Li Jian, Wu Xiao-Ke, Zhang Jing-Xin
Department of Obstetrics and Gynecology, The First Hospital Affiliated to Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China.
Department of Obstetrics and Gynecology,The First Hospital Affiliated to Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China.
Zhonghua Nan Ke Xue. 2018;24(1):86-90.
Studies show that acupuncture can significantly elevate the level of serum testosterone (T), reduce the concentrations of follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2), initiate spermatogenesis, enhance testicular blood flow, maintain a relative low temperature in the testis, increase the concentration, motility and antioxidative injury capability of spermatozoa by raising the levels of seminal α-glucosidase, fructose and super oxide dismutase, and eventually improve semen quality and the rate of conception in the treatment of oligoasthenozoospermia. Currently, the quality of the clinical studies of acupuncture treatment of oligoasthenozoospermia is relatively poor, the existing evidence remains at a low level, its clinical application is limited, and its therapeutic effect has to be further verified. The present paper summarizes the literature from domestic and international databases about acupuncture treatment of oligoasthenozoospermia, and offers an overview of the effects of acupuncture on the reproductive endocrine system, testicular blood flow, semen quality, and rate of conception in the treatment of the patient.
研究表明，针刺可显著提高血清睾酮（T）水平，降低卵泡刺激素（FSH）、黄体生成素（LH）和雌二醇（E2）浓度，启动精子发生，增加睾丸血流量，维持睾丸相对低温，通过提高精浆α-葡萄糖苷酶、果糖和超氧化物歧化酶水平增加精子浓度、活力及抗氧化损伤能力，最终改善少弱精子症患者的精液质量和受孕率。目前，针刺治疗少弱精子症的临床研究质量相对较差，现有证据水平较低，其临床应用受限，治疗效果有待进一步验证。本文总结了国内外数据库中关于针刺治疗少弱精子症的文献，并概述了针刺在治疗该疾病时对生殖内分泌系统、睾丸血流量、精液质量和受孕率的影响。
