تأثیر گیاه خارخسک بر قدرت باروری مردان: مرور سیستماتیک و متاآنالیز

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری تخصصی بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه زنان و مامایی، مرکز تحقیقات سلامت زنان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دانشیار گروه بهداشت باروری، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: ناباروری، یکی از مشکلات شایع در سطح جهان است. در کنار توجه اخیر به داروهای مکمل و طب جایگزین برای درمان ناباروی از جمله ناباروری مردان، تأثیر تعدادی از داروهای گیاهی بر پارامترهای اسپرم مورد مطالعه قرار گرفته‌اند. مرور سیستماتیک و متاآنالیز حاضر با هدف بررسی تأثیر گیاه خارخسک بر قدرت باروری مردان انجام شد.
روش‌کار: در این مطالعه مرور سیستماتیک پایگاه داده‌های الکترونیک شامل PubMed، Web of science، google scholar، Scopus، Cochrane، Sid، Magiran و Iranmedex با واژه‌های Tribulus Terrestris، Fertility، Infertility، Sperm parameters، Oligo Azoospermia و نازایی، ناباروری و خارخسک بدون محدودیت زمان و زبان جستجو شدند. مطالعات منتشر شده تا تاریخ 18 آذر 1396 وارد مطالعه شدند. در پایان 9 مقاله وارد مطالعه شد که 4 مطالعه قابلیت انجام متاآنالیز را داشتند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار comprehensive (نسخه 2) انجام شد. برای بررسی سوگیری انتشار از آزمون Egger و برای بررسی همگنی مطالعات از آزمون کوکران و شاخص I2استفاده شد.
یافته‌ها: از مجموع 1075 مقاله به‌دست آمده، 9 مقاله وارد مطالعه شد که 4 مقاله قابلیت متاآنالیز داشت. ترکیب داده‌ها نشان داد که استفاده از گیاه خارخسک در مردان با افزایش پارامتر‌های غلظت اسپرم و بهبود شکل طبیعی اسپرم و تحرک اسپرم همراه است.
نتیجه‌گیری: گیاه خارخسک بر پارامترهای اسپرم و عملکرد جنسی در مردان مؤثر است و می‌تواند به‌عنوان طب مکمل در کنار درمان‌های دیگر، در افراد مبتلا به ناباروری با علت مردانه استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

Impact of Tribulus Terrestris on male fertility: systematic review and meta-analysis

نویسندگان [English]

  • Fatemeh Goudarzi 1
  • Atiyeh Mohamadzadeh Vatanchi 2
  • Khadijeh Mirzaei Najmabadi 3
1 PhD candidate in Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Women's Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Associate Professor, Department of Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Infertility is one of the most common problems in the world. In addition to recent attention to complementary drugs and alternative medicine for treatment of infertility, such as male infertility, the effect of some herbal medicines on sperm parameters has been studied. This systematic review and meta-analysis was conducted with aim to investigate the effect of Tribulus Terrestris on male fertility.
Methods: In this systematic review, the databases of PubMed ،Web of science ، google scholar , Scopus , Cochrane, Sid , Magiran, and Iranmedex were searched using the keywords of “Tribulus Terrestris”, “Fertility”, “Infertility”, “Oligo Azoospermia “and “Sperm parameters” without time and language limitation. All the articles published until 30 Nov 2017 were included in the study. Finally, nine articles were included that four articles were export in Meta-analysis process. Data were analyzed by comprehensive software (version 2). Cochran test and I2 index were used to assess the heterogeneity of the articles.
Results: out of 1075 obtained articles, nine articles were entered to the systematic study that four article were export in Meta analysis process. The combination of data showed that the use of Tribulus Terrestris in men was accompanied by an increase in the parameters of sperm concentration and improved sperm morphology and sperm motility.
Conclusion: Tribulus Terrestris is effective on the sperm parameters and sexual function in men and can be used as complementary medicine along with other treatments in infertility with male factors.
Key words: 

کلیدواژه‌ها [English]

  • Fertility
  • Male infertility
  • Systematic review
  • Tribulus Terrestris

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مجله زنان، مامایی و نازایی ایران
دوره 22، شماره 3
خرداد 1398
صفحه 76-86

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