补肾疏肝法治疗雄激素正常男性更年期综合征48例  

Bushen Shugan Method on the Treatment of the Male Climacteric Syndrome in Normal Androgen Levels for 48 Cases

作　　者：李轩[1] 王益俊[1] 卢杰宁[1] 陈粉莲[1] 萧汉达[1] 廖敦[1] 

机构地区：[1]广东省东莞市人民医院中心门诊中医男性科,东莞523100

出　　处：《中国中医药现代远程教育》2015年第6期42-43,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察补肾疏肝法治疗雄性激素水平正常男性更年期综合征(PADAM)的临床疗效。方法 96例雄激素水平正常男性更年期综合征患者按就诊顺序随机分为观察组和对照组各48例,观察组用补肾疏肝法治疗,服用六味地黄汤合逍遥汤加减内服,每日1剂;对照组服用舍曲林50 mg/次,2次/日,谷维素20 mg/次,3次/日,2组均以3月为1疗程。观察治疗前后PADAM评分及性激素结合蛋白(SHBG)变化情况。结果观察组在PADAM各症状评分变化上优于对照组(P<0.05);与治疗前比较,观察组血清T水平升高、性激素结合蛋白水平降低,差异有统计学意义(P<0.05)。结论补肾疏肝法可能通过增加血清中非SHBG结合睾酮水平发挥治疗作用,缓解临床症状,有效治疗男性更年期综合征。Objective To observation the clinical efficacy of Bush en Shugan method on the treatment of the male climacteric syndrome （PADAM） in normal androgen levels. Methods 96 patients with the male climacteric syndrome in normal androgen levels were randomly divided into two groups. The observation group of 48 cases was treated by Bushen Shugan method with Liuwei Dihuang decoction and Xiaoyao decoction, and one dose each day. The control group of 48 cases took orally oryzanol with 50 mg twice a day and sertraline with 20 mg three times a day. The course of treatment was 3 months. The PADAM score and sex hormone binding globulin （ SHBG） were tested and analyzed before and after treatment. Results Changes of each symptom of PADAM score of the observation group were better than those of the control group （ P〈0.05） . After treatment, the serum T level elevated and the SHBG levels declined, there was statistically significant （ P〈0.05） . Conclusion The Bushen Shugan method took effect by increasing the level of non‐SHBG binding testosterone in serum, alleviated clinical symptoms and was effective in treating male climacteric syndrome in normal androgen levels.

关 键 词：补肾疏肝法 男性更年期 性激素结合蛋白 六味地黄汤 逍遥汤 舍曲林 

分 类 号：R277.5[医药卫生—中医学]