全球雄性论坛关于抗氧化剂在治疗男性不孕症中的使用的临床指南
Ashok Agarwal1,2, Taymour Mostafa1,3, Manaf Al Hashimi1,4,5
1Global Andrology Forum, Global Andrology Foundation, Moreland Hills, OH, USA.
The world journal of men's health
|January 9, 2026
概括
抗氧化剂 (AOX) 治疗可以改善男性不孕症的精子质量,但需要指导方针. 这项研究为AOX使用制定了标准化,基于证据的建议,强调氧化应激文档和合理应用.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 基于证据的医学基于证据的医学.
背景情况:
- 抗氧化剂 (AOX) 治疗正在探索男性不孕症,但由于争议,缺乏广泛的临床接受.
- 氧化应激 (OS) 与男性不孕症有关,需要明确的治疗指南.
研究的目的:
- 建立标准化,基于证据的指导方针,用于抗氧化剂治疗男性不孕症.
- 为了在使用AOX治疗男性不孕症方面达成全球专家共识.
主要方法:
- 一项全面的文献审查和对医生的全球调查为准则的制定提供了信息.
- 一个经过修改的Delphi过程,涉及151名国际专家,评估了AOX治疗陈述.
- 84名高级医生使用GRADE方法来对德尔菲批准的陈述进行评分.
主要成果:
- 14个陈述达成共识,其中50%被评为"强大",50%被评为"弱弱".
- AOX疗法可以减少OS,改善精子质量,并可能提高生殖结果.
- 指导方针强调记录操作系统,考虑潜在因素,避免不分青红白的AOX使用.
结论:
- 全球雄性病论坛 (GAF) 制定了第一个标准化,基于证据的指导方针,用于AOX在男性不孕症中的使用.
- 这些指南涉及研究和实践的异质性,为临床医生提供实际建议.
- 这些指导方针在全球范围内促进安全,以患者为中心和合理的抗氧化剂治疗.
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