益精汤治疗气滞血瘀型少弱精症疗效观察

Curative Effect Observation on Yijing Decoction in Treatment of Qi Stagnation and Blood Stasis Type of Oligoasthenotspermia

目的:探讨益精汤治疗少弱精症(气滞血瘀型)的机理,为中医药治疗少弱精症提供理论依据。方法:将60例少弱精患者随机分成两组。治疗组30例,予益精汤口服,每日1剂,早晚分服。对照组30例,予左卡尼汀口服液10 mL,口服,2次/d。两组均以4周为1个疗程,观察3个疗程。观察患者在治疗前后的精液量、精液密度及活动力等指标。结果:治疗后两组精子参数各项指标中精液量、密度、成活率和活力均有改善,与治疗前比较,差异有显著性意义。结论:益精汤对于少弱精症(气滞血瘀型)患者精液参数的各项指标均有较好的改善,总有效率及各项精液参数均优于左卡尼汀口服液组。

Objective ： To study the mechanism of Yijing Decoction in the treatment of asthenospermia （ Qi stagnation and blood stasis type ）and TCM Oligoasthenotspermia and provide a theoretical basis. Methods： 60 cases of small weak sperm were randomly divided into two groups. The treatment group with 30 cases, was treated with Yijing Decoction orally, 1 agent a day in the morning and evening, 30 cases of the control group were given 10 mL levocarnitine oral liquid, twice a day. 4 weeks was I course, and there were 3 courses. Patients were observed before and after the treatment in the semen volume, density and activity index. Results ： After treatment, sperm parameters indicators in the semen volume, density, survival rate and activity of both were improved, compared with those before treatment, there were significant differences. Conclusions ： Yijing Decoction for asthenozoospermia （ Qi stagnation and blood stasis type ） can improve semen parameters. The total efficiency and the semen parameters were superior to those of levocarnitine oral liquid group.