1.浙江省中西医结合医院男科,杭州 310000
2.浙江中医药大学,杭州 310053
扫 描 看 全 文
苗润泽,马健雄,陈望强.补肾衍精汤对肾阳亏虚型弱精子症患者精子活力的影响观察[J].北京中医药,2022,41(12):1335-1339.
MIAO Run-ze,MA Jian-xiong,CHEN Wang-qiang.Effect of Bushen Yanjing Decoction on sperm activity in asthenia of kidney yang deficiency[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(12):1335-1339.
苗润泽,马健雄,陈望强.补肾衍精汤对肾阳亏虚型弱精子症患者精子活力的影响观察[J].北京中医药,2022,41(12):1335-1339. DOI: 10.16025/j.1674-1307.2022.12.002.
MIAO Run-ze,MA Jian-xiong,CHEN Wang-qiang.Effect of Bushen Yanjing Decoction on sperm activity in asthenia of kidney yang deficiency[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(12):1335-1339. DOI: 10.16025/j.1674-1307.2022.12.002.
目的,2,观察补肾衍精汤对肾阳亏虚型弱精子症患者精子活力的影响。,方法,2,收集2019年1月—10月就诊的肾阳亏虚型弱精子症患者64例,采用随机数字表法分为2组,观察组32例予补肾衍精汤治疗;对照组32例予龙鹿胶囊治疗,治疗周期均为12周。观察治疗前后2组患者精子前向(PR)运动百分比、总活力、血清T浓度、中医证候积分、有效率等变化。,结果,2,治疗12周后,观察组与对照组PR运动百分比、总活力、血清T浓度均较治疗前升高(,P,<,0.05),且观察组各项指标高于对照组(,P,<,0.05);治疗后2组患者中医证候积分均明显下降(,P,<,0.05),并且观察组中医证候积分低于对照组(,P,<,0.05)。观察组临床有效率91%,高于对照组的75%,但差异无统计学意义(,P,>,0.05);2组患者均未出现明显不良反应。,结论,2,补肾衍精汤可提高肾阳亏虚型弱精子症患者精子活力并改善中医证候,具有一定临床疗效且安全性高。
Objective,2,To evaluate the clinical effect of Bushen Yanjing Decoction on asthenospermia of deficiency of kidney Yang deficiency type.,Methods,2,A total of 64 male patients with asthenospermia of kidney Yang deficiency diagnosed in Andrology Department from January 2019 to October 2019 were collected,and they were randomly divided into a treatment group and a control group according to random number table method. 32 cases in the treatment group were treated with Bushen Yanjing Decoction, while 32 cases in the control group were treated with Longlu Capsules, and the treatment period was 12 weeks. The changes of PR, total vitality, serum testosterone, TCM syndrome score and effective rate in two groups before and after treatment were analyzed.,Results,2,After 12 weeks of treatment, the PR, total vitality and serum testosterone concentration in the treatment group and the control group were increased significantly (,P,<,0.05), and the increase in the treatment group was more significant than that in the control group (,P,<,0.05); and after treatment, the TCM syndrome scores of the two groups were decreased significantly, and the degree of decline in the treatment group was significantly higher than that in the control group (,P,<,0.05); the clinical effective rate was 90% in the treatment group and 75% in the control group, there was no significant statistical difference (,P,>,0.05); and no significant adverse effects were reported in either group.,Conclusion,2,Bushen Jing Decoction can improve sperm motility and asthenospermia patients with deficiency of kidney-yang syndrome, and has certain clinical efficacy with safety.
弱精子症肾阳亏虚证补肾衍精汤龙鹿胶囊
Asthenozoospermiadeficiency of kidney-yang syndromeBushen Yanjing DecoctionLonglu Capsulesclinical efficacy
LIU Y,DING Z.Obesity,a serious etiologic factor for male subfertility in modern society[J].Reproduction,2017,154(4):123-131.
BOIVIN J,BUNTING L,COLLINS JA,et al.International estimates of infertility prevalence and treatment-seeking:potential need and demand for infertility medical care[J].Hum Reprod,2007,22(6):1506-1512.
VANDER BM,WYNS C.Fertility and infertility: Definition and epidemiology[J].Clin Biochem,2018,62:2-10.
LIU FJ,LIU X,HAN JL,et al.Aged men share the sperm protein PATE1 defect with young asthenozoospermia patients[J].Hum Reprod,2015,30(4):861-869.
TANG D,SHA Y,GAO Y,et al.Novel variants in DNAH9 lead to nonsyndromic severe asthenozoospermia[J].Reprod Biol Endocrinol,2021,19(1):27.
SALAS-HUETOS A,BULLO M,SALAS-SALVADO J.Dietary patterns,foods and nutrients in male fertility parameters and fecundability:a systematic review of observational studies[J].Hum Reprod Update,2017,23(4):371-389.
KUPIS L,DOBRONSKI PA,RADZISZEWSKI P.Varicocele as a source of male infertility-current treatment techniques[J].Cent European J Urol,2015,68(3):365-370.
陈其华,李博,赵文雪,等.补肾衍精汤联合左卡尼汀治疗少弱精症的临床观察[J].中国性科学,2018,27(5):105-107.
世界卫生组织.WHO人类精液检查与处理实验室手册[M].5版.北京:人民卫生出版社,2012.
国家中医药管理局.中医临床诊疗术语 证候部分:GB/T.16751.2-1997[S].北京:中国标准出版社,1997.
海艺贝,梁沛华.少弱精子症的中医药治疗思路[J].中国性科学,2017,26(1):80-83.
张春和,赵凡,李焱风,等.左卡尼汀口服液联合黄地助育汤治疗少弱精症男性不育的临床研究[J].中华中医药学刊,2017,35(11):2735-2737.
赵正平,范华昌,吴颂华,等.加味赞育汤治疗男性不育症临床观察[J].上海中医药杂志,2004(9):24-25.
何清湖,郑毅春,李儇羽.金匮肾气丸治男性不育症临床观察[J].天津中医药,2003(1):18-20.
周伟强,张继平,邵丹丹.淫羊藿育宝汤对肾阳亏虚型不育症患者精液常规及性激素水平的影响[J].中国性科学,2014,23(3):43-46.
金保方,张新东,王志强,等.龙鹿胶囊治疗少弱精子症的多中心临床研究[J].中国男科学杂志,2013(9):46-49.
STEINER AZ,HANSEN KR,BARNHART KT,et al.The effect of antioxidants on male factor infertility:the Males, Antioxidants,and Infertility(MOXI)randomized clinical trial[J].Fertil Steril,2020,113(3):552-560.
李乃谦.熟地黄活性成分药理作用的研究进展[J].中国处方药,2017,15(1):14-15.
周迎春,张廉洁,张燕丽.山茱萸化学成分及药理作用研究新进展[J].中医药信息,2020,37(1):114-120.
赵国华,王赟,李志孝,等.山药多糖的免疫调节作用[J].营养学报,2002(2):187-188.
张伟,陈素红,吕圭源.菟丝子功效性味归经与现代药理学的相关性研究[J].时珍国医国药,2010,21(4):808-811.
钟运香,袁娇,刘丰惠,等.西洋参化学成分、药理作用及质量控制研究进展[J].中国中医药现代远程教育,2020,18(7):130-133.
李思懿,张凤玲,王晓倩.牛膝炮制方法的历史沿革与现代研究[J].中医药管理杂志,2022,30(3):19-22.
赵静,夏晓培.当归的化学成分及药理作用研究现状[J].临床合理用药杂志,2020,13(6):172-174.
赵明宇.枸杞子的药理作用及临床应用研究[J].北方药学,2018,15(4):156.
鲍悦,高久堂,孙佳明,等.中药鹿角胶的研究进展[J].吉林中医药,2016,36(2):173-175.
赵文静,王历,王芝兰,等.淫羊藿的药理作用及临床应用研究进展[J].中医药信息,2016,33(2):105-108.
王娟娟,秦雪梅,高晓霞,等.杜仲化学成分、药理活性和质量控制现状研究进展[J].中草药,2017,48(15):3228-3237.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution