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[加味聚精2号方治疗精索静脉曲张性男性不育症]

[Modified Jujing No.2 Decoction for varicocele-induced male infertility].

作者信息

Sun Zhi-Xing, Zhou Yu-Chun, Liu Tao, Fan Qian, Huang Xin-Fei, Huang Jian, Wang Qing, Ni Liang-Yu, Xue Jian-Guo, Ning Ke-Qin

机构信息

Department of Andrology, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, China.

出版信息

Zhonghua Nan Ke Xue. 2016 Jul;22(7):645-648.

Abstract

OBJECTIVE

To investigate the clinical effect of Jujing No.2 Decoction on male infertility induced by varicocele.

METHODS

We equally randomized 70 male patients with varicocele-induced infertility into a treatment group and a control group, the former treated with modified Jujing No.2 Decoction (1 dose a day, bid) and the latter given Danshen Tablets (4 tablets once, tid) plus Liu Wei Di Huang Wan (8 pills once, tid), both for 3 months. We examined the spermatic veins of the patients by ultrasonography and performed seminal analysis before and after medication.

RESULTS

Compared with the controls, the patients in the treatment group showed significant improvement after medication in sperm concentration ([12.35±2.12] vs [18.56±4.16] ×10⁶/ml, P<0.05), progressively motile sperm ([16.18±6.34] vs [24.63±8.51] %, P<0.05), and morphologically normal sperm ([11.59±5.31] vs [14.17±6.02] %, P<0.05). In the control group, sperm concentration was increased from (12.29±2.07) ×10⁶/ml at the baseline to (13.13±3.13) ×10⁶/ml after medication, progressively motile sperm from (16.13±6.45) % to (20.55±7.30) % (P<0.05), and morphologically normal sperm from (11.62±5.35) % to (12.69±5.77) %. The total effectiveness rate was significantly higher in the treatment than in the control group (71.88% vs 46.67%, P<0.05). The inner diameter of the left spermatic vein was decreased from (0.32±0.05) mm at the baseline to [0.26±0.05] mm after medication in the treatment group (P<0.05) and from (0.32±0.03) mm to (0.29±0.04) mm in the control (P<0.05), with statistically significant difference between the two groups after medication (P<0.05).

CONCLUSIONS

Jujing No.2 Decoction is effective in the treatment of varicocele-induced male infertility.

摘要

目的

探讨聚精二号方治疗精索静脉曲张所致男性不育症的临床疗效。

方法

将70例精索静脉曲张所致不育症男性患者随机分为治疗组和对照组,每组各35例。治疗组采用加味聚精二号方治疗(每日1剂,分2次服用),对照组服用丹参片(每次4片,每日3次)加六味地黄丸(每次8丸,每日3次),两组均治疗3个月。用药前后采用超声检查患者精索静脉,并进行精液分析。

结果

治疗组治疗后精子浓度([12.35±2.12]比[18.56±4.16]×10⁶/ml,P<0.05)、前向运动精子比例([16.18±6.34]%比[24.63±8.51]%,P<0.05)、正常形态精子比例([11.59±5.31]%比[14.17±6.02]%,P<0.05)较对照组均有显著改善。对照组治疗后精子浓度由基线时的(12.29±2.07)×10⁶/ml升高至(13.13±3.13)×10⁶/ml,前向运动精子比例由(16.13±6.45)%升高至(20.55±7.30)%(P<0.05),正常形态精子比例由(11.62±5.35)%升高至(12.69±5.77)%。治疗组总有效率显著高于对照组(71.88%比46.67%,P<0.05)。治疗组用药后左侧精索静脉内径由基线时的(0.32±0.05)mm降至[0.26±0.05]mm(P<0.

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