中醫治療少精症不孕患者之療效評估

The effect of TCM on Male Infertility Patients with Oligozoospermia

陳柏銘(Po-Ming Chen) ； 蔡良敏(Liang-Miin Tsai) ； 王淑貞(Shu-Chen Wang) ； 王淑秋(Shu-Chiu Wang) ； 張烱宏(Chiung-Hung Chang)

《秀傳醫學雜誌》 預刊文章 Pp. 1-14

https://doi.org/10.30185/SCMJ.202309/PP.0006

摘要

精蟲濃度與受精率和妊娠率密切相關，本研究為進行中醫治療少精症的療效評估。回溯2013-2018年台南市立醫院中醫門診資料，回顧少精症的男性不育症患者接受中醫治療的結果。最終總共有45名少精症男性不孕症患者並接受中醫治療被納入研究，經過中醫治療0、3個月後精蟲濃度分別為（6.7±4.4）、（25.0±24.8）×10^6/ml（P<0.001）。依身體質量指數（Body Mass Index, BMI）分成BMI<29和BMI≥29兩族群，經過中醫治療3個月兩組精蟲濃度變化為（21.09±23.62）×10^6/ml和（3.17±6.06）×10^6/ml（P<0.001）。少精症患者經過中醫治療濃度顯著進步。和正常體重相比，過重患者接受中醫治療效果較差，減肥是將有利於提高精蟲濃度改善程度。

關鍵字

男性不孕症 ； 少精症 ； 中醫

並列摘要

This aim of this study evaluates the therapeutic effects of traditional Chinese medicine(TCM) for oligozoospermia in infertile patients. we retrospectively enrolled male infertility patients with oligozoospermia and were treated by traditional Chinese medicine at the Tainan Municipal Hospital in Taiwan between 2013and 2018. A total of 45 patients were included in this study. The sperm concentrations were (6.7 ± 4.4) and (25.0 ± 24.8)×106/ml after 0 and 3 months of TCM treatment ( P < 0.001). According to body mass index (BMI), they were divided into two groups: BMI < 29 and BMI ≥ 29. After 3 months of TCM treatment, the sperm concentration changes in the two groups were (21.09 ± 23.62) ×106/ml and (3.17 ± 6.06) ×106/ml (P < 0.001). The concentration of patients with oligozoospermia has been significantly improved through TCM. Compared to patients with normal body weights, TCM treatment was less effective in obese patients.

並列關鍵字

oligozoospermia ； male infertility ； traditional Chinese medicine