中醫治療少精症不孕患者之療效評估

The Effect of TCM on Male Infertility Patients with Oligozoospermia

精蟲濃度與受精率和妊娠率密切相關，本研究旨在評估中醫治療少精症的療效評估。回溯2013–2018年台南市立醫院中醫門診資料，回顧少精症的男性不育症患者接受中醫治療的結果。最終共有45名少精症男性不孕症患者並接受中醫治療並被納入研究，經過中醫治療0、3個月後精蟲濃度分別為（6.7±4.4）、（25.0±24.8）×106/ml（P < 0.001）。依身體質量指數（Body Mass Index, BMI）分成BMI< 29和BMI≥29兩組，經過中醫治療3個月兩組精蟲濃度變化為（21.09±23.62）×106/ml和（3.17±6.06）×106/ml（P < 0.001）。少精症患者經過中醫治療精蟲濃度顯著進步。與正常體重相比，過重患者接受中醫治療效果較差，因此減肥將有利於提高精蟲濃度改善程度。

This aim of this study evaluates the therapeutic effects of traditional Chinese medicine (TCM) for oligozoospermia in infertile patients. We retrospectively enrolled male infertility patients with oligozoospermia and the patients were treated by traditional Chinese medicine at the Tainan Municipal Hospital in Taiwan between 2013and 2018. A total of 45 patients were included in this study. The sperm concentrations were (6.7±4.4) and (25.0±24.8)×106/ml after 0 and 3 months of TCM treatment (P < 0.001), respectively. According to body mass index (BMI), they were divided into two groups: BMI < 29 and BMI≥29. After 3 months of TCM treatment, the sperm concentration changes in the two groups were (21.09±23.62)×106/ml and (3.17±6.06)×106/ml (P < 0.001). The concentration of patients with oligozoospermia has been significantly improved through TCM. Compared to patients with normal body weights, TCM treatment was less effective in obese patients.