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目的观察维参锌联合他莫昔芬治疗男性弱精症的临床疗效。方法选取医院收治的患者60例,经临床诊断均确诊为男性弱精症,均给予维参锌联合他莫昔芬进行治疗,连续服用1个疗程(3个月),根据患者具有情况可连续治疗1~3个疗程。60例患者禁欲7 d左右,通过自慰方式采集患者精液样本,然后采用计算对样本进行分析;同时运用放射免疫测定法,对患者治疗前后血清睾酮(T)及卵泡刺激素(FSH)水平进行检测。结果经1~3个疗程治疗后,患者血清T、FSH较治疗前均升高(达到正常上线水平),精子密度及向前运动精子百分率优于治疗前,差异均有统计学意义(P<0.05)。治疗后女方顺利妊娠15例,治疗过程中均无不良反应发生。结论参锌联合他莫昔芬治疗男性弱精症,临床疗效显著,且在治疗过程中无不良症状发生,具备临床推广应用价值。
Objective To observe the clinical efficacy of Dimethanol combined with tamoxifen in the treatment of male infertility. Methods Sixty patients admitted to hospital were diagnosed as male infertility by clinical diagnosis. All the patients were treated with vitamin Zinc and tamoxifen for one course of treatment (3 months), according to the patient’s condition Treatment of 1 to 3 courses. Sixty patients underwent abstinence for about 7 days. Sperm samples were collected by masturbation and then analyzed by calculation. Serum testosterone (T) and follicle stimulating hormone (FSH) levels were measured by radioimmunoassay . Results After 1 ~ 3 courses of treatment, the serum T and FSH levels in patients were higher than those before treatment (up to the normal level), the sperm density and the percentage of forward motile sperm were better than those before treatment (P < 0.05). After treatment, 15 cases of successful pregnancy in women, no adverse reactions during the treatment. Conclusion Zinc combined with tamoxifen treatment of male patients with asthenopia, clinical efficacy was significant, and no adverse symptoms occurred in the course of treatment, with clinical application value.