活血化淤为主治疗男性性功能不全症的临床观察

Clinical Study of Male Sexual Insufficiency Treated by the Principle of Promoting Blood Circulation by Removing Statasis

117例病人分为两组,分别用活血化淤和温补肾阳治则治疗,总有效率为67.8％和68.9％。对性激素、血液流变学、甲皱微循环等作了检查。病人甲皱微循环的管袢数目、管长、管径、流速、流态、形态的异常率高达77.27％。经血液流变学检查证明大多有高粘滞血症。对92例患者作了治疗前后甲皱微循环观察比较,差异非常明显,并发现症状的改善和微循环的改善大致相平行。

117 cases were divided randomly into two groups. Group 1:59 cases were treated by the principle of promoting blood circularion by removing stasis; Group 2:53 cases ware treated by the principle of warming the kidney-yang. The total effective rate was 67.8% and 68.9% respectively. Meanwhile the experimental parameters such as the analysis of plasma sexual hormone, hemorheology, the nailfold microcirculation. The shape, width, length, order and clearness of the nailfold capillary loops as the speed and status of blood flow of the nailfold microcirculation in 77.27% of patients were abnormal. Results of hemorheological test proved that the hyper-hemoviscosity state usually accompanied. In addition, the changes of the clinical manifestation with the nailfold microcirculation before and after treatment in 92 patients were compared, and found that the improvement of the clinical manifestation was parallel to that of the nailfold microcirculation.