中西医治疗解脲脲原体感染所致男性不育症疗效观察.DOCVIP

中西医治疗解脲脲原体感染所致男性不育症疗效观察 【摘要】目的 探讨中西医结合治疗解脲脲原体（Uu）感染所致不育症的临床疗效。方法 将47例Uu感染所致不育症的男性患者随机分为两组，两组抗生素治疗均选用体外药敏实验的敏感药物。治疗组另加中药通淋止痛，清热利湿；健脾固精或健脾补肾，温补肾阳，通络填精。结果 治疗组24例中，痊愈22例（91.66%）；显效1例（4.17%）；好转1例（4.17%）；有效率95.83%。对照组23例中，痊愈14例（60.87%）；显效1例（4.35%）；好转1例（4.35%）；无效7例（30.43%）；有效率65.22%。两组痊愈率、有效率均有显著性差异（Plt;0.025），治疗组明显优于对照组。结论 中西药结合治疗Uu所致的男性不育症能显著提高治愈率。 【关键词】中西医结合 解脲脲原体 男性不育症 【Abstract】Objective to discuss the clinical effect of the Chinese and western medicine treatment of male infertility infected by Ureaplasma urealyticum. Method: Randomly divide 47 patients of male infertility infected by Ureaplasma urealyticum into two groups, both of which receive sensitive drugs in vitro susceptibility test as antibiotics. Additional traditional Chinese medicines are used in the treatment group to treat stranguria and relieve pain, eliminat dampness and heat, nourish spleen and kidney, control nocturnal emission, warm and recuperat the kidney-yang, and dredg collaterals and replenish essence. Results: 22 out of 24 (91.66%) patients in the treatment group were cured, with 1 case of markedly effect (4.17%) and 1 case of improvement (4.17%). The effective rate is 95.83%. 14 out of 23 (60.87%) patients in the control group were cured, with 1 case of markedly effect (4.35%), 1 case of improvement (4.35%) and 7 cases of no effect. The effective rate is 65.22%. The differences in recovery rate and effective rate between two groups are significant (Plt;0.025), with the treatment group superior to the control group. Conclusion: the Chinese and western medicine treatment of male infertility infected by Ureaplsma urealyticum can notably improve the cure rate. 【Key words】the Chinese and Western medicine Ureaplasma urealyticum Male infertility 解脲脲原体（Uu）是寄居于人体泌尿生殖道的病原微生物。有资料[1]显示：Uu多寄生在男性尿道、阴茎包皮。若上行感染，可引起男性前列腺炎或附睾炎；Uu干扰精子和卵子结合，阻碍男性精子运动等而导致不育。为寻找男性Uu感染所致不育症的有效治疗方法，笔者对47例Uu感染所致的男性不育患者进行了中西医结合治疗。现将结果报告如下： 1 资料和方法 1.1 一般资料 本病例为2006年至2010年本市非淋菌性尿道炎患者：