针挑治疗原发不育精子异常临床与机理研究  

Clinical observation and study of mechanisms of needle-picking therapy for primary infertility of abnormal sperm

作　　者：陈栋[1] 陈恕仁[2] 姜杰[3] 肖远辉[4] 蔡明雪[1] 章岳娟[1] 徐浩[1] 邓列华[1] 李姝[1] 

机构地区：[1]暨南大学附属第一医院新医针挑科,广州510630 [2]南方医科大学 [3]暨南大学医学院中医系 [4]广东省中山市中医院

出　　处：《中国针灸》2006年第6期389-391,共3页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局科研专项课题:200248;暨南大学自然科学基金资助课题:教199938

摘　　要：目的:寻找提高治疗原发精子异常临床疗效的最佳方法。方法:将168例患者随机分为两组,治疗组85例针挑生殖点、骶丛神经点、腰2神经点为主;对照组83例口服五子衍宗丸。在3家医院进行了多中心疗效观察。结果:治疗组总有效率为83·5%,配偶受孕率78·8%;对照组总有效率为54·2%,配偶受孕率43·4%,两组比较差异有非常显著性意义(P<0·01);两组生殖内分泌激素治疗后均有明显改善(P<0·01);治疗组治疗后精浆超氧化物歧化酶、微量元素锌显著增加,而镉明显下降,与治疗前比较差异有显著性意义(P<0·05)。结论:针挑治疗原发性精子异常有显著改善和调节内分泌功能、提高精子与精浆质量、提高妊娠率的作用,是目前治疗本病非药物疗法中的较佳疗法。Objective To search for the best method for increasing clinical therapeutic effect on primary abnormality of sperm. Methods One hundred and sixty-eight cases of infertility were randomly divided into a treatment group of 85 cases and a control group of 83 .cases. The treatment group were treated with needle-picking at bilateral Shengzhi points, Dicong Shenjing points and L2 Shenjing points as main. The control group were treated with oral administration of Wuzi Yanzong Pills （五子衍宗丸）. Their therapeutic effects were observed in 3 hospitals. Results The total effective rate of 83.5 % and the pregnancy rate of the patient＇S wife of 78. 8 % in the treatment group, and corresponding figures were 54. 2 % and 43.4 % in the control group, with a very significant difference between the two groups （P〈0.01） and reproductive hormones improved significantly after treatment in the two groups （P 〈0.01） after treatment, superoxide dismulase （SOD） activity and Zn content in semen were elevated and cadmium level decreased significantly in the treatment group （P〈0. 05）. Conclusion Needle picking therapy can significantly improve and regulate endocrine function, increase quality of semen and elevate pregnancy rate of the patient＇s wife for the patient of primary abnormal sperm.

关 键 词：死精子症/针灸疗法 精子发生/针灸效应 挑治 不育 男性/针灸疗法 

分 类 号：R244.5[医药卫生—针灸推拿学]