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目的:观察生精合剂对不育男性精子运动参数及精子膜完整性的影响。方法:108例患者随机分为治疗Ⅰ组34例,给予维生素E和辅酶Q10口服,治疗Ⅱ组37例给予生精合剂口服,治疗Ⅲ组37例给予维生素E、辅酶Q10和生精合剂口服,均连续用药3个月(1个生精周期)。观察比较3组的临床疗效,精子活动率、前向运动率(a+b级%)、直线速度(VSL)、平均路径速度(VAP)、精子活力指数(AI),以及精子膜的完整性。结果:与治疗前比较,3组的精子活动率、运动速度和活力指数均明显改善(P<0.05,P<0.01);治疗后治疗Ⅱ、Ⅲ组的活动率、运动速度和活力指数明显优于治疗Ⅰ组(P<0.05,P<0.01),其中尤以治疗Ⅲ组改善最显著;治疗后3组精子质膜完整性均显著改善,与治疗前比较,差异有统计学意义(P<0.01);治疗Ⅱ、Ⅲ组精子总膨胀率显著高于治疗Ⅰ组(P<0.05,P<0.01),治疗Ⅲ组高于治疗Ⅱ组(P<0.05);治疗Ⅲ组g型精子膨胀率显著高于治疗Ⅰ、Ⅱ组(P<0.01)。结论:生精合剂能显著改善不育男性精子运动参数,对精子膜功能有保护作用,与抗氧化剂联合应用能提高疗效。
Objective: To observe the effects of Shengjing Mixture on sperm motility parameters and sperm membrane integrity in infertile men. Methods: One hundred and eighty patients were randomly divided into treatment group I (34 cases), oral administration of vitamin E and coenzyme Q10 (37 cases), treatment group Ⅱ (37 cases), and treatment group Ⅲ (37 cases). Vitamin E, coenzyme Q10 and spermicide were given orally, 3 consecutive months of medication (1 sperm cycle). The clinical efficacy, sperm motility, forward motility (% a + b), linear velocity (VSL), mean path velocity (VAP), sperm motility index (AI) and sperm membrane integrity . Results: Compared with those before treatment, the sperm motility, exercise speed and vitality index of the three groups were significantly improved (P <0.05, P <0.01), and the activity, speed and vitality index of the treatment group Ⅱ and Ⅲ were significantly better In treatment group Ⅰ (P <0.05, P <0.01), especially in treatment group Ⅲ, the most significant improvement was found. After treatment, the integrity of three groups of sperm plasma membrane was significantly improved, with statistical significance (P < 0.01). The total sperm expansion rate in treatment group Ⅱ and group Ⅲ was significantly higher than that in treatment group Ⅰ (P <0.05, P <0.01), that in treatment group Ⅲ was higher than that in treatment group Ⅱ (P <0.05) Significantly higher than the treatment group Ⅰ, Ⅱ (P <0.01). Conclusion: Shengjing Mixture can significantly improve sperm motor parameters in infertile men and protect the function of sperm membrane. Combined with anti-oxidants, Shengjing Mixture can improve the therapeutic effect.