从肾虚湿热论治少弱精症

Diagnosis and treatment of oligoasthenospermia from “kidney deficiency and damp-heat”

目的探讨从肾虚湿热入手治疗少弱精症的临床疗效。方法将31例中医辨证为肾虚湿热型、西医诊断为少弱精症者纳入观察对象,采用补肾利湿法治疗,共计12周,分别于治疗后4、8、12周进行精液分析,比较治疗前后精子密度、a级、a+b+c级精子百分比、白细胞计数等主要参考指标的变化。结果经治疗后,精子密度、a级、a+b+c级精子百分比等较治疗前变化明显,白细胞计数下降明显,差异具有统计学意义(P<0.01)。结论肾虚湿热是本地区不育症常见证型,补肾利湿方药可显著改善肾虚湿热型少弱精子症的精液质量。

Objective Evaluate the clinical effect of oligoasthenospermia according to ＂kidney deficiency and damp-heat＂. Methods The 31 cases of oligoasthenospermia were treated with kidney-nourishing and dampness-disinhibiting therapy,12 weeks as a treatment course. Then analyze the change of the main reference index,including sperm concentration,sperm motility（ a,a ＋ b ＋ c） and hemameba level after 4,8 and 12 weeks. Results After the treatment,the sperm concentration,sperm motility and hemameba level changed significantly. The difference was statistically significant（ P〈0. 01）. Conclusion The type of kidney deficiency and damp-heat is common in this region. Kidney-nourishing and dampness-disinhibiting therapy can significantly improve the sperm quality of oligoasthenospermia patient.