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中药对男性不育症的影响。

Effect of Chinese Herbal Medicine on Male Infertility.

作者信息

Jiang Dan, Coscione Alberto, Li Lily, Zeng Bai-Yun

机构信息

Hallam Institution of TCM in Sheffield UK, Sheffield, United Kingdom.

The Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom.

出版信息

Int Rev Neurobiol. 2017;135:297-311. doi: 10.1016/bs.irn.2017.02.014. Epub 2017 Apr 12.

Abstract

Male infertility normally refers a male's inability to cause pregnancy in a fertile female partner after 1 year of unprotected intercourse. Male infertility in recent years has been attracting increasing interest from public due to the evidence in decline in semen quality. There are many factors contributing to the male infertility including abnormal spermatogenesis; reproductive tract anomalies or obstruction; inadequate sexual and ejaculatory functions; and impaired sperm motility, imbalance in hormone levels, and immune system dysfunction. Although conventional treatments such as medication, surgical operation, and advanced techniques have helped many male with infertility cause pregnancy in their female partners, effectiveness is not satisfactory and associated with adverse effects. Chinese herbal medicine (CHM) has been used to improve male infertility in China for a very long time and has now been increasingly popular in Western countries for treating infertility. In this chapter we summarized recent development in basic research and clinical studies of CHM in treating male infertility. It has showed that CHM improved sperm motility and quality, increased sperm count and rebalanced inadequate hormone levels, and adjusted immune functions leading to the increased number of fertility. Further, CHM in combination with conventional therapies improved efficacy of conventional treatments. More studies are needed to indentify the new drugs from CHM and ensure safety, efficacy, and consistency of CHM.

摘要

男性不育通常是指男性在无保护性交1年后仍无法使有生育能力的女性伴侣怀孕。近年来,由于精液质量下降的证据,男性不育越来越受到公众的关注。导致男性不育的因素有很多,包括精子发生异常;生殖道畸形或阻塞;性功能和射精功能不足;精子活力受损、激素水平失衡以及免疫系统功能障碍。尽管药物治疗、手术治疗和先进技术等传统治疗方法帮助许多不育男性使其女性伴侣怀孕,但效果并不令人满意,且伴有不良反应。中药在中国用于改善男性不育已有很长时间,现在在西方国家治疗不育也越来越受欢迎。在本章中,我们总结了中药治疗男性不育的基础研究和临床研究的最新进展。研究表明,中药可提高精子活力和质量,增加精子数量,重新平衡激素水平不足,并调节免疫功能,从而提高受孕几率。此外,中药与传统疗法联合使用可提高传统治疗的疗效。需要更多的研究来从中药中鉴定新药,并确保中药的安全性、有效性和一致性。

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