除湿液化汤联合前列安栓治疗精液液化异常的临床观察

Clinical Observation of Abnormal Sperm Liquefaction Treated with Chushi Yehua Tang and Qianlieanshuan

目的观察除湿液化汤联合前列安栓治疗精液液化异常的临床疗效。方法将120例精液液化异常的患者,随机分为治疗组60例,对照组60例,分别选用除湿液化汤联合前列安栓和单独应用前列安栓作为治疗方法,30 d为1个疗程,连续观察2个疗程,记录精液液化时间及其他参数变化情况。结果 2个疗程后,治疗组痊愈11例,显效27例,有效16例,无效6例;对照组痊愈4例,显效12例,有效14例,无效30例,两组总有效率比较,差异有统计学意义(P<0.01)。治疗组精液密度、精子活力、液化时间与治疗前比较差异有统计学意义(P<0.05);治疗组明显优于对照组,各项指标差异均有统计学意义(P<0.01);治疗后两组EPS中WBC含量比较治疗组优于对照组,差异有统计学意义(P<0.05)。治疗后两组EPS中卵磷脂小体含量与治疗前比较,差异无统计学意义(P>0.05)。结论除湿液化汤联合前列安栓可显著缩短精液液化时间,临床治疗精液液化异常效果显著,安全可靠。

Objective To observe the clinical efficacy on abnormal sperm liquefaction treated with chushi yehua tang and qianlieanshuan. Methods One hundred and twenty patients of abnormal sperm liquefaction were randomized into a treatment group （60 cases）and a control group （60 cases ）. They were treated with the allied therapy of chushi yehua tang and qianlieanshuan and single application of qianlieanshuan re- spectively. One session of treatment was 30 days. The two sessions were observed continuously. The sperm liquefaction time and the other parameters were recorded. Results After two sessions of treatment, 11 cases were cured ,27 cases effective remarkably, 16 cases effective and 6 cases failed in the treatment group ;4 cases were cured, 12 cases effective remarkably, 14 cases effective and 30 cases failed in the control group. The difference in the total effective rate was significant statistically between the two groups（ P 〈 0.01 ）. The sperm density, sperm vitality and liquefaction time were different significantly as compared with those before treatment in the treatment groups. The results in the treatment group were apparently superior to the control group. The differences of all the indexes were significant statistically（ P 〈 0. 01 ）. WBC in EPS after treatment in the treatment group was better than that in the control group, presenting the significant difference （P 〈 0.05 ）. The content of lecithin body in EPS after treatment was not significantly different as compared with that before treatment in the two groups （ P 〉 0.05 ）. Conclusion The allied therapy of chushi yehua tang and qianlieanshuan shortens significantly sperm liquefaction time. It achieves the significant, safe and reliable effects on abnormal sperm liquefaction.