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目的借助循证医学的方法为初诊阴茎勃起功能障碍(ED)患者制定合理的治疗方案。方法在充分评估患者情况后,提出临床问题,从Cochrane图书馆(2009年第4期)、Medline(1990年1月至2009年12月)、Embase(1 990年1月至2009年1 2月)和PubMed(1 990年1月至2009年12月),检索词包括:erectile dysfunction;impotence;treatment strategy;sildenafil;psychological intervention;metabolic syndrome;RCT;meta-analysis;systematic review。结果共检索出与不同问题相关的随机对照试验55篇,系统评价或Meta分析17篇。通过对检索结果进行分析,为患者制定了合理的治疗方案。经随访证实,该方案适合患者。结论采用循证治疗的方法,为初诊ED患者制定合理的治疗方案,可有效提高治疗效果,改善患者生活质量。
Objective To develop a reasonable treatment plan for newly diagnosed erectile dysfunction (ED) patients by means of evidence-based medicine. Methods Clinical issues were raised following a thorough assessment of the patient’s condition, from the Cochrane Library (No. 4, 2009), Medline (January 1990 to December 2009), Embase (January 1990, January 2009 to January 2009 ) And PubMed (January 1990 to December 2009). The search terms included: erectile dysfunction; impotence; treatment strategy; sildenafil; psychological intervention; metabolic syndrome; RCT; meta-analysis; systematic review Results A total of 55 RCTs related to different issues were retrieved and 17 were evaluated by systematic review or meta-analysis. Through the analysis of the search results, a reasonable treatment plan was developed for the patients. Follow-up confirmed that the program is suitable for patients. Conclusion Evidence-based treatment methods for the first diagnosis of ED patients to develop a reasonable treatment program, which can effectively improve the therapeutic effect and improve the quality of life of patients.