慢性前列腺炎致不育症中西医结合治疗.doc

慢性前列腺炎致不育症中西医结合治疗【摘要】目的：探讨慢性前列腺炎与不育症的关系及中西医治疗的临床疗效。方法：所有病例均为慢性前列腺炎肾虚湿热瘀阻型患者，服用中药补肾活血汤， 结合西医抗生素治疗，观察治疗前后精液、前列腺液各项指标的变化情况及配偶妊娠。结果：总有效率达到96.4%。结论：部分男性不育症为继发于慢性前列腺炎，临床上应充分重视，积极治疗前列腺炎，中西医结合治疗可显著地改善慢性前列腺炎不育症患者的精液质量，提高受孕率。 【关键词】不育；前列腺炎；中西医结合疗法 文章编号：1009-5519（2008）07-0962-02 中图分类号：R26 文献标识码：A Combined treatment of traditional Chinese and western medicine in barrenness caused by chronic prostatitis SHI Zhan，CHEN Li-rong，ZHU Jiang-bo （Department of Urology，The First People’s Hospital of Taizhou，Zhejiang ，China） 【Abstract】Objective：To investigate the therapeutic effect of combined treatment of traditional Chinese and western medicine in barrenness caused by chronic prostatitis. Methods：All of the patients were those with chronic prostatitis，with kidney deficiency，damp heat and blood stasis. All of the patients were treated by traditional Chinese medicine which had the effects of invigorating kidney and activating blood circulation and western medicine. The parameters of sperm and succus prostaticus were observed before and after treatment. Results：The total effective rate was 96.4%. Conclusion：The combined treatment of traditional Chinese and western medicine can significantly improve seminal quality and increase the pregnancy rate in patients with barrenness caused by chronic prostatitis. 【Key words】Barrenness；Prostatitis；Combined treatment of traditional Chinese and western medicine 前列腺炎是成年男性的常见疾患，可引致不育[1]，但其导致生育力降低的机理尚未充分认识。我们认为前列腺的感染可直接影响精液的质量而导致不育。统计2003年7月~2007年3月来我院就诊的56例慢性细菌性前列腺炎感染而导致的男性不育症患者，采用中西医综合疗法治疗，取得较好疗效，现报道如下。 1 资料与方法 1.1 一般资料：入选的56例病例均为结婚2年以上，夫妇同居，正常性生活未避孕，，男方既往无腮腺炎或生殖器外伤史、先天性生殖器发育不全等疾病，配偶经妇科检查无异常发现而不育者。全部病例均符合慢性前列腺炎的诊断标准:前列腺液(EPS)中白细胞数10个/HP、卵磷脂小体减少，同时有不同程度的尿频、尿痛、尿浊、小便余沥不尽，腰痛而软，会阴部刺痛，痛引睾丸、腹及腰部，部分患者伴性功能减退。56例患者精液检查可有精子数目减少，低于2.0×107/ml，精子活力下降，射精后1小时内A+B级精子小于60%，精子液化时间超过1小时，其中1例精液检查100%死精。 1.2 治疗方法：给予口服中药补肾活血汤，方药组成:白花蛇叶草30 g、枸杞子15 g、赤芍15 g、土茯苓20 g、茯苓10 g、桃仁6 g、虎仗20 g、党参15 g、败酱草15 g，车前子10 g每天1剂，前列腺液检查有红细胞者加小蓟，尿痛、会阴部刺痛，痛引睾丸严重者加三叶青