复方玄驹胶囊治疗男性迟发性性腺功能减退临床研究
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Clinical Study on Compound Xuanju Capsules for Late-Onset Hypogonadism in Males
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    摘要:

    目的:观察复方玄驹胶囊治疗男性迟发性性腺功能减退的临床效果及安全性。方法:选取 120 例 迟发性性腺功能减退患者作为研究对象,采用完全随机分组法分为观察组和对照组,每组 60 例。对照组采用 安特尔治疗,观察组采用复方玄驹胶囊联合安特尔治疗。比较 2 组临床疗效、不良反应,并比较 2 组治疗前后 性激素水平、老年男性症状问卷评分(AMS)、国际勃起功能障碍问卷简表-5(IIEF-5)评分及谷草转氨酶、 血脂、血糖、总前列腺特异抗原(TPSA)及前列腺体积。结果:治疗前,2 组卵泡雌激素(FSH)、黄体生成 素 (LH)、孕酮 (P)、催乳素 (PRL)、总睾酮 (TT)、雌二醇 (E 2 ) 水平比较,差异无统计学意义 (P> 0.05);治疗后,2 组 FSH、LH、P、PRL 水平均降低(P<0.05),TT、E 2 水平均升高(P<0.05),且观察组 FSH、LH、P、PRL 水平低于对照组(P<0.05),TT、E 2 水平高于对照组(P<0.05)。治疗前,2 组 AMS 各症 状评分比较,差异无统计学意义(P>0.05);治疗后,2 组 AMS 各症状评分均降低(P<0.05);且观察组低于 对照组(P<0.05)。治疗前,2 组 IIEF-5 各评分比较,差异无统计学意义(P>0.05);治疗后,2 组 IIEF-5 各 评分均升高(P<0.05),且观察组高于对照组(P<0.05)。治疗前,2 组谷草转氨酶、甘油三酯、空腹血糖、 TPSA 水平及前列腺体积比较,差异无统计学意义(P>0.05);治疗后,2 组谷草转氨酶、甘油三酯、空腹血 糖、TPSA 水平及前列腺体积比较,差异无统计学意义(P>0.05)。随访 6 个月,观察组对于治疗后生活质量 改善情况的总满意率为 93.33%,高于对照组 81.67%(P<0.05)。治疗期间,2 组均未发生严重不良反应。结 论:复方玄驹胶囊联合安特尔治疗男性迟发性性腺功能减退较单独采用安特尔治疗更能改善患者临床症状,提 高男性激素水平及患者满意率。

    Abstract:

    Abstract:Objective:To observe the clinical effect and safety of Compound Xuanju Capsules for late- onset hypogonadism in males. Methods:A total of 120 cases of patients with late-onset hypogonadism were selected as the study subjects and were randomly divided into the observation group and the control group,with 60 cases in each group. The control group was treated with Andriol,and the observation group was treated with Compound Xuanju Capsules combined with Andriol. The clinical effects and adverse reactions in the two groups were compared. The levels of sex hormones,the scores of the Aging Males' Symptom (AMS) Scale and International Index of Erectile Function-5 (IIEF-5),and the glutamic-oxalacetic transaminase,blood lipids,blood glucose,total prostate specific antigen (TPSA) and prostate volume in the two groups were compared before and after treatment. Results: Before treatment, there was no significant difference being found in the comparison of levels of follicle estrogen (FSH),luteinizing hormone (LH),progesterone (P),prolactin (PRL),total testosterone (TT),and estradiol (E 2 ) between the two groups (P>0.05);after treatment,the levels of FSH,LH,P,and PRL in the two groups were decreased (P< 0.05),and the levels of TT and E 2 were increased (P<0.05);the levels of FSH,LH,P,and PRL in the observation group were lower than those in the control group (P<0.05),and the levels of TT and E 2 were higher than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the symptom scores of AMS between the two groups (P>0.05). After treatment,the symptom scores of AMS in the two groups were decreased (P<0.05),and the scores in the observation group were lower than those in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the IIEF-5 scores between the two groups (P> 0.05). After treatment,the IIEF-5 scores in the two groups were increased (P<0.05),and the score in the observation group was higher than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of glutamic oxaloacetic transaminase, triglyceride,fasting blood glucose,TPSA,and prostate volume between the two groups (P>0.05). After treatment, there was no significant difference being found in the comparison of the levels of glutamic oxaloacetic transaminase,triglyceride,fasting blood glucose,TPSA,and prostate volume between the two groups (P>0.05). After a six-month follow-up,the overall satisfaction rate of the improvement of quality of life after treatment was 93.33% in the observation group,which was higher than that of 81.67% in the control group (P<0.05). During treatment,there was no serious adverse reaction in the two groups. Conclusion: Compared with using Andriol alone, the combination of Compound Xuanju Capsules and Andriol for late-onset hypogonadism in males can better improve clinical symptoms,hormone levels in males,and patient satisfaction rates.

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姚哲敏,黄双双,单云峰.复方玄驹胶囊治疗男性迟发性性腺功能减退临床研究[J].新中医,2023,55(15):105-109

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  • 在线发布日期: 2023-08-13
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