title: Study on the clinical value of alprostadil combined with α-lipoic acid in treatment of type 2 diabetes mellitus patients with erectile dysfunction.
abstract: We investigated the clinical value of alprostadil combined with the α-lipoic acid in treating type 2 diabetes mellitus with erectile dysfunction (DMED).
  
  
  
  We selected a total of 76 cases of patients who were admitted to endocrinology department of our hospital from June 2014 to June 2015 and diagnosed as DMED, and the average age was (46.7 ± 7.2) years old, average course of diabetes mellitus was (6.2 ± 2.8) years and average body mass index was (25.4 ± 1.3) kg/m2. 40 cases were randomly divided in the observation group while 36 cases were divided in the control group. They received blood glucose control therapy. The patients in the observation group received 60 mg alprostadil hydrochloride and 600 mg α-lipoic acid added into 250 mL normal saline, intravenous drip once per day for 2 weeks. The patients in the control group took tadalafil 5 mg orally, once per night for 2 weeks as a course of treatment. There were no cases of loss.
  
  
  
  The effective rate of treatment in observation group is significantly higher than that in the control group (95.0% vs. 80.5%, p < 0.05). The score of IIEF-5, EHGS and the FMD value of brachial artery of the observation group after the operation were significantly higher than that of the control group (p < 0.05). The adverse reaction rate in the observation group was lower than that in the control group (7.5% vs. 13.9%, p < 0.05).
  
  
  
  Alprostadil combined with α-lipoic acid can improve DMED patients' vascular endothelial function and erection hardness to treat erectile dysfunction with less adverse effects and better safety.
authors.affiliation: Cangzhou Central Hospital of Hebei Province, Cangzhou City, Hebei Province, China. jiarui_li1212@163.com.
authors.forename: L
authors.initials: L
authors.lastname: Zhang
authors.forename: H-Y
authors.initials: HY
authors.lastname: Zhang
authors.forename: F-C
authors.initials: FC
authors.lastname: Huang
authors.forename: Q
authors.initials: Q
authors.lastname: Huang
authors.forename: C
authors.initials: C
authors.lastname: Liu
authors.forename: J-R
authors.initials: JR
authors.lastname: Li
mesh_terms: D000328:Adult; D000527:Alprostadil / Q000627:therapeutic use*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D007172:Erectile Dysfunction / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D008063:Thioctic Acid / Q000627:therapeutic use*; D016896:Treatment Outcome; D064804:Urological Agents / Q000627:therapeutic use*
chemical_list: D064804:Urological Agents; D008063:Thioctic Acid; D000527:Alprostadil