新疆维吾尔自治区乌鲁木齐市维、汉族男性少精子症危险因素的研究  

The research of less sperm risks from Uyghur and Han nationality in Urumqi

作　　者：韩锐[1] 王晓岚[1] 湃孜莱提.哈斯木 刘志娟[1] 叶尔登切切克 

机构地区：[1]新疆医科大学第一附属医院产前诊断中心实验室,新疆830054

出　　处：《中国优生与遗传杂志》2015年第2期104-107,共4页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨乌鲁木齐市维吾尔(以下简称:维族)、汉族男性少精子症的危险因素,为维、汉族男性少精子症的病因研究、预防干预及生殖健康服务工作提供依据。方法对维、汉族男性少精子症患者及维、汉族男性正常健康体检者,进行问卷调查及实验室检查。并将研究对象分为4组,分别为:维、汉族男性少精子症组,维、汉族男性健康体检组(后称:维、汉族正常组)。首先,分别对维、汉族男性少精子症组各166人与维、汉族正常组各166人,进行单因素Logistic回归分析,初步筛选出有影响的危险因素,再进行多因素Logistic回归分析,进一步精选出对维、汉族男性少精子症有极大影响的因素,做出回归方程,并分析危险因素产生的原因。结果 1.维吾尔族少精子症而言,有关联的危险因素是禁欲时间(OR=1.143,95%CI:1.000-1.307);对汉族少精子症而言,有关联的危险因素是禁欲时间(OR=1.194,95%CI:1.067-1.380)。2.汉族少精子症患者使其配偶有流产史不育的危险性高于汉族正常组(OR=0.365,95%CI:0.215-0.618),维吾尔族少精子症患者使其配偶有流产史不育的危险性高于维族正常组(OR=4.728,95%CI:1.886-11.856)。3.年龄、禁欲时间、精液酸碱度(p H)、精子总数、b级精子总数、d级精子总数、精子活率7个指标对汉族少精子症的贡献比较大;前向运动精子总数、b级精子总数、精液酸碱度(p H)、精子密度、精子总数、d级精子总数、年龄7个指标对维吾尔族少精子症的贡献比较大。结论 1.维族男性少精子症而言,有关联的危险因素是末次排精时间;对汉族男性少精子症而言,有关联的危险因素是末次排精时间。2.汉、维族男性少精子症患者和维族男性弱精子症患者均可使其配偶有流产。Objective：This paper is about to study for the risk of the less sperm from Uyghur and Han nationality in Urumqi. Based on the result can be used to support the research of the nosogeny of the sperm less weak risk from the Uyghur and Han nationality which can help to provide the evidence for the reproductive health services. Methods：For Uyghur and Han nationality sperm less disease,and Uyghur and Han nationality normal physical examination,questionnaire investigation and laboratory examination. Research object is divided into 4 groups,respectively is：Uyghur men sperm less group,the Han nationality sperm less group,the Uyghur and Han nationality male physical examination group. Uyghur and Han nationality sperm less disease grouping 4 parts,such like Uyghurs sperm less disease,Han sperm less disease,Uyghur and Han nationality male physical examination group each 166 people. Analyzed by univariate logistic regression analysis,initial screening risk factors influential,multivariate Logistic regression analysis,further selection of factors have a great impact for both Uyghur and Han nationality sperm less disease,Make the regression equation,and analyze the causes of the risk factors. Results：1,The risk for the Uyghurs sperm less disease,is related to the abstinence time（OR = 1.143,95%CI：1.000-1.307）;For the Han male,the risk of sperm less is related to abstinence time（OR = 1.194,95%CI：1.067-1.380）;2,The Uyghur nationality sperm less that their spouse has a history of miscarriage risk of infertility than controls（OR = 4.728,95%CI：1.886-11.856）,Han the spouse has a history of miscarriage risk of infertility is higher than the control group（OR = 0.365,95%CI：0.215-0.618）. 3,For age,abstinence time,semen p H value（p H）,the total number of sperm,sperm b,d level of total number of sperm and live sperm rate total seven indicators have a larger contribution to the han nationality sperm less;Forward movement total sperm,grade b sperm and semen p H（p H）,the total number of sperm,sperm dens

关 键 词：少精子症 危险因素 LOGISTIC 

分 类 号：R698.2[医药卫生—泌尿科学]