中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

五子衍宗软胶囊联合左卡尼汀口服液治疗特发性 少、弱精子症的临床疗效

李林虎 1 ,罗晓辉 2 ,李涛 3

1.陕西省泾阳县人民医院泌尿外科,陕西 咸阳,713700;2.宝鸡市中心医院泌尿外科,陕西 宝鸡,721008; 3.陕西省宝鸡市妇幼保健院生殖健康科,陕西 宝鸡,721000

浏览次数:424次 下载次数:489次

摘要:

目的 观察五子衍宗软胶囊联合左卡尼汀口服液治疗特发性少、弱精子症的临床疗效。方法 选取我院收治的 120例特发性少、弱精子症患者,随机分为治疗组与对照组,各 60例。对照组于三餐后 20 min口服左卡尼汀口服液 1 g,治疗组三餐前加服五子衍宗软胶囊1.8 g,两组患者均治疗 3月。比较两组的临床疗效。结果 治疗前,两组患者禁欲天数和精液质量相关指标比较,无显著差异(P>0.05);治疗后,两组的精液量、精子密度、a级精子活率、b级精子活率、精子畸形率及精子活动率较治疗前明显改(P<0.05),两组 a级精子活率、b级精子活率无显著差异(P>0.05);治疗组精液量、精子密度、精子活动率显著高于对照组,精子畸形率显著低于对照组(P<0.05)。治疗组患者的治疗总有效率为 83.33% ,明显高于对照组的 48.33%(P<0.01)。  五子衍宗软胶囊联合左卡尼汀口服液可明显改善特发性少、弱精子症患者的精液质量,提高临床疗效。

关键词: 五子衍宗软胶囊;左卡尼汀口服液;特发性少、弱精子症

中图分类号:R698文献标志码:A文章编号:2096-1413(2018)07-0107-03

    Clinical effect of Wuzi Yanzong soft capsule combined with
    L-carnitine oral liquid in thetreatment of idiopathic
    oligospermia and asthenospermia


    LILin-hu 1 ,LUO Xiao-hui
    2 ,LITao 3*
    (1.Urology Department, the People`s Hospital of Jingyang County, Xian yang 713700; 2.Urology Department,
    Baoji Central Hospital, Baoji 721008; 3.Reproductive Health Department,
    Maternal and Child Health Hospital of Baoji,Baoji721000,China)


    ABSTRACT: Objective To observe the curative effect of WuziYanzong softcapsule combined with L-carnitineoralliquid in the treatment of idiopathic oligospermia and as the nospermia. Methods One hundred and twenty cases of idiopathic oligospermia and as the nospermia admitted in our hoapital were selected,and randomly divided into treatment group and controlgroup,with 60 cases in each group.The controlgroup took L-carnitine oralliquid 1 g within 20 minutes after meals,while the treatment group added WuziYanzong softcapsule 1.8 g before mealson the basisofthe controlgroup. Patients in the two groups were treated for3 months,and the clinical curative effects were compared between the two groups. Results There were no significant differences in abstinence days and related semen quality indicators before treatment between the twogroups(P>0.05).After treatment,these men volume,sperm density,grade A sperm survivalrate, grade B survival rate,rate of sperm malformation and sperm activity rate significantly improved in both groups (P<0.05); there was no significant difference in gradeA and gradeB sperm survival rate between the two groups(P>0.05).These men volume, sperm density and sperm activity rate of the treatment group were significantly higher than those of the control group,and the rate ofsperm malformation was significantly lowerthan that of the controlgroup (P<0.05).The total effective rate was 83.33% in the treatment group,which was significantly higher than 48.33% in the controlgroup (P<0.01).  Conclusion WuziYanzong softcapsule combined with L-carnitine oralliquid can obviously improve the semen quality of patientswith idiopathic oligospermia and asthenospermia,and improve the clinical efficacy.        KEYWORDS: WuziYanzong softcapsule;L-carnitineoralliquid;idiopathic oligospermia and as the nospermia

    参考文献:
    [1] 蔡文伟 , 江楠 . 男性不育患者精液活性氧与精子参数的关系研究[J]. 预防医学 ,2017,29(3):264-265,268.
    [2] 朱彤 , 吴媛媛 , 陈素华 , 等 . 无精子症及少弱精子症 2 436 例患者的细胞遗传学病因分析 [J]. 现代妇产科进展 ,2017,26(6):422-425.
    [3] 商学军 , 莫敦胜 , 詹绪新 , 等 . 左卡尼汀在男性不育患者精子 DNA 损伤中的保护作用 [J]. 第三军医大学学报 ,2015,37(15):1508-1512.
    [4] 吴正沐 , 陆湘 , 王永卫 , 等 . 短期应用左卡尼汀在卵细胞胞质内单精子注射治疗少弱精子症中的作用 [J]. 中华男科学杂志 ,2012,18(3):253-256.
    [5] 许克义 , 张金凤 , 方立异 , 等 . 五子衍宗软胶囊治疗少弱精子症大鼠的实验观察 [J]. 生物技术世界 ,2016,10(5):195-197.
    [6] 周伟强 . 五子衍宗软胶囊治疗肾虚精亏证男性少精、弱精不育症研究分析 [J]. 中医临床研究 ,2011,3(20):83-84.
    [7] 索杰 , 罗晓辉 , 李涛 , 等 . 五子衍宗软胶囊联合左卡尼丁口服液治疗男性弱精症的临床研究 [J]. 中国性科学 ,2017,26(4):105-108.
    [8] 刘瑞华 , 陶晓海 , 孙彬桂 , 等 . 精液质量参数与生殖内分泌激素水平关系的研究 [J]. 中国妇幼保健 ,2015,30(19):3223-3226.
    [9] 杜宝昕 , 陶方泽 , 郑军状 , 等 . 少弱精子症中医辨治策略初探 [J]. 浙江中医药大学学报 ,2017,41(7):590-594.
    [10] 海艺贝 , 梁沛华 . 少弱精子症的中医药治疗思路 [J]. 中国性科学 ,2017,26(1):80-83.
    [11] 李莉 , 戴宁 , 那莎 , 等 . 五子衍宗丸对实验性少弱精子症大鼠的保护作用与机制研究 [J]. 中华男科学杂志 ,2016,22(9):827-833.
    [12] 李轩 , 白勇 , 钟树怀 , 等 . 五子衍宗丸对不育患者附睾功能和精子活力的影响 [J]. 光明中医 ,2009,24(7):1222-1223.
    [13] 商学军 , 王玲玲 , 莫敦胜 , 等 . 左卡尼汀治疗特发性少、弱精子症疗效及安全性的系统评价 [J]. 中华男科学杂志 ,2015,21(1):65-73.
    [14] 朱小军 , 闫骏 , 黄勇 , 等 . 左卡尼汀配合复方玄驹胶囊对特发性少弱精子症的疗效观察 [J]. 现代生物医学进展 ,2013,13(31):6109-6112.
    [15] 孙忠杰 , 伯晓宁 , 黄明亮 . 宁泌泰胶囊联合左卡尼汀口服液治疗少弱精子症 [J]. 实用医药杂志 ,2016,33(7):614-616.
    [16] 王金菊 , 刘永生 , 张秋颖 . 右归胶囊联合左卡尼汀口服液治疗少弱精子症 96 例疗效观察 [J]. 中医杂志 ,2014,55(17):1491-1493.

上一篇多种西药联合使用的不良反应与临床合理用药对策

下一篇N/A