Primary Study On The Incidence Of Male Infertility And TCM Syndromes In Pearl River Delta Region

Objective:With the continuous development of human reproductive medicine,clinicians have begun to pay attention to the influence of the male factor in the treatment of couples who can not give birth because of the decline of human fertility which has become a major problem that the world has to face.Male infertility caused by many factors,the deteriorating environmental quality,overburdened working pressure of life,smoking,drinking,staying up late and other bad habits are the risk factors leading to male infertility.Modern medical assisted reproductive technologies such as: artificial insemination,IVF is facing the gospel of patients with severe fertility problems;and Chinese medicine for male infertility awareness and diagnosis and treatment also has a long history.TCM clinical syndrome of male infertility is very careful and diverse.The Pearl River Delta region is located in Lingnan.Geographically,it is surrounded by the sea and belongs to a subtropical monsoon climate.At the same time,it is one of the most developed regions in China.It has its own economic and cultural representation.By understanding the risk factors of male infertility and TCM syndrome distribution in this area and establishing the corresponding database,it can provide reference data for the national physicians in male infertility treatment.Methods:1.303 male infertility patients were collected by questionnaire according to inclusion criteria and exclusion criteria.2.The use of Excel work forms were entered into the patient's age,semen CASA parameters,syndromes and other information;according to the statistics of the database,the establishment of the corresponding data module.3.The use of Excel worksheet computing functions corresponding to the frequency of statistical analysis.4.SPSS 20.0 was used to carry out single factor logistics analysis of the collected data to explore the correlation between different risk factors and the seven basic syndrome types.Results:1.The incidence of TCM syndromes in modern male infertility in the Pearl River Delta region was at least in the order of 84 cases(27.72%)with deficiency of kidney-dampness syndrome and 44 cases(14.52%)with deficiency of spleen and kidney,accounting for 14.52% 31 cases,accounting for 10.23%;Kidney Yin deficiency in 27 cases,accounting for 8.91%;Kidney Yang deficiency in 25 cases,accounting for 8.25%;Liver Qi stagnation card in 25 cases,accounting for 8.25%;Qi and blood deficiency in 19 cases,Accounting for 6.27%;Kidney deficiency damp-heat syndrome of blood stasis in 15 cases,accounting for 4.95%;kidney damp-heat syndrome + liver qi stagnation syndrome in 14 cases,accounting for 4.62%;liver qi stagnation card stasis syndrome in 11 cases,Accounting for 3.63%;deficiency of kidney yin + Qi stagnation card in 8 cases,accounting for 2.64%.2.? academic qualifications for the master,diet cold,often stay up late,work pressure and kidney yang deficiency was positively correlated,varicocele and kidney yang deficiency was negatively correlated;? BMI index,often staying up late and lack of kidney yin deficiency Of the relationship has the meaning of the whole juice,and often stay up late and yin deficiency syndrome was positively correlated,BMI index and renal insufficiency card was negatively correlated;(3)occupational nature of physical or physical strength + brain power,often drinking and kidney damp-heat syndrome with the system Juice significance,and was positively correlated;? diet cold and spleen and kidney deficiency syndrome has the meaning of the whole juice,diet and cold and spleen and kidney deficiency was positively correlated;? work pressure,varicocele and liver qi stagnation ? BMI index,often stay up late,the relationship between varicocele and blood stasis block card has a significant meaning,and was positively correlated;? various indicators and Qi and blood deficiency The relationship between the certificates has not been found to be statistically significant.Conclusion:1.The Pearl River Delta male infertility syndrome differentiation still kidney-based,the most common type of TCM is kidney damp-heat syndrome;Age,occupational nature,work stress,often stay up late,smoking,alcohol consumption,BMI index,varicocele,diet,academic qualifications and other factors and male infertility TCM syndromes are closely related.