电针治疗特发性男性不育症的疗效观察。

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Medical Acupuncture Pub Date : 2022-12-01 Epub Date: 2022-12-12 DOI:10.1089/acu.2021.0063
Ida Nurwati, Bhisma Murti, Uki Retno Budihastuti, Teguh Prakosa, Abdurahman Laqif, Eriana Melinawati, Hanung Prasetya, Lunardhi Susanto, Metanolia Sukmawati
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引用次数: 0

摘要

背景:男性不育症占所有不育症病例的50%。男性不育的原因可能多种多样,其中之一与可能损害精子发生的特发性因素有关。针灸是最著名和广泛接受的替代治疗之一,并成为一种有效的补充治疗不孕症。病例:本病例通过对一对男性不育症夫妇电针治疗前后精子总活动精子数(TMSC)、精子形态和活力、DNA碎片指数(DFI)及妊娠成功率的观察,证明了电针治疗(EA)对提高男性生育能力的有效性。夫妇每周接受两次EA治疗,最多12次,并计划在生育期(排卵期)进行性交。经过有计划的性交,妻子怀孕了;经阴道超声发现宫内妊娠囊,尿促性腺激素试验阳性。结果:与ea前相比,ea后TMSC参数、精子形态、精子活力、DFI均有改善。这对夫妇在接受了12次治疗男性不育症的EA手术后怀孕了。结论:本病例表明,EA治疗特发性男性不育症对改善精子图检查结果、DFI和成功妊娠有作用。然而,还需要进一步的研究,因为许多患者的不孕症有不同的原因。
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Electroacupuncture Effectiveness for Treating Idiopathic Male Infertility.

Background: Male infertility accounts for ∼50% of all infertility cases. The reasons for male infertility may vary, and one of them is related to an idiopathic factor that may impair spermatogenesis. Acupuncture is one of the most well-known and widely accepted alternative treatments and is becoming known as an effective complementary therapy for infertility.

Case: The case in this article demonstrated the effectiveness of electroacupuncture (EA) for improving male fertility by referring to the total motile sperm count (TMSC), sperm morphology and motility, DNA Fragmentation Index (DFI) of the sperm before and after EA, and pregnancy success in a couple with male infertility. Couples are given therapy with EA twice per week for up to 12 sessions and planned intercourse during the fertile period (ovulation). After planned intercourse, the wife became pregnant; an intrauterine gestational sac (GS) was seen on transvaginal ultrasound and her human chorionic gonadotropin urine test was positive.

Results: The TMSC parameter, sperm morphology and sperm motility, post-EA DFI was improved, compared to pre-EA. The couple was became pregnant after undergoing EA 12 times to treat male infertility.

Conclusions: This case illustrated that EA therapy for idiopathic male infertility has an effect toward improvement of the spermiogram test result, DFI, and success in achieving a pregnancy. However, further research is needed because there are many patients with different causes for their infertility.

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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
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