CAJ | 학술논문

目的：慢性前列腺炎(C.P,中医病名为精浊)和男性不育都是男科门诊的常见病,二者的联系目前已有较为肯定的论断,但大都缺乏从中医证侯学角度的阐述。本文通过对C.P患者进行精液分析,研究C.P中医证型与精子质量之间的关系,找出C.P和与其有关的精子质量降低的相关性规律从而在理论上深化中西医结合的内涵,在临床上为与C.P有关的精子质量降低的男性不育症患者的中医提供流行病学依据。方法随机抽取前来就诊的C.P患者(有或无不育症)2200例,对他们进行中医证候分型和精液分析,并对收集相关数据进行有关统计学分析,找出不同中医证型的慢性前列腺炎与精子质量各项指标的影响关系。结果各型慢性前列腺炎患者的精液质量均低于正常标准,但就精液分析中各项指标而言,不同中医证型的前列腺炎影响程度不尽相同。结论各中医证型慢性前列腺炎患者的精液量、精子密度、精液PH值与正常值无明显差异；精子活率与各中医证型的慢性前列腺炎均有关,而肾阳虚损型更为明显,但因例数较少,仅提出作为讨论、参考；精子活动力与各中医证型的慢性前列腺炎均有关,而与气滞血瘀型和肾阳虚损型相关更为明显；精液液化时间与气滞血瘀型和肾阳虚损型有关；精子畸形率与湿热蕴结型、阴虚火旺型、肾阳虚损型有关。精浆抗精子抗体阳性率与气滞血瘀型有关。
목적：만성전렬선염(C.P,중의병명위정탁)화남성불육도시남과문진적상견병,이자적련계목전이유교위긍정적론단,단대도결핍종중의증후학각도적천술。본문통과대C.P환자진행정액분석,연구C.P중의증형여정자질량지간적관계,조출C.P화여기유관적정자질량강저적상관성규률종이재이론상심화중서의결합적내함,재림상상위여C.P유관적정자질량강저적남성불육증환자적중의제공류행병학의거。방법수궤추취전래취진적C.P환자(유혹무불육증)2200례,대타문진행중의증후분형화정액분석,병대수집상관수거진행유관통계학분석,조출불동중의증형적만성전렬선염여정자질량각항지표적영향관계。결과각형만성전렬선염환자적정액질량균저우정상표준,단취정액분석중각항지표이언,불동중의증형적전렬선염영향정도불진상동。결론각중의증형만성전렬선염환자적정액량、정자밀도、정액PH치여정상치무명현차이；정자활솔여각중의증형적만성전렬선염균유관,이신양허손형경위명현,단인례수교소,부제출작위토론、삼고；정자활동력여각중의증형적만성전렬선염균유관,이여기체혈어형화신양허손형상관경위명현；정액액화시간여기체혈어형화신양허손형유관；정자기형솔여습열온결형、음허화왕형、신양허손형유관。정장항정자항체양성솔여기체혈어형유관。
Objective Find the interralation between the chronic prostatitis of dif erent TCM types of differentiation and the sperms quality.Methods We randomly col ected 2200 cases of choronic prostatitis, and we devided them into dif erent TCM type of syndrome, and gave them semen analysis as wel . Then we made statastic analysis on the above datum and reasearch on the correlation between dif erent TCM type of syndrome and dif erent index of sperm quality.Results Al chronic prostatitis patients's sperm quality were below normal standared. But for different type of syndrome had dif erent index of sperm quality.Conlusion The semen quantity、sperm density and semen pH of chronic prostatitis were not quite dif erence from the normal value. And the survival rate of sperm correlated with very type of syndrome, especial y deficiency of kidney-yang. While the motoricity of sperms was especial y influenced in the type of Qi-blood stagnancy and kidney-yang deficiency. And the deliquesce time of smen was correlated with the type of Qi-blood stagnancy and kidney-yang deficiency. And the deformity rate of sperms was correlated with the type of wet-heat, asthenic Yin causing excessive pyrexia as wel as kidney-yang deficiency, while the positive rate of antisperm antibody of seminal plasma was correlated with the type of Qi-blood stagnancy.