补肾活血法联合睾丸冷敷贴治疗肾虚血瘀型左侧精索静脉曲张型不育症的临床观察

发布时间：2018-11-12 17:15

【摘要】：目的：通过对治疗前后患者的精液分析及阴囊超声来证实补肾活血法结合睾丸冷敷贴治疗左侧精索血管曲张型不育症的临床疗效。方法：采用随机、对照法,分别从成都中医药大学附属医院及第二附属医院收取72例肾虚血瘀型左侧精索静脉曲张型不育症男性患者,分为两组,每组36例,行基础治疗(服用补肾活血法治则方剂)的同时,对照组行手术治疗(固定手术医生,腹腔镜下左侧精索静脉高位结扎治疗)；实验组给予实验方法(睾丸冷敷贴外敷阴囊)进行1个疗程(3个月)的治疗,治疗前、结束时及结束后随访3个月,观察比较各组患者精液常规分析与阴囊超声及中医证候评分。实验数据采集后,运用SPSS22.0进行分析。结果：实验组显效率38.89%、有效率27.78%、无效率33.33%,对照组显效率27.78%、有效率25.00%、无效率47.22%,其P0.05,表明差异具统计学意义。在中医证候疗效方面,实验组显效率58.33%、有效率25.00%、无效率16.77%,对照组显效率27.78%、有效率36.11%、无效率36.11%。两组分级疗效相比较,P0.05,其差异具有统计学意义。两组在分级证候疗效、总有效率上的差异性具统计学意义。实验组在精液常规分析方面疗效优于对照组,差异有统计学意义(P0.05)；治疗后两组在精索静脉最大内径改善例数之间的差异不具统计学意义。结论：补肾活血法联合睾丸冷敷贴对肾虚血瘀型左侧精索静脉曲张型不育症的对精子质量有显著提高作用,可明显改善患者的临床自觉症状,其总体治疗效安全有效,但对精索静脉的最大内径的改善无明显作用效果。
[Abstract]:Objective: to confirm the clinical effect of tonifying kidney and activating blood method combined with cold compress of testis on left spermatic varicose type infertility by semen analysis and scrotal ultrasound before and after treatment. Methods: 72 infertile male patients with varicocele type of kidney deficiency and blood stasis type were collected from affiliated Hospital and second affiliated Hospital of Chengdu University of traditional Chinese Medicine at random and were divided into two groups: 36 cases in each group. At the same time, the control group was treated with surgery (fixed surgeon, laparoscopic high ligation of the left spermatic vein), while taking the prescription of tonifying kidney and activating blood circulation, the patients in the control group were treated with high ligation of the left spermatic vein. The experimental group was given a course of treatment (3 months), followed up for 3 months before, at the end and after the treatment. To observe and compare the semen routine analysis, scrotal ultrasound and TCM syndrome score. The experimental data were collected and analyzed by SPSS22.0. Results: the effective rate was 38.89%, the effective rate was 27.78%, the non-effective rate was 33.33%, the control group was 27.78%, the effective rate was 25.00 and the non-effective rate was 47.22 (P0.05), the difference was statistically significant. As for the curative effect of TCM syndrome, the effective rate of the experimental group was 58.33, the effective rate was 25.00, the inefficiency was 16.77m, the effective rate of the control group was 27.78, the effective rate was 36.11, and the non-effective rate was 36.11. The difference between the two groups was statistically significant (P 0.05). The difference of the curative effect and total effective rate between the two groups was statistically significant. The effect of routine semen analysis in the experimental group was better than that in the control group, the difference was statistically significant (P0.05); after treatment, there was no significant difference between the two groups in the improvement of the maximum internal diameter of spermatic vein. Conclusion: the method of tonifying kidney and activating blood circulation combined with cold compress of testis can significantly improve the quality of spermatozoa in infertility of left varicocele type of kidney deficiency and blood stasis type, can obviously improve the clinical conscious symptoms of the patients, and its overall curative effect is safe and effective. However, there was no significant effect on the improvement of the maximum diameter of spermatic vein.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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