五年来我院门诊不育男性精液质量变化情况的研究  

Semen quality of male infertile outpatients of our hospital in recent five years

作　　者：柳建明[1] 袁人培[1] 姜辉[1] 白泉[1] 洪锴[1] 赵连明[1] 唐凌峰[1] 刘德风[1] 陈茜[1] 马潞林[1] 

机构地区：[1]北京大学第三医院泌尿男科,北京100191

出　　处：《中国性科学》2009年第5期6-8,20,共4页Chinese Journal of Human Sexuality

摘　　要：目的:分析我院近五年来门诊不育男性精液参数的变化趋势。方法:收集了五年来总计51258名不育男性的精液资料,控制禁欲时间等参数后对精液情况的变化进行统计分析。结果:患者年龄没有明显变化,50%以上是在25～35岁之间。无精症患者比例由6%增加到10%,少精症患者的比例由60%增加到85%,弱精症患者的比例由78%增加到92%,少弱精症患者由40%增加到56%,其中弱精症患者所占的比率最大。随着年龄的增加,精子密度呈现下降趋势,由17×106/mL降到9×106/mL。精子活率由2004年的47.27%降到2008年的32.97%,精子活力由2004的33.60%降到2008年的28.30%。结论:过去五年来我院门诊男性不育患者的年龄主要集中在30岁左右,弱精症患者所占的比例最大,无精症、少精症、弱精症、少弱精症患者的比例都有所增加,精子密度、精子活力和精子活率都表现出下降趋势。Objectives： To analyse changing trend of the semen quality of male infertile outpatients of our hospital in recent five years. Methods： After collecting the semen quality of 35058 male infertile outpatients, a statistical analysis was conducted to evaluate the changing trend of semen quality. Results ： The age of male infertile outpatients basically remains unchanged. 50% of them are among 25 - 35 years old. The percentage of azoospermia , oligospermia , asthenozoospermia and oligoasthenozoospermia increases from 6% to 10%, from 60% to 85%, from 78% to 92% and from 40% to 56% respectively . Asthenozoospermia group have the largest percentage. Sperm concentration decrease from 17×10^6/mL to 9×10^6/mL as age increase. Sperm motility, and vitality decrease from 47.27% to 32. 97%, and from33.60% to 28. 30% respectively for the year from 2004 to 2008. Conclusion： The age of male infertility outpatients in our hospital focused on 30 year old. Azoospermia , oligospermia , asthenozoospermia and oligoasthenozoospermia groups all have increased. Sperm concentration, sperm motility ,vitality all have dropped in recent 5 years.

关 键 词：人类精液质量 精子密度 精子活力 精子活率 

分 类 号：R698.2[医药卫生—泌尿科学] R197.32[医药卫生—外科学]