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建立中医男性不育症三级预防体系(1)
http://www.100md.com 2007年8月1日 《中外健康文摘·临床医师》 2007年第8期
     【中图分类号】R698+.2

    【文献标识码】B

    【文章编号】1672-5085(2007)08-0056-03

    【摘要】本文以中医治未病思想,提出了“建立中医男性不育症三级预防体系”学说,针对不同人群制定相应的预防保健措施。一级预防(病因预防)是针对致病因素的预防措施。着重于保持男性良好的生殖能力,首先要安神,强调摄生;其次养精,保持良好的生活方式,戒烟、戒酒,饮食有节制,生活起居有规律;第三调食,要“饮食有节,起居有常,不妄劳作”, 食有助于精子健康成长的食物;第四做好育前体检。保证男性生育者有良好的生殖能力。二级预防(临床前期预防),是在不育症的临床前期作好“三早”预防措施(即早期发现、早期诊断、早期治疗)。早期发现的具体方法有普查(筛检)、定期健康检查、高危人群重点项目检查等。对筛检阳性者必须进行进一步确诊,定期健康检查除了常规体检项目,育前检查更侧重于检测生殖器官、精液常规和体内激素水平的健康状况。发现有传染病和遗传病家族史者为高危人群,重点项目检查包括,常见的遗传性疾病检查如地中海贫血、G6PD缺乏症和染色体检查。常见的传染病检查包括精液或前列腺衣原体、支原体、淋球菌等微生物感染的性病的相关检测,肝炎、梅毒、艾滋病的相关检测。发现阳性者,必须进行进一步确诊,对确诊的病人再进行必要的治疗。三级预防(临床预防),对已患不育症者及时治疗。建立以男科医院或生殖医学为中心,男科门诊为辅,其他学科配合的不育症临床预防治疗网。针对病因进行治疗,发挥中医、西医、中西医结合各自治疗不育症的优势,优势互补。中医治疗不育症诊断以中医四诊和现代检测相结合,治疗以中医辨病和辨证相结合,以中为主,中西医结合。做到治疗男性不育症防病于未然。
, http://www.100md.com
    【关键词】男性不育症 预防 中医治未病Establishment Chinese medicine masculine sterility three levels of preventions systems Deng Zejun Cai Juan

    【Abstract】this article to the center treats has not gotten sick the thought, proposed “the establishment Chinese medicine masculine sterility three levels of preventions systems” the theory, formulates the corresponding prevention health care measure in view of the different crowd. Level of preventions (cause of disease prevention) is aims at the pathogenesis factor the preventive measure. Emphatically to the maintenance male good reproduction ability, first must calm the nerves, emphasis regimen; Next raises the essence, maintains the good life style,stopping smoking, stopping drinking, the diet has controls, the life daily life is orderly; The three taxes food, wants “the diet to have the festival, the daily life persevering, not the absurd practical training”, the food is helpful to spermatozoon health growth food; Front fourth completes nurtures the physical examination.Guaranteed the masculine birth has the good reproductionability. Two levels of preventions (clinical earlier period prevention), is finishes “three early” the preventive measure in the sterility clinical earlier period (namely early discovery, early diagnosis, early treatment). The early time discovered the concrete method has the general survey (to sieve examines), the regular automatic system checkout program, the high danger crowd key project inspection and so on. To sieves examines the masculine gender to have to carry on further diagnoses front, the regular automatic system checkout program except the conventional physical examination project, nurtures inspects stresses on the examination reproductive organ, the seminal fluid convention and in vivo hormone level state of health.The discovery has the infectious disease and hereditary disease family shi Zhewei high danger crowd,The key project inspection includes, the common hereditary disease inspects like the Mediterranean Sea anemia,G6PD lacking sickness and chromosome inspection. The common infectious disease inspects including the seminal fluid or the prostate gland chlamydia, mycoplasma,gonococcus and so on microorganism infection venereal diseases correlation detection, hepatitis, syphilis, AIDS correlation detection. Discovered the masculine gender, must carry on further diagnoses, to the patient which diagnoses carries on the essential treatment again. Three levels of preventions (clinical prevention), to already trouble sterility prompt treatment.The establishment take the male branch hospital or the reproduction medicine as the center, male branch outpatient service for auxiliary, other discipline coordinations sterility clinical prevention treatment networks. Carries on the treatment in view of the cause of disease, the display Chinese medicine, the doctor practicing western medicine, the cooperation of Chinese and Western medicine respective treatment sterility superiority, the superiority supplementary. The Chinese medicine treatment sterility diagnosis four examines by the Chinese medicine with the modern examination unifies, treats to the Chinese medicine distinguishes gets sick dialectically with unifies, by center primarily, cooperation of Chinese and Western medicine. Achieves the treatment masculine sterility to prevent disease to not however., 百拇医药(邓泽军 蔡 娟)
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