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姜黄素纳米胶束改善不育男性的精液参数、氧化应激、炎症生物标志物和生殖激素:一项随机临床试验。

Curcumin nanomicelle improves semen parameters, oxidative stress, inflammatory biomarkers, and reproductive hormones in infertile men: A randomized clinical trial.

机构信息

Department of Nutrition, School of Health, Qazvin University of Medical Science, Qazvin, Iran.

Department of Urology, Velayat Hospital, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Phytother Res. 2018 Mar;32(3):514-521. doi: 10.1002/ptr.5998. Epub 2017 Nov 28.

DOI:10.1002/ptr.5998
PMID:29193350
Abstract

At least 50% of infertile couple's problems are related to male factor infertility. This Randomized, Double-Blind, Placebo-Controlled Clinical Trial conducted in Urology unit of Infertility Clinic on 60 infertile men. Patients were randomly assigned to one of intervention and placebo (n = 30) groups. Finally, 28 subjects in each group completed the study. Participants in the intervention group took daily 80 mg curcumin nanomicelle and those in the placebo group took daily placebo for 10 weeks. Semen analysis, anthropometric, physical activity assessments, total antioxidant capacity, malondialdehyde, inflammatory factors, and reproductive hormones were measured at the baseline and at the end of the study. At the end of study, statistically significant differences were seen in the total sperm count, sperm concentration, and motility in the intervention group to the control group. In treatment group, the total sperm count, sperm concentration, and motility levels were also statistically increased at the end of study compared to the baseline values. Curcumin nanomicelle supplementation also resulted in a statistically significant improvement in plasma levels of total antioxidant capacity, malondialdehyde, C-reactive protein, and tumor necrosis factor a in comparison to the placebo. Medical therapy of asthenoteratospermia with curcumin nanomicelle supplement could improve quality of semen parameters. However, further investigation is suggested in this regard.

摘要

至少 50%的不孕夫妇的问题与男性因素不孕有关。本随机、双盲、安慰剂对照的临床试验在不孕诊所的泌尿科对 60 名不孕男性进行。患者被随机分配到干预组和安慰剂组(n=30)。最后,每组有 28 名受试者完成了研究。干预组每天服用 80mg 姜黄素纳米胶束,安慰剂组每天服用安慰剂,持续 10 周。在基线和研究结束时测量精液分析、人体测量、身体活动评估、总抗氧化能力、丙二醛、炎症因子和生殖激素。研究结束时,干预组的总精子数、精子浓度和活力与对照组相比有统计学差异。与基线值相比,治疗组的总精子数、精子浓度和活力在研究结束时也有统计学上的增加。与安慰剂相比,姜黄素纳米胶束补充剂还导致血浆总抗氧化能力、丙二醛、C 反应蛋白和肿瘤坏死因子 a 的水平有统计学上的显著改善。姜黄素纳米胶束补充剂治疗弱精子症可以改善精液参数的质量。然而,在这方面还需要进一步的研究。

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