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续断种子方联合针灸治疗少弱精子症临床观察

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目的:观察续断种子方联合针灸治疗少弱精子症的临床疗效.方法:选取2022 年 10 月至 2023 年 9 月广西中医药大学第一附属医院男科门诊诊治的少弱精子症肾精亏虚证患者60 例作为研究对象,按照随机数字表法分为联合组、中药组、对照组,每组20 例.联合组给予续断种子方联合针灸治疗;中药组给予续断种子方治疗;对照组给予左卡尼汀口服液治疗.观察3 组患者中医证候疗效、临床疗效、一次射精精子总数、精子前向运动(progressive motility,PR)百分率、中医证候积分等.结果:联合组中医证候疗效有效率为94.44%,临床疗效有效率为88.89%;中药组中医证候疗效有效率为84.21%,临床疗效有效率为78.94%;对照组中医证候疗效有效率为50.00%,临床疗效有效率为66.67%.联合组中医证候疗效有效率、临床疗效有效率均高于中药组和对照组,差异有统计学意义(P<0.05).3 组患者治疗后一次射精精子总数比较,联合组高于中药组、对照组,差异具有统计学意义(P<0.05).3 组患者治疗后PR百分率比较,联合组、中药组高于对照组,差异具有统计学意义(P<0.05),联合组和中药组比较,差异无统计学意义(P>0.05).3 组患者治疗后中医证候积分比较,联合组高于中药组、对照组,差异具有统计学意义(P<0.05).结论:续断种子方联合针灸可以改善肾精亏虚型少弱精子症患者一次射精精子总数及PR百分率,降低患者中医证候积分.
Clinical Observation of the Treatment of Oligoasthenozoospermia with Xuduan Zhongzi Formula Combined with Acupuncture and Moxibustion
Objective:To observe the clinical efficacy of Xuduan Zhongzi Formula combined with acupuncture and moxibustion on oli-goasthenozoospermia.Methods:A total of 60 patients with oligoasthenozoospermia having kidney essence deficiency syndrome were se-lected from the Andrology Outpatient Clinic of The First Affiliated Hospital of Guangxi University of Chinese Medicine between October 2022 and September 2023,and randomly divided into the combination group,the group of Chinese drugs,and the control group,with 20 cases in each group.The combination group received Xuduan Zhongzi Formula combined with acupuncture and moxibustion treatment;the group of Chinese drugs received only the Xuduan Zhongzi Formula treatment;while the control group received oral L-carnitine solu-tion.The TCM syndromes'efficacy,clinical efficacy,total sperm count per ejaculation,progressive motility(PR)percentage,and TCM syndrome scores,etc.were observed in the three groups.Results:The TCM syndromes'efficacy rate in the combination group was 94.44%,and the clinical efficacy rate was 88.89%.In the group of Chinese drugs,the TCM syndromes'efficacy rate was 84.21%,and theclinical efficacyratewas78.94%.In the control group,the TCM syndromes'efficacy rate was50.00%,and the clinical efficacy rate was 66.67%.The rates of TCM syndromes and clinical efficacy in the combination group were significantly higher than those in the group of Chinese drugs and the control group,with statistically significant differences(P<0.05).After treatment,the total sperm count per ejaculation in the combination group was higher than that in the group of Chinese drugs and the control group,with statistically sig-nificant differences(P<0.05).The PR percentage in the combination group and the group of Chinese drugs was higher than that in the control group,with statistically significant differences(P<0.05).However,there was no statistically significant difference between the combination group and the group of Chinese drugs(P>0.05).The TCM syndrome scores in the combination group were higher than those in the group of Chinese drugs and the control group after treatment,with statistically significant differences(P<0.05).Conclu-sion:Xuduan Zhongzi Formula combined with acupuncture and moxibustion can improve the total sperm count per ejaculation and PR percentage in patients with oligoasthenozoospermia having kidney essence deficiency syndrome and reduce TCM syndrome scores.

oligoasthenozoospermiakidney essence deficiency syndromeXuduan Zhongzi Formulaacupuncture and moxibustion

游凌、何明、王权胜

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广西中医药大学,广西 南宁 530023

桂林市中医医院,广西 桂林 541000

广西中医药大学第一附属医院,广西 南宁 530023

少弱精子症 肾精亏虚证 续断种子方 针灸疗法

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(9)