河南省育龄男性精液质量调查分析  

Investigation on semen quality of adult males in Henan Province

作　　者：李玉山[1] 冯晓霞[1] 吉晓菲[1] 王全先[1] 武文斌[1] 潘周辉[1] 杨险峰[1] 孙琳[1] 

机构地区：[1]河南省郑州大学第三附属医院人类精子库,450052

出　　处：《中国计划生育学杂志》2011年第12期725-728,732,共5页Chinese Journal of Family Planning

基　　金：河南省医学科技攻关计划项目(200903070)

摘　　要：目的:了解河南省育龄男性精液质量现状。方法:随机取集2008年7月～2010年7月到郑州大学第三附属医院人类精子库志愿供精人员及河南省、地市妇幼保健院进行婚前体检和孕前体检的4052名正常育龄男性进行问卷调查,并采用计算机辅助精液分析系统进行精液运动指标分析。结果:4052名志愿者的精液量为2.60±1.39ml,精子密度为(57.85±24.19)×106/ml,a级精子百分率为(29.87±16.01)%,(a+b)级精子百分率为(51.28±22.15)%,正常形态精子百分率为(11.42±4.11)%;精液各项参数正常1254例(30.95%),异常者2798例(69.05%)。豫南地区育龄男性中,吸烟、饮酒、高温洗浴的人数低于河南省其他地区(P<0.05),其精子密度、精子活动力优于河南省其他地区(P<0.05)。结论:男性生殖健康应引起全社会的广泛关注,不良生活习惯和环境污染可能是影响育龄男性精液质量的重要因素。Objective ： To evaluate the semen quality of adult males in Henan Province. Methods ： A total of 4 052 adult male volunteers from The Third Affiliated Hospital of Zhengzhou University between July, 2008 and July, 2010 were recruited and a questionnaire survey was conducted. The semen quality of these respondents was analyzed with computer - aided sperm analysis （CASA）. Results ： Among the male volunteers, the sperm volume was 2.60 ± 1.39 ml, and the sperm concentration was （57.85±24.19） × 106/ml. The percentage of grade A sperm was （29.87 ± 16.01 ） % , and that of grade A and grade B sperm was （51.28 ± 22.15 ） %. The percentage of normal morphology sperm was （ 11.42 ± 4. 11 ） %. The percentage of normal sperm samples was 30.95% （1254/4052）. The statistical increase of the sperm concentration and sperm motility was found because of a significant decrease of smoking, alcohol consumption and sauna bath in the adult male volunteers of the southern part of Henan Province. Conclusion ： Bad habits and environment pollution are vital impact factors on the semen quality in Henan Province. And male reproductive health should be paid more attention to.

关 键 词：精液质量 精子密度 精子活力 计算机辅助精液分析 

分 类 号：R698.2[医药卫生—泌尿科学]