摘要
目的:调查精索静脉曲张(Varicocele,VC)常见中医证型分布及其对睾丸功能影响。方法:制定调查问卷,在中日友好医院男科门诊收集100例VC患者并进行中医辩证分型,同时收集患者睾丸超声、精液分析结果,建立数据库,采用SPSS20.0进行统计分析。结果:VC中医证型依次为湿浊血瘀证19例(19%)、阳虚血瘀证9例(9%)、肾虚血瘀证8例(8%)、气虚血瘀证7例(7%)、寒凝血瘀证7例(7%)、阴虚血瘀证6例(6%)、阳虚血瘀兼寒凝证6例(6%)、气虚血瘀兼湿浊证6例(6%)、气滞血瘀证4例(4%)、阳虚血瘀兼湿浊证3例(3%)、湿浊血瘀兼寒凝证3例(3%)、气滞血瘀兼湿浊证3例(3%)、肾虚血瘀兼气虚证2例(2%)、阴虚血瘀兼气滞证(2%)、阴虚血瘀兼湿浊证2例(2%)、阳虚血瘀兼气滞兼气虚证2例(2%)、寒湿血瘀证1例(1%)、肾虚血瘀兼湿浊证1例(1%)、肾虚血瘀兼气滞证1例(1%)、阴虚血瘀兼寒凝证1例(1%)、阳虚血瘀兼湿浊兼寒凝证1例(1%)、气虚血瘀兼湿浊兼寒凝证1例(1%)、肾虚血瘀兼气滞兼湿浊证1例(1%)、气滞血瘀兼湿浊兼寒凝证1例(1%)、无证可辩4例(4%)。各证型间双侧睾丸体积、精子浓度差异无统计学意义;阳虚血瘀兼寒凝证组双侧精索静脉最大内径显著大于其他证型;肾精亏虚证组精子总数显著低于其他证型;寒凝血瘀证组精子活力明显低于其他证型;阴虚血瘀证组正常形态精子百分比显著高于其他证型。结论:VC的中医证型分布具有一定规律,以湿浊血瘀证、肾虚血瘀证、气虚血瘀证、寒凝血瘀证、阴虚血瘀证、阳虚血瘀兼寒凝证、气虚血瘀兼湿浊证为主;不同证型间精索静脉最大内径和精液参数有明显差异,为指导临床提供了依据。
Objective： To investigate the distribution of traditional Chinese medicine（ TCM） syndromes of varicocele（ VC） and its effect on testicular function. Methods： A questionnaire was developed. 100 VC patients were collected from the male outpatient department of China-Japan Friendship Hospital and the TCM dialectical classification was collected. The testicular ultrasonography and semen analysis results were collected and the database was established. SPSS20. 0 was used for statistical analysis. Results： According to the TCM syndromes of VC,there were 19 cases of wet and blood stasis syndrome（ 19%）,9 cases of Yang deficiency and blood stasis syndrome（ 9%）,8 cases of kidney deficiency and blood stasis syndrome（ 8%）,7 cases of qi deficiency and blood stasis syndrome（ 7%）,7 cases of cold coagulation and blood stasis syndrome（ 7%）,6 cases of Yin deficiency and blood stasis syndrome（ 6%）,6 cases of Yang deficiency and blood stasis and cold coagulation syndrome（ 6%）,6 cases of qi deficiency and blood stasis and wet syndrome（ 6%）,4 cases of qi stagnation and blood stasis syndrome（ 4%）,3 cases of Yang deficiency and blood stasis and wet syndrome（ 3%）,3 cases of wet and blood stasis and cold coagulation syndrome（ 3%）,3 cases of qi stagnation and blood stasis and wet syndrome（ 3%）,2 cases of qi stagnation and blood stasis（ 2%）,2 cases of Yin deficiency and blood stasis syndrome（ 2%）,2 cases of Yin deficiency and blood stasis and wet syndrome（ 2%）,2 cases of Yang deficiency and blood stasis and qi stagnation and qi deficiency syndrome（ 2%）,1 case of cold coagulation and blood stasis syndrome（ 1%）,1 case of kidney deficiency and blood stasis syndrome（ 1%）,1 case of kidney deficiency and blood stasis syndrome（ 1%）,1 case of Yin deficiency and blood stasis syndrome（ 1%）,1 case of Yang deficiency and blood stasis and wet and cold coagulation syndrome（ 1%）,1 case of qi deficiency and blood stasis and wet and cold coagulation syndrome（
作者
崔天薇
刘保兴
高云霄
马文静
CUI Tianwei;LIU Baoxing;GAO Yunxiao;MA Wenjing(Department of Andrology,China-Japan Friendship Hospital,Beijing 100029,China)
出处
《中国性科学》
2018年第6期110-113,共4页
Chinese Journal of Human Sexuality
基金
国家自然科学基金项目(81473690)
关键词
精索静脉曲张
中医证型
睾丸功能
Varicocele （VC）
Traditional Chinese medicine （TCM） syndromes
Testicular function
