精液不液化症患者服用加味二陈汤的疗效
点击此处>>查看其余5篇临床医学硕士范文第三篇临床医学硕士论文标题：精液不液化症患者服用加味二陈汤的疗效本篇文章目录导航：[]精液不液化症患者服用加味二陈汤的疗效[引言-第一章]痰湿阻滞型精液不液化症患者资料与治疗方法[第二章]中医 更多精彩就在： 51免费论文网|www.hbsrm.com
治疗精液不液化症患者的结果[第三章]加味二陈汤对精液不液化症状的作用分析与讨论[参考文献]精液不液化病人应用中药方的疗效研究结论与参考文献[综述]精液不液化症的中医论治进展中文摘要目的：通过临床疗效观察,明确加味二陈汤对痰湿阻滞型精液不液化症的作用,并为进一步探索加味二陈汤治疗精液不液化症的可能的作用机理打下基础.方法：选取2017年3月至2017年8月于福建中医药大学附属人民医院男科门诊就诊的痰湿阻滞型精液不液化症患者60例,所选患者符合精液不液化症的西医诊断及痰湿阻滞证的中医诊断标准.采用随机对照.单盲的方法将60例患者按照随机数字表分成2组,治疗组30例,服用中药颗粒加味二陈汤(根据导师经验方);对照组30例,服用维生素C片;14天为1个疗程,共观察3个疗程.分别观察并记录两组治疗前.治疗2周.治疗4周.治疗6周时精液液化时间.精楽锌的浓度.精子存活率.精子密度.A+B级精子活力以及中医证候评分变化情况,以液化时间作为评定标准,并记录患者服药后的反应.试验数据建立数据库后,采用SPSS21.0软件对数据进行统计分析.结果1.治疗前,两组患者年龄.病程.病因上均无统计学差异,在精浆锌水平.精子存活率.精子密度.A+B级精子活力及中医证候评分上亦无统计学差异,具备可比性;2.观察结束时对总疗效比较分析,治疗组治疗2周后总有效率为66.7%,治疗4周后为83.3%,治疗6周后为86.7%;对照组治疗2周后总有效率为36.6%,治疗4周后为56.7%,治疗6周后为66.7%.两组间经检验比较分析,两组在治疗2周后.4周后有统计学差异(尸<〇.〇5),治疗6周后无显着性差异(P>0.05);3.治疗组与对照组相比,在精行俊⒕哟婊盥省⒕用芏取+B级精子活力以及中医证候等方面有显着优势(P<〇.〇5);4.实验期间共完成对60例患者的观察,60例患者治疗前后均未出现明显不良反应.结论：加味二陈汤能有效改善痰湿阻滞型精液不液化症精液液化时间,可为临床治疗痰湿阻滞型精液不液化症患者提供可行的治疗思路及方法,并可改善患者痰湿体质,起到多角度.多方位地治疗目的.关键字：精液不液化,痰湿阻滞,加味二陈汤AbstractObjective：Throughclinicalefficacyobservation,toensuretheeffectofmodifiedJiaweiErchendecoctiononunliquefactionofsemenofPhlegmwetblocktype,andlaidthefoundationforfurtherexploringthepossiblemechanismofactionofJiaweiErchenDecoctionintreatingsemenliquefaction.Methods：sixtypatientswithunliquefaetionofsemenofPhlegmwetblocktypeatthemaleoutpatientdepartment,whichisselectedinMarch2017toAugust2017maleinthePeople'sHospitalofFujianUniversityofTraditionalChineseMedicine.TheselectedpatientmeetstheWesternmedicaldiagnosisofunliquefactionofsemenandDiagnosticcriteriaoftraditionalChinesemedicineofPhlegmwetblocktype.Usingarandomized,single-blindapproachanddivide60casesinto2groupsaccordingtotherandomnumbertable,30patientsinthetreatmentgroupweretreatedwithChinesegranulesofJiaweiErchendecoction(accordingtothetutor'sexperience);30patientsinthecontrolgrouptakingvitaminCtablets;l4daysforacourseoftreatment;Observe3coursesoftreatment.Observeandrecordthetwogroupsseparatelybeforetreatment,2weeksaftertreatment;4weeksaftertreatment,and6weeksaftertreatmentinsemenliquefactiontime,seminalzincconcentration,spermmotility,spermdensity,A+BgradespermvitalityandTCMsyndromescore,useliquefactiontimeasevaluationcriteria,Andrecordthepatient'sresponsetomedication.ThedatawereanalyzedbySPSS21,0software.1.Beforetreatment,therewasnosingificantdifferenceinage,courseofdiseaseandetiologybetweenthetwogroups,andtherewasnostatisticaldifferenceinseminalplasmazinclevel,spermmotilityrate,spermdensity,A+BgradespermvitalityandTCMsyndromescore;2.Observeandcomparethetotalefficacyattheendoftheanalysis,inthetreatmentgroup,thetotaleffectiveratewas66.7%after2weeksoftreatmentand83.3%after4weeks,86.7%after6weeks;Thetotaleffectiverateofthecontrolgroupwas36.6%after2weeksoftreatment56.7%after4weeks,66.7%after6weeksoftreatment.Camparisonandanalysisandetweenthetwogroups,wassignificantdifferencebetweenthetwogroupsafter2weeksoftreatmentand4weeksaftertreatment(P<0.05),differenceafter6weeksoftreatment(P>0.05);3.Comparedwiththecontrolgroup,thetreatmentgrouphadsignificantadvantagesintheaspectsofseminalplasmazinc,spermsurvivalrate,spermdensity,A+BgradespermvitalityandTCMsyndromes(P<0.05);4.Atotalof60patientswereobservedduringtheexperiment,and60patientshadnoobviousadversereactionsbeforeandaftertreatment.Conclusion：TheJiaweiErchenDecoctioncaneffectivelyimprovetheliquefactiontimeofunliquefactionofsemenofPhlegmwetblocktype,canprovideviabletreatmentideasandmethodsforclinicaltreatmentofunliquefactionofsemenofPhlegmwetblocktype,andcanimprovethephlegmanddampnessconstitutionofpatients,andplayamufti-angle,mufti-directionalpurposeoftreatment.KeyWords:Nonliquefactionofsemen,Phlegm-dampnessblock,JiaweiErchendecoction目录中文摘要Abstract英文缩略语引言临床资料与治疗方法1临床资料1.1研究对象来源1.2临床诊断标准1.3纳入标准1.4排除标准1.5退出和终止研究标准1.6脱落病例处理1.7一般资料2治疗方法3检测方法3.1精浆锌检测方法3.2精子运动分析检测4观察时点与指标4.1精液液化时间4.2中医证候得分4.3精浆锌含量4.4精液分析参数5疗效评价6质量控制6.1医师的选择6.2实验人员的选择7数据统计结果1患者基本情况1.1年龄与病程比较1.2病因比较1.3治疗前各项指标的比较2两组治疗前后疗效比较2.1总疗效2.2A+B级精子活力2.3精子密度2.4精子存活率2.5精浆Zn2.6中医症候3脱落病例原因和不良反应分析与讨论1西医对精液不液化症的认识1.1病因认识1.2精浆生化中相关生化因子对精液液化的影响1.3西医对精液不液化的治疗2中医对痰湿阻滞型精液不液化症的认识2.1病因病机认识2.2中医对精液不液化症的治疗二3痰湿阻滞型精液不液化症病机探讨4加味二陈汤组方分析4.1组方原则4.2方药分析4.3现代药理研究5对照组的设立依据6疗效机理探讨6.1总疗效分析6.2对精浆锌的提升6.3对精液参数的改善6.4对前列腺功能的改善7临床中的其他收获7.1对勃起功能的改善作用8安全性分析9问题及展望结论参考文献论文综述
治疗精液不液化症患者的结果[第三章]加味二陈汤对精液不液化症状的作用分析与讨论[参考文献]精液不液化病人应用中药方的疗效研究结论与参考文献[综述]精液不液化症的中医论治进展
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