1145例捐精者筛查结果与未完成捐精流程原因分析  

Screening results and causes of uncompleted donation process in 1 145 sperm donors

作　　者：官黄涛[1,2,3] 王钊 孟天庆 夏伟[1,2,3] 熊承良[1,2,3] 李翠玲[1] 

机构地区：[1]华中科技大学同济医学院计划生育研究所/生殖医学中心,湖北武汉430030 [2]武汉同济生殖医学专科医院,湖北武汉430010 [3]湖北省人类精子库,湖北武汉430010

出　　处：《中华男科学杂志》2014年第2期124-128,共5页National Journal of Andrology

基　　金：科技部十二五国家科技支撑计划项目(2012BAI32B03)~~

摘　　要：目的:分析人类精子库的接待和招募工作质量,以及精源不足的问题。方法:本研究对湖北省人类精子库2011年9月至2012年4月的1 145例捐精者的招募工作进行统计,对捐精者淘汰原因进行分析,并对合格而未捐精者进行面谈和电话回访。结果:1 145例捐精者中,学生551例(48.12%),社会人群594例(51.88%);参与第一次精液质量检查后未继续捐精503例(43.93%),其中学生202例(占学生筛查人数36.67%),社会人群301例(占社会筛查人群50.67%);两次精液质量筛查均不合格432例(37.73%);实验室检查不合格45例(3.93%),其中解脲脲原体阳性16例;通过精液筛查和实验室检查的合格捐精者165例(14.41%),未能完成整个捐精流程21例(12.73%),最终完成捐献流程的捐精者144例。结论:人类精子库普遍存在筛查合格率低、捐精完成率低,如能让捐精者有效地完成捐精流程,有利于提高捐精者合格率及降低精子库的运行成本;通过接待时的面谈和电话回访对他们不能按流程完成捐精的原因进行分析表明,精子库需加强招募工作及捐精者第一次来精子库时的讲解,提高捐精者对精子库的满意度和信任度,以提高捐精者完成捐精流程率。Objective ： To improve the reception and recruitment of sperm donors in sperm banks in China, and solve the prob- lem of insufficiency in sperm donation. Methods ： We reviewed the recruitment of 1 145 men for sperm donation in the Human Sperm Bank of Hubei Province from September 2011 to April 2012, analyzed the reasons for those not included, and interviewed those includ- ed but unwilling to donate sperm. Results： Among the 1 145 recruits, 551 （48.12%） were students and 594 （51.88%） were other individuals. After the first semen screening, 503 （43.93%） quitted, including 202 students （36.66% of the students recruited） and 301 others （50.67% of the other individuals recruited）. After the second semen screening, 432 （37.73%） were excluded, and an- other 45 （3.93 % ） excluded after laboratory examination, including 16 cases of mycoplasma positive. Totally, 165 recruits （14.41%） passed the semen screening and laboratory examination, but only 144 of them （87.27%） completed, while the other 21 （ 12.73% ） failed to complete the whole donation process. Conclusion ： Low rates of screening qualification and donation process completion are common problems in human sperm banks. The rate of qualified sperm donors can be increased and the operational cost of the human sperm bank can be reduced by enabling the recruits to accomplish the whole donation process. Explanation at the reception, later interview with the recruits, and donorsltrust in the sperm bank play important roles in raising the completion rate of sperm donation process .

关 键 词：精子库 捐精流程 精液筛查 

分 类 号：R193[医药卫生—卫生事业管理]