摘要
目的
观察针药并用治疗男性不育的临床疗效。
方法
将37例精液异常不育症患者随机分为两组, 针灸加中药组(观察组, n=25)采用针刺配合口服中药治疗; 针灸加西药组(对照组, n=12)采用针刺配合口服克罗米酚治疗。 观察两组患者治疗前后临床症状、 精液常规指标和血中睾酮(Testosterone, T)、 卵泡刺激素(Follicle-stimulating Hormone, FSH)、 黄体生成素(Luteinizing Hormone, LH)水平变化。
结果
观 察组疗效显著高于对照组(P<0.05)。 观察组患者治疗后精液密度、 1 h后存活率、活力得分、 正常形态率均有改善(P< 0.05), 对照组治疗后精液量减少(P<0.05), 其余各项变化均无统计学差异。 治疗后, 对照组T、 LH均有显著升高(P<0.05), FSH也有升高, 但与治疗前无统计学差异。 而观察组三项指标变化均不明显。
结 论
针灸加中药治疗精液异常不育症疗效肯定。
Abstract
Objective
To observe the clinical efficacy of combined acupuncture and herbal formula for male sterility.
Method
Thirty-seven sterility cases due to abnormal semen were randomly allocated into two groups, a group of combined acupuncture and herbal formula (observation group, n=25) and a group of combined acupuncture and oral clomifene capsules (control group, n=12). Then the clinical symptoms, routine semen indexes, testosterone (T), follicle-stimulating hormone (FSH) and luteinizing hormone (LH) changes have been observed in two groups respectively before and after treatment.
Results
Combined acupuncture and herbal formula obtained substantially better effect than combined acupuncture and oral Western medication (P<0.05). After treatment, the sperm density, 1h survival rate, motility score and normal morphological rates in the observation group were all improved (P<0.05), whereas, there were no statistical differences in the control group except for a decrease in semen volume (P<0.05). Additionally, after treatment, the T and LH values in the control group were significantly elevated (P<0.05); and despite the elevation of FSH, there was no statistical difference. For the observation group, there were no significant changes in T, LH and FSH.
Conclusion
Combined acupuncture and herbal formula can obtain accurate efficacy for abnormal semen.
References
Wang B. Advance of acupuncture for abnormal semen. Shang Hai Zhen Jiu Za Zhi, 2002, 21(6): 39–40.
Zhang SC, He B, Wang HY, Wang JD. Issues regarding environment and male sterility. Zhong Guo Ji Hua Sheng Yu Za Zhi, 2003, (3): 189–191.
Patrick J. Rowe, Frank H. Comhaire, Timothy B. Hargreave, Ahmed M. A. Mahmoud. WHO Manual for the Standardized Investigation, Diagnosis and Management of the Infertile Male. Li Z, Zhang ZP, Huang YR, Wang YX, Zhu XB, Liu YD, Zhang B, Lu H, Wang L, Cao XR, Liu Y, Wang YF. Bei Jing: People’s Medical Publishing House, 2007: 324.
World Health Organization. WHO Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction. 4th Edition. Cambridge University Press, 1999: 100–138.
Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines, Beijing: People’s Medical Publishing House, 1993: 192–193.
Zhang XQ, Zhang LY, Xu CQ, Lu H. Detection of free testosterone and dihydrotestosterone in the serum and semen of idiopathic oligospermia patients and its significance. Zhong Guo You Sheng Yu Yi Chuan Za Zhi, 2007, 15 (2): 98–104.
Zhang JR, Yao B, Wang YM, Cui YX, Wang SK, Ge YF, Huang YF. Detection of sexual hormone in semen of patients with idiopathic azoospermia or oligospermia and its significance. Zhong Hua Nan Ke Xue, 2003, 9 (4): 279–281.
Li J. Influence on Reproductive Function of Oligospermia and Asthenospermia Rats Animals by Acupuncture and Moxibustion. Guang Zhou: Guang Zhou University of Traditional Chinese Medicine, 2006, 4: 53–54.
Wang JM. Pharmacology of Chinese Materia Medica. Shanghai: Shanghai Science and Technical Publishers, 1985: 110, 114-116.
Fang ZQ, Zhang BN, Xu FX. Effect of Er Xian Tang and its modified formulae on the ultra-structure and SDH of sperm cells and semen in senile rats. Sheng Zhi Yu Bi Yun, 1993, 13 (1): 62–65.
Author information
Authors and Affiliations
Corresponding author
Additional information
Author: Wang Bo, master of medicine, attending physician
Rights and permissions
About this article
Cite this article
Wang, B., Li, G., Shen, W. et al. Therapeutic efficacy observation on combined acupuncture and herbal formula for male sterility. J. Acupunct. Tuina. Sci. 9, 211–214 (2011). https://doi.org/10.1007/s11726-011-0514-4
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-011-0514-4