生精汤联合中医定向透药疗法治疗肾精亏损型男性不育症临床研究
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R698+.2

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上20海17市02浦3 东新区卫生系统重点学科建设资助项目(PWZxk2017-12);上海市卫生和计划生育委员会中医优势病种培育项目(zybz- 2017023)


Clinical Study on Shengjing Tang Combined with Directed Chinese Herbal Permeation Therapy for Male Infertility of Kidney-Essence Depletion Type
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    摘要:

    目的:观察生精汤联合中医定向透药疗法治疗肾精亏损型男性不育症的临床疗效。方法:选取108 例肾精亏损型男性不育症患者,按随机数字表法分为治疗组和对照组各54 例。治疗组采用生精汤联合中医定向透药疗法治疗,对照组仅采用生精汤治疗。比较2 组精子存活率、精子密度、精子前向运动率、正常精子形态率及精子DNA 碎片率(DFI),评价2 组临床疗效。结果:治疗组总有效率为88.89%,高于对照组的75.93%,差异无统计学意义(P>0.05)。2 组精子密度治疗前后比较,差异均无统计学意义(P>0.05)。治疗后,2 组精子存活率、精子前向运动率、正常精子形态率及DFI 均较治疗前改善(P<0.05);治疗组精子存活率、精子前向运动率改善情况均优于对照组(P<0.05);治疗组正常精子形态率、DFI 与对照组比较,差异均无统计学意义(P>0.05)。结论:生精汤联合中医定向透药疗法治疗肾精亏损型男性不育症的临床疗效优于单独使用生精汤治疗,尤其在改善精子存活率和精子前向运动率方面优势明显。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Shengjing tang combined with directed Chinese herbal permeation therapy for male infertility of kidney- essence depletion type. Methods: A total of 108 cases with male infertility of kidney- essence depletion type were divided into the treatment group and the control group according to the random number table method,54 cases in each group. The treatment group was treated with Shengjing tang combined with directed Chinese herbal permeation therapy, while the control group was treated with Shengjing tang only. The sperm survival rate, sperm density, sperm mobility, normal sperm morphology rate and sperm DNA Fragmentation Index(DFI) were compared between the two groups,and the clinical effect was evaluated. Results:The total effective rate was 88.89% in the treatment group,higher than that of 75.93% in the control group,there being no significant difference(P>0.05). There was no significant difference in the comparison of sperm density between the two groups before and after treatment(P> 0.05). After treatment,the sperm survival rate,sperm mobility,normal sperm morphology rate and DFI in both groups were improved when compared with those before treatment(P<0.05);the improvement of sperm survival rate and sperm mobility in the treatment group was better than that in the control group(P<0.05), and there was no significant difference in the comparison of normal sperm morphology rate and DFI between the two groups(P>0.05). Conclusion: The therapy of Shengjing tang combined with directed Chinese herbal permeation therapy has better therapeutic effect than the Shengjing tang alone in treating male infertility of kidney-essence depletion type;in particular,it has obvious advantages in improving sperm survival rate and sperm mobility.

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毛剑敏,孙建明,颜广,刘鹏,韩文均,倪晨,董哲,武鹏涛,莫然.生精汤联合中医定向透药疗法治疗肾精亏损型男性不育症临床研究[J].新中医,2020,52(14):103-105

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  • 在线发布日期: 2020-07-20
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