Clinical observation of the combined use of Yulu Shengjing Decoction and Levocarnitine in the treatment of oligoasthenozoospermia resulting from spleen and kidney deficiency
Objective To investigate the clinical efficacy of combined use of Yulu Shengjing Decoction and Levocarnitine in the treatment of oligoasthenozoospermia resulting from spleen and kidney deficiency and its effect on traditional Chinese medicine syndrome score and sperm motility.Methods A randomized controlled study was conducted on 64 patients with oligoasthenozoospermia resulting from spleen and kidney deficiency who received treatment at the Huaibei Hospital of Traditional Chinese Medicine,Anhui University of Chinese Medicine between March 2022 and December 2023.These patients were randomly divided into an observation group(n=33)and a control group(n=31)using a random number table method.The control group received treatment with Levocarnitine,while the observation group received treatment with a combination of Yulu Shengjing Decoction and Levocarnitine.After 3 months of treatment,the clinical efficacy of the two groups was compared.The relative changes in traditional Chinese medicine syndrome scores and semen indicators(including semen volume,sperm concentration,progressive motility,and progressive motility+non-progressive motility)were evaluated after treatment compared with their respective pre-treatment levels.Results The total response rate in the observation group was 84.85％(28/33),which was significantly higher than that in the control group[61.29％(19/31),x2=4.55,P＜0.05].After treatment,the main symptom score and secondary symptom score of the observation group were(1.64±1.20)points and(1.27±0.84)points,respectively,which were significantly lower than(1.82±1.04)points and(2.19±0.87)points in the control group(t=-2.94,-4.30,both P＜0.05).The semen volume,sperm concentration,progressive motility,and progressive motility+non-progressive motility of the observation group were(4.07±0.86)mL,(28.81±6.48)×106/mL,(30.82±11.43)％,and(70.69±13.60)％,respectively.These values were significantly higher than those in the control group[(3.62±0.73)mL,(23.87±11.38)×106/mL,(24.31±8.27)％,(63.11±14.28)％,t=2.14,2.02,2.47,2.05,all P＜0.05).Conclusion The combination of Yulu Shengjing Decoction and Levocarnitine is effective in treating oligoasthenozoospermia with spleen and kidney deficiency.It can significantly improve patients'symptoms in traditional Chinese medicine,enhance semen quality,and increase sperm motility.
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