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1、四妙散加味联合左卡尼汀治疗少、弱精症疗效观察【摘要】目的：观察中药四妙散加味治疗湿热下注证少、弱精症临床疗效。方法：选取符合标准的42例患者，服用四妙散加味和左卡尼汀口服液联合治疗。结果：42例患者治疗后痊愈16例，显效18例，有效4例，无效4例，总有效率为90.48%o治疗4周后自身前后对照精液量、活动率、精子密度、（a+b）级精子含量差异均无统计学意义（P>0.05）；治疗8周后差异具有统计学意义（P【关键词】四妙散；湿热下注证；少、弱精症[Abstract]Objectives：Toobservetheclinicalcurativeeffectoftraditional
2、Chinesemedicine（TCM）Simiaosanjiaweiintreatingasthenozoospermia・Methods:42patientsmeetingthecriterionwereselectedandtreatedwithSimiaosanjiaweicombinedwith1-carnitine.Results：Accordingtotheresultsof42patients,therewere16curedcasesaftertreatment,18caseswithmarkedlyeffect,4caseswitheffectiveresu
3、ltsand4invalidcases・Thetotaleffectiveratewas90.48%・Thedifferencesinsemenquantity,activityrate，spermdensity,andsperm（gradea+b）contentbetween4weeksaftertreatmentandbeforethetreatmenthadnostatisticalsignificance(P>0.05)・Thedifferencebetween8weeksaftertreatmentandbeforethetreatmentwasstatistical
4、lysignificant(P0.05)・Post-operativeurinaryretentionwasnotobservedandprolapserecurredinonepatient.Conclusion：Colpocleisisisasafeandeffectivesurgicaltechniqueintreatingthepelvicorganprolapsefortheelderlyfemalepatients,withahighpatientsatisfactionrate.[10]WuJM,MatthewsCA,ConoverMM,etal.Lifetime
5、riskofstressurinaryincontinenceorpelvicorganprolapsesurgery.Obstetrics&Gynecology,2014,123(6)：1201-1206.[11]KakosAB,LovejoyDA,WhitesideJL・QualityofinformationonpelvicorganprolapseontheInternet.InternationalUrogynecologyJournal、2015,26(4)：551-555.[12]KoskiME,ChowD,BedestaniA,etal.Colpocleisis
6、foradvancedpelvicorganprolapse.Urology,2012,80(3)：542-546.[13JAbbasyS,KentonK.Obliterativeproceduresforpelvicorganprolapse.ClinObstetGynecol,2010(53)：86-98.[141CatanzariteT,RambachanA,MuellerMG,etal.Riskfactorsfor30-dayperioperativecomplicationsafterLeFortcolpocleisis.TheJournalofUrology,201
7、4,192(3)：788-792.[15JAbbasyS,LowensteinL,PhamT,etal.Urinaryretentionisuncommonaftercolpocleisiswithconcomitantmid-urethralsling.IntUrogynecolJ,2009(20)：213-216.[16JFitzgeraldMP,RichterHE,BradleyCS,etal.Pelvicsupport,andpelvicsymptomsandpatientsatis
