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目的探讨应用他莫西芬联合辅酶Q10治疗特发性少弱畸形精子症的临床效果。方法选取特发性少弱精子症患者196人,随机分为TMX+CoQ10组(n=75)、TMX组(n=58)及CoQ10治疗组(n=63)。治疗方法为TMX:每次10mg,2次/天,CoQ10:每次30mg,3次/天,连续服用3个月为一个疗程。治疗前及治疗6个月后检测患者外周静脉血清性激素水平和精子浓度、活力及形态。结果治疗6个月后与治疗前相比,TMX+CoQ10组和TMX组血清FSH、LH、T水平明显升高(P<0.05),CoQ10组无明显变化(P>0.05);TMX+CoQ10组和TMX组总精子数显著提高(P<0.05),CoQ10有所提高,但无显著差异(P>0.05)。结论他莫西芬联合辅酶Q10可以改善特发性少弱畸形精子症患者总精子数、活力及形态。
Objective To investigate the clinical effect of tamoxifen combined with coenzyme Q10 in the treatment of idiopathic oligozoospermia. Methods 196 patients with idiopathic oligoasthenospermia were randomly divided into TMX + CoQ10 group (n = 75), TMX group (n = 58) and CoQ10 group (n = 63). Treatment for TMX: Each 10mg, 2 times / day, CoQ10: Each 30mg, 3 times / day, taking 3 consecutive months as a course of treatment. Peripheral venous serum sex hormone levels and sperm concentration, vitality and morphology were measured before treatment and 6 months after treatment. Results After 6 months of treatment, the levels of serum FSH, LH and T in TMX + CoQ10 group and TMX group were significantly higher than those in TMX + CoQ10 group (P <0.05), but not in CoQ10 group (P> 0.05) And TMX group (P <0.05), CoQ10 increased, but no significant difference (P> 0.05). Conclusions Tamoxifen combined with coenzyme Q10 can improve the total sperm count, vitality and morphology of idiopathic oligozoospermia patients.