金水宝胶囊合五子衍宗丸治疗男性特发性少弱精子症临床研究
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Clinical Study on Jinshuibao Capsules and Wuzi Yanzong Pills for Idiopathic Oligosper⁃ mia and Asthenospermia in Male Patients
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    摘要:

    目的:观察金水宝胶囊合五子衍宗丸治疗男性特发性少弱精子症的临床疗效。方法:选取127 例男性特发性少弱精子症患者,按随机数字表法分为甲组(42 例)、乙组(42 例) 及丙组(43 例)。甲组给予五子衍宗丸治疗,乙组给予金水宝胶囊治疗,丙组给予金水宝胶囊联合五子衍宗丸治疗。比较3 组治疗前后精液量、精子密度、a 级精子活力、(a+b) 级精子活力及精子活动率,比较临床疗效及治疗前后血清黄体生成素(LH)、睾酮(T)、卵泡刺激素(FSH) 水平,并观察配偶妊娠情况及用药不良反应。结果:丙组总有效率为90.70%,高于甲组73.81%和乙组71.43%,差异均有统计学意义(P<0.05)。治疗后,3 组精液量、精子密度、a 级精子活力、(a+b) 级精子活力及精子活动率较治疗前升高,且丙组各项指标均高于甲组和乙组,差异均有统计学意义(P<0.05)。治疗后,3 组血清LH、T、FSH 水平较治疗前升高,且丙组血清LH、T、FSH 水平高于甲组和乙组,差异均有统计学意义(P<0.05)。治疗结束后随访3 个月,丙组配偶总妊娠率明显高于甲组与乙组(P<0.05)。丙组不良反应发生率为2.33%,甲组与乙组均为0,3 组比较,差异无统计学意义(P>0.05)。结论:金水宝胶囊合五子衍宗丸治疗男性特发性少弱精子症可明显提高患者精液质量及血清激素水平,进而提高临床疗效及配偶临床妊娠率,且安全性好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Jinshuibao capsules and Wuzi Yanzong pills for idiopathic oligospermia and asthenospermia in male patients. Methods: A total of 127 cases of male patients with idiopathic oligospermia and asthenospermia were selected and divided into the group A(42 cases), the group B(42 cases), and the group C(43 cases) according to the random number table method. The group A was given Wuzi Yanzong pills;the group B was given Jinshuibao capsules;the group C was given Jinshuibao capsules and Wuzi Yanzong pills. Semen volume,sperm density,sperm motility at a level,as well as sperm motility and sperm motility rate both at(a+b) level were compared among the three groups before and after treatment. Levels of luteinizing hormone(LH), testosterone(T), and follicle stimulating hormone(FSH) in serum before and after treatment,as well as clinical effect were compared. Spouse pregnancy and adverse reactions caused by medication were observed. Results: The total effective rate was 90.70% in the group C, higher than those of 73.81% in the group A and 71.43% in the group B,differences being significant(P<0.05). After treatment,semen volume,sperm density,sperm motility at a level,as well as sperm motility and sperm motility rate both at(a+b) level in the three groups were increased when compared with those before treatment,and the indexes above in the group C were higher than those in the group A and B,differences being significant(P<0.05). After treatment,levels of LH,T,and FSH in serum in the three groups were increased when compared with those before treatment,and the three levels in serum in the group C were higher than those in the group A and B, differences being significant(P<0.05). During three- month follow- up after treatment,the total spouse pregnancy rate in the group C was significantly higher than those in the group A and B(P<0.05). The incidence of adverse reactions was 2.33% in the group C,and 0 in the group A and B,there being no significance in the difference(P>0.05). Conclusion: In the treatment of male patients with idiopathic oligospermia and asthenospermia, the therapy of Jinshuibao capsules and Wuzi Yanzong pills can significantly increase semen quality and level of hormone in serum,thus enhancing the clinical effect and clinical spouse pregnancy rate,with good safety.

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俞王海,詹建飞,陈荣.金水宝胶囊合五子衍宗丸治疗男性特发性少弱精子症临床研究[J].新中医,2021,53(10):88-92

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  • 在线发布日期: 2021-05-24
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