电针与中药治疗男性不育少、弱精子症临床观察

目的:对比电针、中药治疗男性不育少、弱精子症的疗效。方法:将临床确诊的231例男性不育少、弱精子症患者,分为电针组71例,穴取气海、关元、中极等;中药组82例,口服五子衍宗丸;针药组78例,采用电针结合口服中药的方法。观察各组患者治疗前后精液常规及顶体酶活性变化情况。结果:电针组有效率为67.6%,中药组为68.3%,针药组为84.6%,针药组治疗效果优于电针组及中药组(均P<0.05);各组治疗后精子密度、活力、顶体酶活性均有提高,以针药组升高明显。结论:电针、中药五子衍宗丸均能改善男性不育少、弱精子症患者的精液质量,提高受孕率,尤以针药结合效果最佳。

Clinical observation on electroacupuncture and Chinese drug for treatment of oligospermia and as the-nospermia of the male infertility patient

Objective To compare therapeutic effects of acupuncture and Chinese drug on oligospermia and asthenospermia in the male infertility. Methods Two hundred and thirty-one cases were divided into 3 groups. The electroacupuncture group (n=71) were treated with acupuncture at Qihai (CV 6), Guanyuan (CV 4), Zhongji (CV 3), etc., the Chinese drug group (n=82) with oral administration of Chinese drug Wuzi Yanzong Pill and the acupuncture plus medication group (n=78) with both electroacupuncture and oral administration of the Chinese drug. Changes of semen routine examination and the acrosome enzyme activity were observed before and after treatment in the 3 groups. Results The effective rate was 67.6% in the electroacupuncture group, 68.3% in the Chinese drug group and 84.6% in the acupuncture plus medication group, the acupuncture plus medication group being significantly better than both the electroacupuncture and the Chinese drug group (P<0.05); after treatment, the semen density, vitality and the acrosome enzyme activity were increased in the 3 groups, with more obvious increase in the acupuncture plus medication group. Conclusion Both electroacupuncture and Chinese drug Wuzi Yanzong Pill can improve the semen quality, increase the pregnancy rate in the patient of male interfile with oligospermia and asthenospermia, and the effect of the combined treatment of acupuncture and Chinese drug is the best.