首页|薄氏腹针联合中药治疗精索静脉曲张不育症的疗效观察

薄氏腹针联合中药治疗精索静脉曲张不育症的疗效观察

扫码查看
目的 观察薄氏腹针联合益肾通络方治疗肾虚血瘀型精索静脉曲张不育症的临床疗效以及对精液质量、精子DNA碎片指数(DNA fragmentation index,DFI)的影响.方法 选择 102 例肾虚血瘀型精索静脉曲张不育症患者,随机分为对照组和观察组,每组 51 例.对照组采用益肾通络方治疗,观察组在对照组基础上采用薄氏腹针治疗.观察两组治疗前后中医证候积分、精索静脉血管管径、精液质量[精子浓度、精子前向运动(progressive,PR)+非前向运动(non-progressive,NP)率、精子PR率]、精子DFI及精液中性激素[促卵泡生成素(follicle-stimulating hormone,FSH)、促黄体生成素(luteinizing hormone,LH)和睾酮(testosterone,T)]水平变化,并比较两组临床疗效及不良反应发生情况.结果 观察组总有效率为 94.1%,高于对照组的 76.5%(P<0.05).两组治疗后中医证候积分、精索静脉血管管径较治疗前降低(P<0.05),观察组治疗后中医证候积分、精索静脉血管管径低于对照组(P<0.05).两组治疗后精子浓度、PR+NP率、PR率较治疗前增高(P<0.05),DFI 较治疗前降低(P<0.05);观察组治疗后精子浓度、PR+NP、PR 高于对照组(P<0.05),DFI 低于对照组(P<0.05).两组治疗后FSH、LH水平较治疗前降低(P<0.05),T水平较治疗前增高(P<0.05);观察组治疗后FSH、LH水平低于对照组(P<0.05),T水平高于对照组(P<0.05).两组不良反应发生率比较差异无统计学意义(P>0.05).结论 薄氏腹针联合益肾通络方可调节肾虚血瘀型精索静脉曲张不育症患者性激素分泌,提高精液质量,显著改善临床症状.
Therapeutic efficacy of Bo's abdominal acupuncture combined with Chinese herbal medicines in the treatment of infertility evidence of varicocele
Objective To observe the clinical efficacy of Bo's Abdominal Acupuncture combined with Yi Kidney Tongluo Formula in the treatment of varicocele infertility with kidney deficiency induced blood stasis pattern,and its effect on semen quality and sperm DNA fragmentation index(DFI).Method A total of 102 patients with varicocele infertility of kidney deficiency induced blood stasis pattern were selected and randomly divided into the control group and the observation group,with 51 cases in each group.The control group was treated with Yishen-Tongluo formula,while the observation group was treated with Bo's abdominal acupuncture on the basis of the control group.Before and after the treatment,the Chinese medicine syndrome score,vascular diameter of the spermatic vein,semen quality[sperm concentration,sperm progressive(PR)﹢ non-progressive(NP)rate,sperm PR rate],sperm DFI and sex hormones of semen[follicle-stimulating hormone(FSH),luteinizing hormone(LH)and testosterone(T)]were compared,and the clinical efficacy and the occurrence of adverse effects were also compared between the two groups.Result The total effective rate of the observation group was 94.1%,which was higher than 76.5% of the control group(P<0.05).After treatment,the Chinese medicine syndrome scores and the diameter of spermatic vein vessels of both groups were lower than those before treatment(P<0.05);the Chinese medicine syndrome scores and the diameter of spermatic vein vessels of the observation group were lower than those of the control group after treatment(P<0.05).Sperm concentration,PR﹢NP rate and PR rate increased after treatment in both groups compared with that before treatment(P<0.05),and DFI decreased compared with that before treatment(P<0.05);sperm concentration,PR﹢NP and PR in the observation group were higher than that in the control group after treatment(P<0.05),and DFI in the observation group was lower than that in the control group(P<0.05).The levels of FSH and LH of both groups after treatment were lower than those before treatment(P<0.05),and the level of T was higher than that before treatment(P<0.05);the levels of FSH and LH of the observation group after treatment were lower than that of the control group(P<0.05),and the level of T of the observation group was higher than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Bo's abdominal acupuncture combined with Yishen-Tongluo formula can regulate the secretion of sex hormones,improve the quality of semen,and significantly improve the clinical symptoms in patients with varicocele infertility due to kidney deficiency induced blood stasis.

Acupuncture therapyAcupuncture-medication combinedInfertility,maleAbdominal acupunctureKidney deficiency and blood stagnationVaricocele

王之仕、陈劲果、王宏

展开 >

海南省中医院,海口 570203

针刺疗法 针药并用 不育,男性 腹针 肾虚血瘀 精索静脉曲张

2025

上海针灸杂志
福建省水利学会

上海针灸杂志

影响因子:1.273
ISSN:1005-0957
年,卷(期):2025.44(1)