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本文报告用婴粟硷或复方罂粟硷海绵体局注治疗97倒阳萎患者。对其药物的常用剂量与疗效和痛性勃起的关系作了比较。结果表明;单纯罂粟硷30mg 有效率为35%.60mg 为73%(P<0.001)。罂粟硷30mg 加酚妥拉明1mg 有效率为69%,罂粟硷60mg 加酚妥拉明1mg 有效率为76%(P>0.05).精神性阳萎总有效率为79%.器质性为45%.本组共发生痛性勃起13例(13.4%)15次(3.8次%).其中罂粟硷60mg 发生1次。复方罂粟硷发生12例14次(P<0.001).我们认为罂粟硷60mg 局注治疗阳萎为优。30mg 似不宜作治疗剂量,复方罂粟硷局注并不能提高疗效,且痛性勃起发生率明显增高.应慎用.
This article reports the treatment of 97 inverted impotence patients with either pelargonium or compound papaverine cavernosal. The commonly used dose of the drug is compared with the curative effect and painful erection. The results showed that the simple papaverine 30mg effective rate was 35%, 60mg was 73% (P <0.001). The effective rate of papaverine 30mg and phentolamine 1mg was 69%, and that of papaverine 60mg and phentolamine 1mg was 76% (P> 0.05) .The total effective rate of mental impotence was 79% 45% .The group had a total of 13 cases (13.4%) of 15 times painful erection (3.8%), including papaverine 60mg occurred once. Compounded papaverine occurred in 12 cases 14 times (P <0.001) .We believe that papaverine 60mg treatment of impotence is excellent. 30mg seems not suitable for therapeutic dose, compound papaverine base Note and can not improve the efficacy, and the incidence of painful erection was significantly increased.