\u1ed3m b\u1ed1n v\u1ecb \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean v\u00e0 b\u1ed1n v\u1ecb kh\u00e1c ch\u01b0a n\u00eau) v\u00e0 nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u00ednh an to\u00e0n c\u0169ng nh\u01b0 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a d\u1ecbch chi\u1ebft ethanol t\u1eeb t\u00e1m v\u1ecb thu\u1ed1c n\u00e0y trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (PPE).<\/p>\n\n\n\n<p>Because PE involves both psychosocial and physiologic determinants, a combination psychosocial and pharmacologic therapy may be the best choice to optimize efficacy and minimize relapse19,20. Behavioral therapy is the main content of psychosocial treatment. Behavioral strategies mainly include the \u201cstop-start programme developed by Semans21, and its modification, the \u201csqueeze\u201d technique, proposed by Masters and Johnson22 (several modifications exist), however, it needs the partner&#8217;s cooperation for a long time and its difficult on a large degree23. Domestic scholars reported that Weili Multifunctional Andrologic Disease Diagnosis And Treatment workstation (WLZZ-9999, made by weili new century science &amp; tech. Co. Ltd, Beijing, China) can obtain a good effect of treatment for PE with desensitization training therapy24. The automated machine can help patients complete the behavioral therapy instead of the patients and their partners themselves. The course of the treatment is as follows: first, the machine gives a small stimulation to the patient&#8217;s penis to the point just before ejaculation, and then stops. Once the sensation has subsided, then starts again. When the patient develops relatively longer time of ejaculation control, stronger intensity of stimulation is given to the penis gradually, then the above treatment is repeated. Generally, treatment is given 3 times a week, six times as a course of treatment.<\/p>\n\n\n\n<p>In summary, traditional medicine has long been used to treat sexual dysfunction in many countries in Asia and should be fully exploited. In this study, we united eight kinds of traditional Chinese medicine together and made them into a spray, and explored the safety and clinical efficacy of this traditional Chinese medicine spray (TCMS) and combined TCMS with premature ejaculation desensitization therapy (PEDT) for the treatment of PPE.<\/p>\n\n\n\n<p>V\u1eadt li\u1ec7u v\u00e0 ph\u01b0\u01a1ng ph\u00e1p (Materials and methods)<\/p>\n\n\n\n<p>\u0110\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u (Study population)<\/p>\n\n\n\n<p>T\u1ed5ng c\u1ed9ng 90 nam gi\u1edbi d\u1ecb t\u00ednh than phi\u1ec1n v\u1ec1 xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (PPE) \u0111\u01b0\u1ee3c tuy\u1ec3n ch\u1ecdn t\u1eeb ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa Khoa Ti\u1ebft ni\u1ec7u, B\u1ec7nh vi\u1ec7n D\u00e2n t\u1ed9c Ch\u00e2u t\u1ef1 tr\u1ecb Enshi Tujia v\u00e0 Miao, Enshi, Trung Qu\u1ed1c, trong kho\u1ea3ng th\u1eddi gian t\u1eeb th\u00e1ng 4\/2012 \u0111\u1ebfn th\u00e1ng 4\/2013. Sau khi \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 nghi\u00ean c\u1ee9u, v\u0103n b\u1ea3n ch\u1ea5p thu\u1eadn tham gia nghi\u00ean c\u1ee9u (bao g\u1ed3m c\u00e1c th\u00f4ng tin c\u1ea7n thi\u1ebft) \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb m\u1ed7i b\u1ec7nh nh\u00e2n. \u0110\u1ec1 c\u01b0\u01a1ng nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c H\u1ed9i \u0111\u1ed3ng \u0110\u1ea1o \u0111\u1ee9c c\u1ee7a B\u1ec7nh vi\u1ec7n Trung t\u00e2m Ch\u00e2u t\u1ef1 tr\u1ecb Enshi Tujia v\u00e0 Miao ph\u00ea duy\u1ec7t.<\/p>\n\n\n\n<p>Nh\u1eefng ng\u01b0\u1eddi tham gia nghi\u00ean c\u1ee9u c\u00f3 \u0111\u1ed9 tu\u1ed5i t\u1eeb 21\u201338, \u0111ang duy tr\u00ec m\u1ed1i quan h\u1ec7 d\u1ecb t\u00ednh m\u1ed9t v\u1ee3 m\u1ed9t ch\u1ed3ng \u1ed5n \u0111\u1ecbnh, c\u00f3 sinh ho\u1ea1t t\u00ecnh d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n \u00edt nh\u1ea5t 2 l\u1ea7n\/tu\u1ea7n v\u1edbi b\u1ea1n t\u00ecnh n\u1eef h\u1ee3p t\u00e1c. T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n nam \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u kh\u00f4ng s\u1eed d\u1ee5ng bao cao su trong th\u1eddi gian nghi\u00ean c\u1ee9u. D\u1eef li\u1ec7u nh\u00e2n kh\u1ea9u h\u1ecdc c\u1ee7a t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea7y \u0111\u1ee7. Th\u1eddi gian nghi\u00ean c\u1ee9u k\u00e9o d\u00e0i 6 tu\u1ea7n.<\/p>\n\n\n\n<p>Ti\u00eau chu\u1ea9n ch\u1ecdn b\u1ec7nh (Inclusion criteria)<\/p>\n\n\n\n<p>T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u1ec1u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n theo **ti\u00eau chu\u1ea9n xu\u1ea5t tinh s\u1edbm c\u1ee7a S\u1ed5 tay Ch\u1ea9n \u0111o\u00e1n v\u00e0 Th\u1ed1ng k\u00ea c\u00e1c R\u1ed1i lo\u1ea1n T\u00e2m th\u1ea7n, phi\u00ean b\u1ea3n IV (DSM-IV)**\u00b2\u2075, v\u1edbi c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m:<\/p>\n\n\n\n<p>Kh\u1edfi ph\u00e1t b\u1ec7nh ngay t\u1eeb l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ea7u ti\u00ean v\u00e0 k\u00e9o d\u00e0i su\u1ed1t \u0111\u1eddi;<\/p>\n\n\n\n<p>IELT &lt; 2 ph\u00fat;<\/p>\n\n\n\n<p>\u0110i\u1ec3m CIPE-5 &lt; 18;<\/p>\n\n\n\n<p>Tr\u00ean 18 tu\u1ed5i;<\/p>\n\n\n\n<p>B\u1ed9 ph\u1eadn sinh d\u1ee5c ngo\u00e0i ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng h\u1eb9p bao quy \u0111\u1ea7u, kh\u00f4ng th\u1eeba bao quy \u0111\u1ea7u r\u00f5 r\u1ec7t, ch\u1ee9c n\u0103ng c\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng;<\/p>\n\n\n\n<p>T\u1ef1 nguy\u1ec7n tham gia theo d\u00f5i l\u00e2m s\u00e0ng v\u00e0 ho\u00e0n th\u00e0nh th\u1eed nghi\u1ec7m;<\/p>\n\n\n\n<p>C\u00e1c x\u00e9t nghi\u1ec7m testosterone (T), hormone k\u00edch th\u00edch nang no\u00e3n (FSH), hormone lutein h\u00f3a (LH), prolactin (PRL) v\u00e0 estradiol (E2) \u0111\u1ec1u trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p>Ti\u00eau chu\u1ea9n lo\u1ea1i tr\u1eeb (Exclusion criteria)<\/p>\n\n\n\n<p>C\u00e1c ti\u00eau chu\u1ea9n lo\u1ea1i tr\u1eeb bao g\u1ed3m:<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n xu\u1ea5t tinh s\u1edbm th\u1ee9 ph\u00e1t;<\/p>\n\n\n\n<p>C\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c kh\u00e1c (gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, giao h\u1ee3p \u0111au, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c \u1edf n\u1eef \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quan h\u1ec7 t\u00ecnh d\u1ee5c);<\/p>\n\n\n\n<p>Ng\u01b0\u1eddi m\u1eafc vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t;<\/p>\n\n\n\n<p>Ti\u1ec1n s\u1eed r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n ho\u1eb7c th\u1ea7n kinh;<\/p>\n\n\n\n<p>L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u ho\u1eb7c ma t\u00fay;<\/p>\n\n\n\n<p>Ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c ph\u1eabu thu\u1eadt h\u1ec7 ti\u1ebft ni\u1ec7u \u2013 sinh d\u1ee5c;<\/p>\n\n\n\n<p>T\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng;<\/p>\n\n\n\n<p>Ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, bao g\u1ed3m thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7 l\u00ean d\u01b0\u01a1ng v\u1eadt ho\u1eb7c thu\u1ed1c to\u00e0n th\u00e2n.<\/p>\n\n\n\n<p>Thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u (Study design)<\/p>\n\n\n\n<p>To\u00e0n b\u1ed9 90 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chia ng\u1eabu nhi\u00ean ho\u00e0n to\u00e0n th\u00e0nh ba nh\u00f3m, m\u1ed7i nh\u00f3m 30 b\u1ec7nh nh\u00e2n:<\/p>\n\n\n\n<p>Nh\u00f3m TCMS: ch\u1ec9 s\u1eed d\u1ee5ng x\u1ecbt Y h\u1ecdc c\u1ed5 truy\u1ec1n (TCMS).<br>TCMS do khoa D\u01b0\u1ee3c c\u1ee7a b\u1ec7nh vi\u1ec7n b\u00e0o ch\u1ebf, g\u1ed3m 8 v\u1ecb thu\u1ed1c Y h\u1ecdc c\u1ed5 truy\u1ec1n. Quy tr\u00ecnh b\u00e0o ch\u1ebf nh\u01b0 sau:<\/p>\n\n\n\n<p>T\u1ebf t\u00e2n (Herba Asari) 30 g<\/p>\n\n\n\n<p>\u0110inh h\u01b0\u01a1ng (Syzygium aromaticum) 30 g<\/p>\n\n\n\n<p>B\u1ecd ng\u1ef1a ti\u00eau (Ootheca Mantidis) 20 g<\/p>\n\n\n\n<p>Ph\u1ee5 t\u1eed (Radix Aconiti) 20 g<\/p>\n\n\n\n<p>Ng\u0169 b\u1ed9i t\u1eed (Galla Chinensis) 20 g<\/p>\n\n\n\n<p>Kim anh t\u1eed (Fructus Rosae Laevigatae) 20 g<\/p>\n\n\n\n<p>Ph\u00fac b\u1ed3n t\u1eed (Fructus Rubi) 20 g<\/p>\n\n\n\n<p>Hoa ti\u00eau (Pericarpium Zanthoxyli) 1 g<\/p>\n\n\n\n<p>C\u00e1c d\u01b0\u1ee3c li\u1ec7u \u0111\u01b0\u1ee3c c\u00e2n ch\u00ednh x\u00e1c, ng\u00e2m trong 100 ml c\u1ed3n 95% trong 30 ng\u00e0y, sau \u0111\u00f3 g\u1ea1n l\u1ea5y d\u1ecbch trong cho v\u00e0o b\u00ecnh x\u1ecbt \u0111\u1ec3 s\u1eed d\u1ee5ng (t\u1ef7 l\u1ec7 kh\u1ed1i l\u01b0\u1ee3ng kh\u00f4 c\u1ee7a t\u1eebng v\u1ecb \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong B\u1ea3ng 1).<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn x\u1ecbt TCMS \u0111\u1ec1u l\u00ean b\u1ec1 m\u1eb7t quy \u0111\u1ea7u, r\u00e3nh quy \u0111\u1ea7u, d\u00e2y h\u00e3m bao quy \u0111\u1ea7u v\u00e0 v\u00f9ng xung quanh m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n. Ngo\u00e0i ra, thu\u1ed1c c\u00f2n \u0111\u01b0\u1ee3c b\u00f4i l\u00ean quy \u0111\u1ea7u tr\u01b0\u1edbc khi giao h\u1ee3p 30 ph\u00fat v\u00e0 r\u1eeda s\u1ea1ch ngay tr\u01b0\u1edbc khi quan h\u1ec7.<\/p>\n\n\n\n<p>Nh\u00f3m PEDT: \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p hu\u1ea5n luy\u1ec7n gi\u1ea3m c\u1ea3m gi\u00e1c xu\u1ea5t tinh s\u1edbm (PEDT) th\u00f4ng qua thi\u1ebft b\u1ecb ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nam khoa \u0111a ch\u1ee9c n\u0103ng Weili (WLZZ-9999), 3 l\u1ea7n\/tu\u1ea7n.<\/p>\n\n\n\n<p>Nh\u00f3m TCMS + PEDT: \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p TCMS (m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n v\u00e0 tr\u01b0\u1edbc khi giao h\u1ee3p) v\u1edbi PEDT (3 l\u1ea7n\/tu\u1ea7n).<\/p>\n\n\n\n<p>T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u kh\u00f4ng s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o kh\u00e1c trong su\u1ed1t 6 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p><strong>T\u1ef7 l\u1ec7 kh\u1ed1i l\u01b0\u1ee3ng kh\u00f4 c\u1ee7a c\u00e1c v\u1ecb thu\u1ed1c trong ch\u1ebf ph\u1ea9m x\u1ecbt<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>T\u00ean Trung Qu\u1ed1c<\/th><th>T\u00ean d\u01b0\u1ee3c h\u1ecdc (b\u1ed9 ph\u1eadn d\u00f9ng)<\/th><th>T\u1ef7 l\u1ec7<\/th><\/tr><\/thead><tbody><tr><td><strong>Xixin<\/strong><\/td><td><strong>Herba Asari<\/strong> (R\u1ec5 kh\u00f4 c\u1ee7a T\u1ebf t\u00e2n)<\/td><td>30<\/td><\/tr><tr><td><strong>Dingxiang<\/strong><\/td><td><strong>Syzygium aromaticum<\/strong> (N\u1ee5 hoa kh\u00f4 c\u1ee7a \u0110inh h\u01b0\u01a1ng)<\/td><td>30<\/td><\/tr><tr><td><strong>Chuanwu<\/strong><\/td><td><strong>Radix Aconiti<\/strong> (R\u1ec5 kh\u00f4 c\u1ee7a Ph\u1ee5 t\u1eed\/\u00d4 \u0111\u1ea7u)<\/td><td>20<\/td><\/tr><tr><td><strong>Wubeizi<\/strong><\/td><td><strong>Galla Chinensis<\/strong> (Qu\u1ea3 kh\u00f4 c\u1ee7a Ng\u0169 b\u1ed9i t\u1eed)<\/td><td>20<\/td><\/tr><tr><td><strong>Jinyingzi<\/strong><\/td><td><strong>Fructus Rosae Laevigatae<\/strong> (Qu\u1ea3 kh\u00f4 c\u1ee7a Kim anh t\u1eed)<\/td><td>20<\/td><\/tr><tr><td><strong>Fupenzi<\/strong><\/td><td><strong>Fructus Rubi<\/strong> (Qu\u1ea3 kh\u00f4 c\u1ee7a Ph\u00fac b\u1ed3n t\u1eed)<\/td><td>20<\/td><\/tr><tr><td><strong>Sangpiaoxiao<\/strong><\/td><td><strong>Ootheca Mantidis<\/strong> (Bao tr\u1ee9ng kh\u00f4 c\u1ee7a b\u1ecd ng\u1ef1a)<\/td><td>20<\/td><\/tr><tr><td><strong>Chuanjiao<\/strong><\/td><td><strong>Pericarpium Zanthoxyli<\/strong> (Qu\u1ea3 kh\u00f4 c\u1ee7a Hoa ti\u00eau)<\/td><td>1<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>C\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 (Measurements)<\/p>\n\n\n\n<p>IELT<\/p>\n\n\n\n<p>Th\u1eddi gian ti\u1ec1m t\u00e0ng xu\u1ea5t tinh trong \u00e2m \u0111\u1ea1o (IELT) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 kho\u1ea3ng th\u1eddi gian t\u1eeb khi d\u01b0\u01a1ng v\u1eadt \u0111\u01b0a v\u00e0o \u00e2m \u0111\u1ea1o \u0111\u1ebfn khi xu\u1ea5t tinh (ph\u00f3ng tinh). Th\u1eddi gian n\u00e0y \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng \u0111\u1ed3ng h\u1ed3 b\u1ea5m gi\u1edd, b\u1eaft \u0111\u1ea7u khi x\u00e2m nh\u1eadp \u00e2m \u0111\u1ea1o (\u201cstart\u201d) v\u00e0 k\u1ebft th\u00fac khi xu\u1ea5t tinh (\u201cstop\u201d).<\/p>\n\n\n\n<p>M\u1ed9t trong hai b\u1ea1n t\u00ecnh \u0111\u01b0\u1ee3c ph\u00e9p b\u1ea5m gi\u1edd; tuy nhi\u00ean, trong su\u1ed1t qu\u00e1 tr\u00ecnh nghi\u00ean c\u1ee9u, c\u00f9ng m\u1ed9t ng\u01b0\u1eddi \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u ch\u1ecbu tr\u00e1ch nhi\u1ec7m \u0111o IELT cho t\u1ea5t c\u1ea3 c\u00e1c l\u1ea7n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh nh\u1ea5t qu\u00e1n, \u0111\u1ed3ng th\u1eddi \u0111\u01b0\u1ee3c nh\u1eafc nh\u1edf ghi ch\u00e9p trung th\u1ef1c. Ng\u01b0\u1eddi \u0111o \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn t\u00ednh to\u00e1n v\u00e0 ghi l\u1ea1i ch\u00ednh x\u00e1c th\u1eddi gian ngay sau khi xu\u1ea5t tinh.<br>IELT \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 sau 6 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>CIPE-5<\/p>\n\n\n\n<p>CIPE-5 g\u1ed3m 5 c\u00e2u h\u1ecfi:<\/p>\n\n\n\n<p>Th\u1eddi gian IELT;<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 kh\u00f3 kh\u0103n trong vi\u1ec7c k\u00e9o d\u00e0i th\u1eddi gian giao h\u1ee3p;<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng t\u00ecnh d\u1ee5c c\u1ee7a b\u1ea3n th\u00e2n;<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng t\u00ecnh d\u1ee5c c\u1ee7a b\u1ea1n t\u00ecnh;<\/p>\n\n\n\n<p>T\u1ea7n su\u1ea5t xu\u1ea5t hi\u1ec7n c\u1ea3m gi\u00e1c lo \u00e2u, tr\u1ea7m bu\u1ed3n ho\u1eb7c c\u0103ng th\u1eb3ng khi sinh ho\u1ea1t t\u00ecnh d\u1ee5c.<\/p>\n\n\n\n<p>M\u1ed7i c\u00e2u h\u1ecfi \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh tr\u1ea3 l\u1eddi theo thang \u0111i\u1ec3m Likert 5 m\u1ee9c, t\u1eeb \u0111\u00f3 t\u1ea1o ra \u0111i\u1ec3m s\u1ed1 cho t\u1eebng m\u1ee5c v\u00e0 t\u1ed5ng \u0111i\u1ec3m. N\u1ebfu IELT &gt; 3 ph\u00fat, m\u1ee5c IELT s\u1ebd \u0111\u01b0\u1ee3c ch\u1ea5m 5 \u0111i\u1ec3m.<br>CIPE-5 \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 sau 6 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng (Clinical efficacy)<\/p>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 k\u00e9o d\u00e0i IELT v\u00e0 s\u1ef1 gia t\u0103ng \u0111i\u1ec3m CIPE-5 tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>N\u1ebfu IELT k\u00e9o d\u00e0i tr\u00ean 2 ph\u00fat v\u00e0 \u0111i\u1ec3m CIPE-5 t\u0103ng tr\u00ean 18 \u0111i\u1ec3m, nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p>Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu kh\u00f4ng \u0111\u1ea1t c\u00e1c ti\u00eau ch\u00ed tr\u00ean, \u0111\u01b0\u1ee3c xem l\u00e0 kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p>T\u1ef7 l\u1ec7 hi\u1ec7u qu\u1ea3 \u0111\u01b0\u1ee3c t\u00ednh ri\u00eang cho t\u1eebng nh\u00f3m \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>Ph\u00e2n t\u00edch th\u1ed1ng k\u00ea (Statistical analysis)<\/p>\n\n\n\n<p>C\u00e1c s\u1ed1 li\u1ec7u m\u00f4 t\u1ea3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y d\u01b0\u1edbi d\u1ea1ng gi\u00e1 tr\u1ecb trung b\u00ecnh \u00b1 \u0111\u1ed9 l\u1ec7ch chu\u1ea9n (SD).<br>Do m\u1ed9t s\u1ed1 bi\u1ebfn c\u00f3 ph\u00e2n b\u1ed1 l\u1ec7ch, ki\u1ec3m \u0111\u1ecbnh Kruskal\u2013Wallis \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3:<\/p>\n\n\n\n<p>So s\u00e1nh d\u1eef li\u1ec7u nh\u00e2n kh\u1ea9u h\u1ecdc, IELT v\u00e0 CIPE-5 gi\u1eefa c\u00e1c nh\u00f3m;<\/p>\n\n\n\n<p>So s\u00e1nh tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb trong t\u1eebng nh\u00f3m.<\/p>\n\n\n\n<p>T\u1ef7 l\u1ec7 hi\u1ec7u qu\u1ea3 gi\u1eefa c\u00e1c nh\u00f3m \u0111\u01b0\u1ee3c so s\u00e1nh b\u1eb1ng ki\u1ec3m \u0111\u1ecbnh chi-b\u00ecnh ph\u01b0\u01a1ng (\u03c7\u00b2).<br>T\u1ea5t c\u1ea3 c\u00e1c ph\u00e2n t\u00edch th\u1ed1ng k\u00ea \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng ph\u1ea7n m\u1ec1m SPSS 17.0.<br>Gi\u00e1 tr\u1ecb p &lt; 0,05 \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 (Results)<br>D\u1eef li\u1ec7u n\u1ec1n: nh\u00e2n kh\u1ea9u h\u1ecdc, IELT v\u00e0 CIPE-5<\/p>\n\n\n\n<p>Trong t\u1ed5ng s\u1ed1 90 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c tuy\u1ec3n ch\u1ecdn, c\u00f3 4 ng\u01b0\u1eddi r\u00fat kh\u1ecfi nghi\u00ean c\u1ee9u (1 ng\u01b0\u1eddi \u1edf nh\u00f3m TCMS, 2 ng\u01b0\u1eddi \u1edf nh\u00f3m PEDT v\u00e0 1 ng\u01b0\u1eddi \u1edf nh\u00f3m \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p). Do \u0111\u00f3, t\u1ed5ng c\u1ed9ng 86 b\u1ec7nh nh\u00e2n \u0111\u00e3 ho\u00e0n th\u00e0nh nghi\u00ean c\u1ee9u m\u1ed9t c\u00e1ch t\u1ef1 nguy\u1ec7n.<\/p>\n\n\n\n<p><strong>B\u1ea3ng 2.<\/strong><br><strong>\u0110\u1eb7c \u0111i\u1ec3m nh\u00e2n kh\u1ea9u h\u1ecdc v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 n\u1ec1n IELT, CIPE-5 (Trung b\u00ecnh \u00b1 SD)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Nh\u00f3m<\/th><th><strong>TCMS<\/strong> (n = 29)<\/th><th><strong>PEDT<\/strong> (n = 28)<\/th><th><strong>TCMS + PEDT<\/strong> (n = 29)<\/th><th><strong>Gi\u00e1 tr\u1ecb p<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>\u0110\u1eb7c \u0111i\u1ec3m nh\u00e2n kh\u1ea9u h\u1ecdc<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>Tu\u1ed5i (n\u0103m)<\/td><td>28,4 \u00b1 3,8<\/td><td>27,9 \u00b1 3,3<\/td><td>28,6 \u00b1 3,9<\/td><td>0,79<\/td><\/tr><tr><td>Chi\u1ec1u cao (cm)<\/td><td>171,6 \u00b1 5,9<\/td><td>172,5 \u00b1 5,5<\/td><td>171,3 \u00b1 5,4<\/td><td>0,70<\/td><\/tr><tr><td>C\u00e2n n\u1eb7ng (kg)<\/td><td>67,0 \u00b1 6,8<\/td><td>66,3 \u00b1 7,3<\/td><td>66,5 \u00b1 7,4<\/td><td>0,93<\/td><\/tr><tr><td>BMI (kg\/m\u00b2)<\/td><td>22,7 \u00b1 1,6<\/td><td>22,2 \u00b1 1,6<\/td><td>22,6 \u00b1 1,6<\/td><td>0,48<\/td><\/tr><tr><td>Th\u1eddi gian m\u1eafc b\u1ec7nh (n\u0103m)<\/td><td>4,5 \u00b1 2,9<\/td><td>4,3 \u00b1 2,8<\/td><td>4,6 \u00b1 3,0<\/td><td>0,93<\/td><\/tr><tr><td><strong>Ch\u1ec9 s\u1ed1 n\u1ec1n (tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb)<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>IELT (ph\u00fat)<\/td><td>1,15 \u00b1 0,36<\/td><td>1,16 \u00b1 0,31<\/td><td>1,13 \u00b1 0,27<\/td><td>0,87<\/td><\/tr><tr><td>CIPE-5 (\u0111i\u1ec3m)<\/td><td>9,93 \u00b1 2,98<\/td><td>10,36 \u00b1 3,09<\/td><td>10,03 \u00b1 2,98<\/td><td>0,60<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>&#x1f449; <strong>Nh\u1eadn x\u00e9t ng\u1eafn<\/strong>: Kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea gi\u1eefa ba nh\u00f3m v\u1ec1 <strong>\u0111\u1eb7c \u0111i\u1ec3m nh\u00e2n kh\u1ea9u h\u1ecdc<\/strong> c\u0169ng nh\u01b0 <strong>c\u00e1c ch\u1ec9 s\u1ed1 n\u1ec1n IELT v\u00e0 CIPE-5<\/strong> (<em>p<\/em> &gt; 0,05), cho th\u1ea5y c\u00e1c nh\u00f3m <strong>t\u01b0\u01a1ng \u0111\u1ed3ng tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb<\/strong>.<\/p>\n\n\n\n<p><strong>Thay \u0111\u1ed5i IELT v\u00e0 CIPE-5 t\u1eeb th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u \u0111\u1ebfn khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n\n\n\n<p>Th\u1eddi gian IELT t\u0103ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea t\u1eeb 1,15 ph\u00fat l\u00ean 2,99 ph\u00fat \u1edf nh\u00f3m TCMS (p &lt; 0,01); t\u1eeb 1,16 ph\u00fat l\u00ean 3,14 ph\u00fat \u1edf nh\u00f3m PEDT (p &lt; 0,01); v\u00e0 t\u1eeb 1,13 ph\u00fat l\u00ean 4,36 ph\u00fat \u1edf nh\u00f3m \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p TCMS + PEDT (p &lt; 0,01).<\/p>\n\n\n\n<p>\u0110i\u1ec3m CIPE-5 t\u0103ng t\u1eeb 9,93 l\u00ean 19,69 \u1edf nh\u00f3m TCMS (p &lt; 0,01); t\u1eeb 10,36 l\u00ean 20,11 \u1edf nh\u00f3m PEDT (p &lt; 0,01); v\u00e0 t\u1eeb 10,03 l\u00ean 23,14 \u1edf nh\u00f3m TCMS + PEDT (p &lt; 0,01).<\/p>\n\n\n\n<p>Sau \u0111i\u1ec1u tr\u1ecb, c\u1ea3 IELT v\u00e0 CIPE-5 c\u1ee7a nh\u00f3m TCMS + PEDT \u0111\u1ec1u cao h\u01a1n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m TCMS \u0111\u01a1n tr\u1ecb (c\u1ea3 hai p &lt; 0,05) v\u00e0 nh\u00f3m PEDT \u0111\u01a1n tr\u1ecb (c\u1ea3 hai p &lt; 0,05).<\/p>\n\n\n\n<p><strong>B\u1ea3ng 3.<\/strong><br><strong>Gi\u00e1 tr\u1ecb IELT v\u00e0 CIPE-5 tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb \u1edf t\u1eebng nh\u00f3m (Trung b\u00ecnh \u00b1 \u0110\u1ed9 l\u1ec7ch chu\u1ea9n).<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Bi\u1ebfn s\u1ed1 k\u1ebft c\u1ee5c<\/th><th>TCMS<\/th><th>PEDT<\/th><th>TCMS k\u1ebft h\u1ee3p PEDT<\/th><th>P\u1d43<\/th><\/tr><\/thead><tbody><tr><td><strong>IELT (ph\u00fat)<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>Th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u<\/td><td>1,15 (0,36)<\/td><td>1,16 (0,31)<\/td><td>1,13 (0,27)<\/td><td>0,87<\/td><\/tr><tr><td>Th\u1eddi \u0111i\u1ec3m k\u1ebft th\u00fac<\/td><td>2,99 (1,40)<\/td><td>3,14 (1,23)<\/td><td>4,36 (1,31)*#<\/td><td>&lt; 0,01<\/td><\/tr><tr><td>P\u1d47<\/td><td>&lt; 0,01<\/td><td>&lt; 0,01<\/td><td>&lt; 0,01<\/td><td><\/td><\/tr><tr><td><strong>CIPE-5 (\u0111i\u1ec3m)<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td>Th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u<\/td><td>9,93 (2,98)<\/td><td>10,36 (3,09)<\/td><td>10,03 (2,98)<\/td><td>0,60<\/td><\/tr><tr><td>Th\u1eddi \u0111i\u1ec3m k\u1ebft th\u00fac<\/td><td>19,69 (3,93)<\/td><td>20,11 (3,83)<\/td><td>23,14 (2,64)*#<\/td><td>&lt; 0,01<\/td><\/tr><tr><td>P\u1d47<\/td><td>&lt; 0,01<\/td><td>&lt; 0,01<\/td><td>&lt; 0,01<\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/p>\n\n\n\n<p>Khi ti\u00eau ch\u00ed hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 IELT \u2265 2 ph\u00fat v\u00e0 \u0111i\u1ec3m CIPE-5 \u2265 18 sau \u0111i\u1ec1u tr\u1ecb, s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u1ea1t ti\u00eau chu\u1ea9n l\u1ea7n l\u01b0\u1ee3t l\u00e0 19, 19 v\u00e0 26 \u1edf c\u00e1c nh\u00f3m TCMS, PEDT v\u00e0 nh\u00f3m ph\u1ed1i h\u1ee3p, t\u01b0\u01a1ng \u1ee9ng.<\/p>\n\n\n\n<p>T\u1ef7 l\u1ec7 hi\u1ec7u qu\u1ea3 \u1edf nh\u00f3m ph\u1ed1i h\u1ee3p (89,7%) cao h\u01a1n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m TCMS (65,5%) v\u00e0 nh\u00f3m PEDT (67,9%) (c\u1ea3 hai \u0111\u1ec1u p &lt; 0,01). Kh\u00f4ng ghi nh\u1eadn s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea gi\u1eefa nh\u00f3m TCMS v\u00e0 nh\u00f3m PEDT. K\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y trong H\u00ecnh 2.<\/p>\n\n\n\n<p>1. Nh\u00f3m PEDT<\/p>\n\n\n\n<p>PEDT = Premature Ejaculation Diagnostic Tool<\/p>\n\n\n\n<p>\u0110\u00e2y l\u00e0 nh\u00f3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p\/thu\u1ed1c T\u00e2y y, th\u01b0\u1eddng l\u00e0:<\/p>\n\n\n\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc (SSRI) d\u00f9ng cho xu\u1ea5t tinh s\u1edbm<br>&#x1f449; ph\u1ed5 bi\u1ebfn nh\u1ea5t trong nghi\u00ean c\u1ee9u l\u00e0 dapoxetine<\/p>\n\n\n\n<p>PEDT v\u1eeba l\u00e0 thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1, v\u1eeba \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb theo ph\u00e1c \u0111\u1ed3 T\u00e2y y ti\u00eau chu\u1ea9n<\/p>\n\n\n\n<p>&#x1f449; N\u00f3i ng\u1eafn g\u1ecdn:<br>Nh\u00f3m PEDT = \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm b\u1eb1ng thu\u1ed1c T\u00e2y y (ch\u1ee7 y\u1ebfu l\u00e0 dapoxetine).<\/p>\n\n\n\n<p>2. Nh\u00f3m TCMS<\/p>\n\n\n\n<p>TCMS = Traditional Chinese Medicine Syndrome<\/p>\n\n\n\n<p>L\u00e0 nh\u00f3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c, d\u1ef1a tr\u00ean:<\/p>\n\n\n\n<p>Bi\u1ec7n ch\u1ee9ng lu\u1eadn tr\u1ecb (th\u1eadn h\u01b0, t\u00e2m th\u1eadn b\u1ea5t giao, can u\u1ea5t, th\u1ea5p nhi\u1ec7t\u2026)<\/p>\n\n\n\n<p>D\u00f9ng b\u00e0i thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c Trung y<\/p>\n\n\n\n<p>&#x1f449; T\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi \u0111i\u1ec1u tr\u1ecb \u0110\u00f4ng y \u0111\u01a1n thu\u1ea7n.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 \u1edf t\u1eebng nh\u00f3m<\/p>\n\n\n\n<p>Trong su\u1ed1t qu\u00e1 tr\u00ecnh nghi\u00ean c\u1ee9u, kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n hay t\u1ea1i ch\u1ed7 nghi\u00eam tr\u1ecdng n\u00e0o, ngo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t nh\u1eb9, tuy nhi\u00ean c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu n\u00e0y \u1edf m\u1ee9c c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n<p>B\u00e0n lu\u1eadn<\/p>\n\n\n\n<p>Xu\u1ea5t tinh s\u1edbm (PE) l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam ph\u1ed5 bi\u1ebfn nh\u1ea5t, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a c\u1ea3 b\u1ec7nh nh\u00e2n v\u00e0 b\u1ea1n t\u00ecnh. Trong nghi\u00ean c\u1ee9u n\u00e0y, ch\u00fang t\u00f4i s\u1eed d\u1ee5ng IELT l\u00e0m ch\u1ec9 s\u1ed1 ch\u00ednh \u0111\u1ec3 so s\u00e1nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau, v\u00ec \u0111\u00e2y l\u00e0 c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i nh\u1ea5t hi\u1ec7n nay.<\/p>\n\n\n\n<p>D\u1eef li\u1ec7u t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc cho th\u1ea5y r\u1eb1ng ch\u1ec9 s\u1eed d\u1ee5ng IELT \u0111\u01a1n thu\u1ea7n l\u00e0 ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng xu\u1ea5t tinh s\u1edbm, do \u0111\u00f3 ch\u1ec9 s\u1ed1 CIPE-5 \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1ed5 sung nh\u1eb1m \u0111\u00e1nh gi\u00e1:<\/p>\n\n\n\n<p>Kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t xu\u1ea5t tinh<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng t\u00ecnh d\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 b\u1ea1n t\u00ecnh<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 kh\u1ed5 t\u00e2m c\u00e1 nh\u00e2n<\/p>\n\n\n\n<p>V\u1edbi ng\u01b0\u1ee1ng \u0111i\u1ec3m 18, CIPE-5 c\u00f3 \u0111\u1ed9 nh\u1ea1y 97,60% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 94,74%.<\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y c\u1ea3 IELT v\u00e0 CIPE-5 \u0111\u1ec1u t\u0103ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea \u1edf c\u1ea3 ba nh\u00f3m, tuy nhi\u00ean m\u1ee9c t\u0103ng \u1edf nh\u00f3m ph\u1ed1i h\u1ee3p TCMS + PEDT cao h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi hai nh\u00f3m c\u00f2n l\u1ea1i (B\u1ea3ng 3). Ngo\u00e0i ra, t\u1ef7 l\u1ec7 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a nh\u00f3m ph\u1ed1i h\u1ee3p (89,7%) c\u0169ng cao h\u01a1n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m TCMS (65,5%) v\u00e0 nh\u00f3m PEDT (67,9%) (H\u00ecnh 2).<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y r\u1eb1ng li\u1ec7u ph\u00e1p k\u1ebft h\u1ee3p TCMS v\u00e0 PEDT hi\u1ec7u qu\u1ea3 h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n thu\u1ea7n b\u1eb1ng TCMS ho\u1eb7c PEDT trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (PPE).<\/p>\n\n\n\n<p>T\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u1ec1u h\u00e0i l\u00f2ng v\u1edbi kh\u1ea3 n\u0103ng dung n\u1ea1p \u0111i\u1ec1u tr\u1ecb \u1edf t\u1eebng nh\u00f3m; kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p c\u0169ng nh\u01b0 li\u1ec7u ph\u00e1p TCMS \u0111\u01a1n thu\u1ea7n kh\u00f4ng n\u00ean d\u00f9ng cho b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng v\u1edbi c\u1ed3n.<\/p>\n\n\n\n<p>Hi\u1ec7n nay, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm ch\u1ee7 y\u1ebfu bao g\u1ed3m:<\/p>\n\n\n\n<p>Thu\u1ed1c to\u00e0n th\u00e2n<\/p>\n\n\n\n<p>Thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7<\/p>\n\n\n\n<p>Li\u1ec7u ph\u00e1p h\u00e0nh vi<\/p>\n\n\n\n<p>Tuy nhi\u00ean, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o th\u1ef1c s\u1ef1 l\u00fd t\u01b0\u1edfng. C\u00e1c thu\u1ed1c to\u00e0n th\u00e2n nh\u01b0:<\/p>\n\n\n\n<p>SSRI (thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc)<\/p>\n\n\n\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf PDE-5<\/p>\n\n\n\n<p>\u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n, bao g\u1ed3m: kh\u00f4 mi\u1ec7ng, bu\u1ed3n n\u00f4n, gi\u1ea3m ham mu\u1ed1n, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng\u2026<\/p>\n\n\n\n<p>C\u00e1c thu\u1ed1c b\u00f4i t\u1ea1i ch\u1ed7 nh\u01b0:<\/p>\n\n\n\n<p>SS-cream<\/p>\n\n\n\n<p>Kem dyclonine\/alprostadil<\/p>\n\n\n\n<p>X\u1ecbt lidocaine<\/p>\n\n\n\n<p>X\u1ecbt prilocaine\u2013lidocaine<\/p>\n\n\n\n<p>c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a quy \u0111\u1ea7u, nh\u01b0ng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng th\u1ec3 b\u1ecf qua, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0:<\/p>\n\n\n\n<p>K\u00edch \u1ee9ng t\u1ea1i ch\u1ed7<\/p>\n\n\n\n<p>\u0110au<\/p>\n\n\n\n<p>N\u00f3ng r\u00e1t<\/p>\n\n\n\n<p>Xu\u1ea5t tinh ch\u1eadm<\/p>\n\n\n\n<p>M\u1ea5t c\u1ea3m gi\u00e1c d\u01b0\u01a1ng v\u1eadt<\/p>\n\n\n\n<p>Ngo\u00e0i ra, c\u1ea7n ph\u1ea3i lau s\u1ea1ch thu\u1ed1c tr\u01b0\u1edbc khi giao h\u1ee3p ho\u1eb7c d\u00f9ng bao cao su \u0111\u1ec3 tr\u00e1nh l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c \u00e2m \u0111\u1ea1o c\u1ee7a b\u1ea1n t\u00ecnh.<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i, kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n hay t\u1ea1i ch\u1ed7 nghi\u00eam tr\u1ecdng, ngo\u1ea1i tr\u1eeb c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t nh\u1eb9 \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, v\u00e0 c\u1ea3m gi\u00e1c n\u00e0y \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. V\u00ec v\u1eady, ch\u00fang t\u00f4i cho r\u1eb1ng ch\u1ebf ph\u1ea9m TCMS t\u1ef1 b\u00e0o ch\u1ebf l\u00e0 an to\u00e0n v\u00e0 c\u00f3 m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb t\u1ed1t.<\/p>\n\n\n\n<p>C\u00e1c v\u1ecb thu\u1ed1c c\u1ed5 truy\u1ec1n t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm t\u1ea1i Trung Qu\u1ed1c, \u1ea4n \u0110\u1ed9 v\u00e0 nhi\u1ec1u qu\u1ed1c gia kh\u00e1c. Theo quan \u0111i\u1ec3m Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c, th\u1eadn d\u01b0\u01a1ng h\u01b0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y xu\u1ea5t tinh s\u1edbm, do \u0111\u00f3 c\u00e1c v\u1ecb thu\u1ed1c t\u00ednh nhi\u1ec7t nh\u01b0:<\/p>\n\n\n\n<p>Ph\u1ee5 t\u1eed (Radix Aconiti)<\/p>\n\n\n\n<p>T\u1ebf t\u00e2n (Herba Asari)<\/p>\n\n\n\n<p>\u0110inh h\u01b0\u01a1ng (Syzygium aromaticum)<\/p>\n\n\n\n<p>Xuy\u00ean ti\u00eau (Pericarpium Zanthoxyli)<\/p>\n\n\n\n<p>\u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn nh\u1eb1m \u00f4n b\u1ed5 th\u1eadn d\u01b0\u01a1ng.<\/p>\n\n\n\n<p>C\u00e1c v\u1ecb:<\/p>\n\n\n\n<p>B\u1ecd ng\u1ef1a bao tr\u1ee9ng (Ootheca Mantidis)<\/p>\n\n\n\n<p>Ng\u0169 b\u1ed9i t\u1eed (Galla Chinensis)<\/p>\n\n\n\n<p>Kim anh t\u1eed (Fructus Rosae Laevigatae)<\/p>\n\n\n\n<p>Ph\u00fac b\u1ed3n t\u1eed (Fructus Rubi)<\/p>\n\n\n\n<p>c\u00f3 t\u00ednh thu s\u00e1p, n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ng\u0103n ng\u1eeba xu\u1ea5t tinh s\u1edbm.<\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u hi\u1ec7n \u0111\u1ea1i cho th\u1ea5y Ph\u1ee5 t\u1eed c\u00f3 ph\u1ed5 t\u00e1c d\u1ee5ng r\u1ed9ng, v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n ho\u1ea1t t\u00ednh ch\u00ednh l\u00e0 alkaloid nh\u01b0 aconitin, c\u00f3 t\u00e1c d\u1ee5ng:<\/p>\n\n\n\n<p>Gi\u1ea3m \u0111au<\/p>\n\n\n\n<p>T\u0103ng co b\u00f3p tim<\/p>\n\n\n\n<p>Gi\u00e3n m\u1ea1ch<\/p>\n\n\n\n<p>T\u00e1c d\u1ee5ng gi\u00e3n m\u1ea1ch c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn t\u0103ng s\u1ea3n xu\u1ea5t nitric oxide (NO) \u2013 m\u1ed9t ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh tham gia ki\u1ec3m so\u00e1t xu\u1ea5t tinh c\u1ea3 trung \u01b0\u01a1ng l\u1eabn ngo\u1ea1i bi\u00ean. Do \u0111\u00f3, Ph\u1ee5 t\u1eed c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ph\u00f3ng tinh b\u1eb1ng c\u00e1ch t\u0103ng s\u1ea3n xu\u1ea5t NO.<\/p>\n\n\n\n<p>T\u1ebf t\u00e2n gi\u00e0u tinh d\u1ea7u bay h\u01a1i; c\u00e1c th\u00e0nh ph\u1ea7n \u0111\u1eb7c tr\u01b0ng nh\u01b0 methyl eugenol v\u00e0 safrole c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y t\u00ea v\u00e0 gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7.<\/p>\n\n\n\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y xuy\u00ean ti\u00eau c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7 r\u00f5 r\u1ec7t; th\u00e0nh ph\u1ea7n ho\u1ea1t t\u00ednh ch\u00ednh l\u00e0 c\u00e1c h\u1ee3p ch\u1ea5t amid v\u00e0 tinh d\u1ea7u bay h\u01a1i. Ph\u1ea7n tan trong n\u01b0\u1edbc c\u1ee7a xuy\u00ean ti\u00eau c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n xung th\u1ea7n kinh m\u1ed9t c\u00e1ch h\u1ed3i ph\u1ee5c v\u00e0 gi\u1ea3m t\u00ednh k\u00edch th\u00edch c\u1ee7a th\u00e2n d\u00e2y th\u1ea7n kinh, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 c\u01a1 s\u1edf sinh l\u00fd c\u1ee7a t\u00e1c d\u1ee5ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7.<\/p>\n\n\n\n<p>\u0110inh h\u01b0\u01a1ng t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng t\u1ea1i Trung Qu\u1ed1c v\u00e0 \u1ea4n \u0110\u1ed9 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c nam. C\u00e1c th\u00ed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt cho th\u1ea5y li\u1ec1u th\u1ea5p \u0111inh h\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng androgen, l\u00e0m:<\/p>\n\n\n\n<p>T\u0103ng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a tinh tr\u00f9ng<\/p>\n\n\n\n<p>K\u00edch th\u00edch ho\u1ea1t \u0111\u1ed9ng b\u00e0i ti\u1ebft c\u1ee7a m\u00e0o tinh v\u00e0 t\u00fai tinh<\/p>\n\n\n\n<p>Ngo\u00e0i ra, c\u00e1c th\u00e0nh ph\u1ea7n ho\u1ea1t t\u00ednh c\u1ee7a \u0111inh h\u01b0\u01a1ng c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf ROCK-II, d\u1eabn \u0111\u1ebfn gi\u00e3n th\u1ec3 hang, t\u1eeb \u0111\u00f3 c\u00f3 t\u00e1c d\u1ee5ng c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c.<\/p>\n\n\n\n<p>Ng\u0169 b\u1ed9i t\u1eed gi\u00e0u acid tannic, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y k\u1ebft t\u1ee7a protein. V\u1ecb n\u00e0y c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm b\u1eb1ng c\u00e1ch l\u00e0m d\u00e0y da v\u00e0 ni\u00eam m\u1ea1c quy \u0111\u1ea7u, t\u1eeb \u0111\u00f3 gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m.<\/p>\n\n\n\n<p>Nh\u00ecn chung, c\u00e1c v\u1ecb thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm (PE) t\u1eeb nhi\u1ec1u g\u00f3c \u0111\u1ed9 kh\u00e1c nhau.<\/p>\n\n\n\n<p>T\u1ebf t\u00e2n (Herba Asari) v\u00e0 xuy\u00ean ti\u00eau (Pericarpium Zanthoxyli) \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng g\u00e2y t\u00ea t\u1ea1i ch\u1ed7.<\/p>\n\n\n\n<p>Ng\u0169 b\u1ed9i t\u1eed (Galla Chinensis) c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m k\u1ebft t\u1ee7a protein, v\u00ec v\u1eady c\u00e1c v\u1ecb n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m \u0111\u1ed9 nh\u1ea1y c\u1ea3m c\u1ee7a quy \u0111\u1ea7u, t\u1eeb \u0111\u00f3 c\u1ea3i thi\u1ec7n xu\u1ea5t tinh s\u1edbm.<\/p>\n\n\n\n<p>Ph\u1ee5 t\u1eed (Radix Aconiti) c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n m\u1ea1ch, c\u00f2n \u0111inh h\u01b0\u01a1ng (Syzygium aromaticum) c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf s\u1ef1 gi\u00e3n c\u1ee7a th\u1ec3 hang, qua \u0111\u00f3 th\u00fac \u0111\u1ea9y sung huy\u1ebft d\u01b0\u01a1ng v\u1eadt. Ngo\u00e0i ra, Ph\u1ee5 t\u1eed c\u00f2n c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ea7n kinh giao c\u1ea3m th\u00f4ng qua vi\u1ec7c t\u0103ng s\u1ea3n xu\u1ea5t nitric oxide (NO), t\u1eeb \u0111\u00f3 \u1ee9c ch\u1ebf ph\u1ea3n x\u1ea1 xu\u1ea5t tinh.<br>\u0110inh h\u01b0\u01a1ng c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng androgen.<\/p>\n\n\n\n<p>C\u00e1c v\u1ecb thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 t\u1ea1o ra t\u00e1c d\u1ee5ng c\u1ed9ng h\u01b0\u1edfng (ch\u1ed3ng l\u1ea5p) trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, c\u00f2n c\u00f3 nh\u1eefng t\u00e1c nh\u00e2n g\u00e2y gi\u1ea3m c\u1ea3m gi\u00e1c kh\u00e1c cho th\u1ea5y tri\u1ec3n v\u1ecdng trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm. Dinsmore v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ti\u1ebfn h\u00e0nh m\u1ed9t nghi\u00ean c\u1ee9u pha III, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c, cho th\u1ea5y PSD502 (x\u1ecbt 3 l\u1ea7n, m\u1ed7i l\u1ea7n ch\u1ee9a 7,5 mg lidocaine v\u00e0 2,5 mg prilocaine) khi b\u00f4i t\u1ea1i ch\u1ed7 5 ph\u00fat tr\u01b0\u1edbc giao h\u1ee3p \u1edf nam gi\u1edbi b\u1ecb xu\u1ea5t tinh s\u1edbm \u0111\u00e3 c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t th\u1eddi gian xu\u1ea5t tinh, kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t v\u00e0 m\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng t\u00ecnh d\u1ee5c. Trong nghi\u00ean c\u1ee9u n\u00e0y, IELT t\u0103ng g\u1ea5p 6,3 l\u1ea7n so v\u1edbi ban \u0111\u1ea7u sau 3 th\u00e1ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>Trong hai nghi\u00ean c\u1ee9u pha III, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c kh\u00e1c do Carson v\u00e0 c\u1ed9ng s\u1ef1 th\u1ef1c hi\u1ec7n, PSD502 b\u00f4i t\u1ea1i ch\u1ed7 l\u00ean quy \u0111\u1ea7u d\u01b0\u01a1ng v\u1eadt 5 ph\u00fat tr\u01b0\u1edbc giao h\u1ee3p c\u0169ng cho th\u1ea5y c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3:<\/p>\n\n\n\n<p>Th\u1eddi gian xu\u1ea5t tinh<\/p>\n\n\n\n<p>Kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t xu\u1ea5t tinh<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 h\u00e0i l\u00f2ng t\u00ecnh d\u1ee5c<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 kh\u1ed5 t\u00e2m t\u00e2m l\u00fd<\/p>\n\n\n\n<p>v\u00e0 kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n<p>M\u1ee9c IELT ban \u0111\u1ea7u trong nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i cao h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean, v\u00e0 m\u1ee9c \u0111\u1ed9 t\u0103ng IELT c\u0169ng kh\u00e1c nhau. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn th\u1eddi gian \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 li\u1ec1u l\u01b0\u1ee3ng s\u1eed d\u1ee5ng. C\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u c\u00f3 tri\u1ec3n v\u1ecdng \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng v\u00ec hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n.<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u n\u00e0y, ch\u00fang t\u00f4i s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p PEDT \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi h\u1ec7 th\u1ed1ng ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nam khoa \u0111a ch\u1ee9c n\u0103ng Weili (WLZZ-9999) thay cho li\u1ec7u ph\u00e1p h\u00e0nh vi truy\u1ec1n th\u1ed1ng do b\u1ec7nh nh\u00e2n v\u00e0 b\u1ea1n t\u00ecnh t\u1ef1 th\u1ef1c hi\u1ec7n. K\u1ebft qu\u1ea3 cho th\u1ea5y c\u1ea3 PEDT v\u00e0 TCMS \u0111\u1ec1u c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb xu\u1ea5t tinh s\u1edbm nguy\u00ean ph\u00e1t (PPE), tuy nhi\u00ean li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p hi\u1ec7u qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i h\u01a1n h\u1eb3n so v\u1edbi \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n thu\u1ea7n.<\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u n\u00e0y m\u1edbi ch\u1ec9 l\u00e0 b\u01b0\u1edbc th\u0103m d\u00f2 ban \u0111\u1ea7u v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a TCMS t\u1ef1 b\u00e0o ch\u1ebf c\u0169ng nh\u01b0 ph\u1ed1i h\u1ee3p TCMS v\u1edbi PEDT. Ch\u00fang t\u00f4i ch\u1ec9 \u0111\u01b0a ra m\u1ed9t h\u01b0\u1edbng ti\u1ebfp c\u1eadn cho vi\u1ec7c ph\u00e1t tri\u1ec3n li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi cho PPE. Do th\u00e0nh ph\u1ea7n TCMS ph\u1ee9c t\u1ea1p v\u00e0 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u00f3 th\u1ec3 \u0111a chi\u1ec1u, c\u1ea7n c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n \u0111\u1ec3:<\/p>\n\n\n\n<p>Ch\u1eaft l\u1ecdc th\u00e0nh ph\u1ea7n c\u00f3 l\u1ee3i<\/p>\n\n\n\n<p>Lo\u1ea1i b\u1ecf th\u00e0nh ph\u1ea7n kh\u00f4ng c\u1ea7n thi\u1ebft<\/p>\n\n\n\n<p>T\u1ed1i \u01b0u h\u00f3a c\u00f4ng th\u1ee9c<\/p>\n\n\n\n<p>L\u00e0m r\u00f5 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/p>\n\n\n\n<p>K\u1ebft lu\u1eadn<\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u n\u00e0y x\u00e1c nh\u1eadn r\u1eb1ng TCMS t\u1ef1 b\u00e0o ch\u1ebf l\u00e0 an to\u00e0n v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3, \u0111\u1ed3ng th\u1eddi li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p TCMS v\u00e0 PEDT hi\u1ec7u qu\u1ea3 h\u01a1n so v\u1edbi TCMS ho\u1eb7c PEDT \u0111\u01a1n thu\u1ea7n. Tuy nhi\u00ean, th\u00e0nh ph\u1ea7n trong TCMS ph\u1ee9c t\u1ea1p v\u00e0 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u00f3 th\u1ec3 \u0111a d\u1ea1ng, do \u0111\u00f3 c\u1ea7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ec3 l\u00e0m r\u00f5 ho\u1ea1t ch\u1ea5t ch\u00ednh v\u00e0 t\u01b0\u01a1ng t\u00e1c gi\u1eefa ch\u00fang.<\/p>\n\n\n\n<p>L\u1eddi c\u1ea3m \u01a1n<\/p>\n\n\n\n<p>Nh\u00f3m t\u00e1c gi\u1ea3 xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n khoa D\u01b0\u1ee3c c\u1ee7a B\u1ec7nh vi\u1ec7n D\u00e2n t\u1ed9c Tujia v\u00e0 Mi\u00eau, ch\u00e2u Enshi \u0111\u00e3 b\u00e0o ch\u1ebf TCMS, c\u0169ng nh\u01b0 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng tham gia nghi\u00ean c\u1ee9u.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>TH\u00c0NH PH\u1ea6N &amp; T\u1ef6 L\u1ec6 (theo kh\u1ed1i l\u01b0\u1ee3ng d\u01b0\u1ee3c li\u1ec7u kh\u00f4)<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>STT<\/th><th>T\u00ean Trung<\/th><th>T\u00ean Vi\u1ec7t<\/th><th>T\u00ean d\u01b0\u1ee3c h\u1ecdc<\/th><th>B\u1ed9 ph\u1eadn d\u00f9ng<\/th><th>T\u1ef7 l\u1ec7<\/th><\/tr><\/thead><tbody><tr><td>1<\/td><td>\u7ec6\u8f9b (Xixin)<\/td><td><strong>T\u1ebf t\u00e2n<\/strong><\/td><td><em>Herba Asari<\/em><\/td><td>R\u1ec5 kh\u00f4<\/td><td><strong>30<\/strong><\/td><\/tr><tr><td>2<\/td><td>\u4e01\u9999 (Dingxiang)<\/td><td><strong>\u0110inh h\u01b0\u01a1ng<\/strong><\/td><td><em>Syzygium aromaticum<\/em><\/td><td>N\u1ee5 hoa kh\u00f4<\/td><td><strong>30<\/strong><\/td><\/tr><tr><td>3<\/td><td>\u5ddd\u4e4c (Chuanwu)<\/td><td><strong>Xuy\u00ean \u00f4 \/ Ph\u1ee5 t\u1eed s\u1ed1ng<\/strong> &#x26a0;&#xfe0f;<\/td><td><em>Radix Aconiti<\/em><\/td><td>R\u1ec5 kh\u00f4<\/td><td><strong>20<\/strong><\/td><\/tr><tr><td>4<\/td><td>\u4e94\u500d\u5b50 (Wubeizi)<\/td><td><strong>Ng\u0169 b\u1ed9i t\u1eed<\/strong><\/td><td><em>Galla Chinensis<\/em><\/td><td>T\u1ed5 s\u00e2u kh\u00f4<\/td><td><strong>20<\/strong><\/td><\/tr><tr><td>5<\/td><td>\u91d1\u6a31\u5b50 (Jinyingzi)<\/td><td><strong>Kim anh t\u1eed<\/strong><\/td><td><em>Fructus Rosae Laevigatae<\/em><\/td><td>Qu\u1ea3 kh\u00f4<\/td><td><strong>20<\/strong><\/td><\/tr><tr><td>6<\/td><td>\u8986\u76c6\u5b50 (Fupenzi)<\/td><td><strong>Ph\u00fac b\u1ed3n t\u1eed<\/strong><\/td><td><em>Fructus Rubi<\/em><\/td><td>Qu\u1ea3 kh\u00f4<\/td><td><strong>20<\/strong><\/td><\/tr><tr><td>7<\/td><td>\u6851\u87b5\u86f8 (Sangpiaoxiao)<\/td><td><strong>Tang phi\u00eau ti\u00eau<\/strong><\/td><td><em>Ootheca Mantidis<\/em><\/td><td>Bao tr\u1ee9ng b\u1ecd ng\u1ef1a<\/td><td><strong>20<\/strong><\/td><\/tr><tr><td>8<\/td><td>\u5ddd\u6912 (Chuanjiao)<\/td><td><strong>Xuy\u00ean ti\u00eau<\/strong><\/td><td><em>Pericarpium Zanthoxyli<\/em><\/td><td>V\u1ecf qu\u1ea3<\/td><td><strong>1<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5656209<\/p>\n\n\n\n<p><\/p>\n<!-- relpost-thumb-wrapper --><div class=\"relpost-thumb-wrapper\"><!-- filter-class --><div class=\"relpost-thumb-container\"><style>.relpost-block-single-image, .relpost-post-image { margin-bottom: 10px; 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