2814例不孕男性不同年龄段精液分析参数比较  

Semen analysis parameters of 2814 infertile males at different ages

作　　者：马刚 陈肖东[1] 乜春城[1] 冀雪霞[1] 刘素芳[1] 孙海茹[1] 焦艳[1] 王磊[1] 韩超[1] 张淑贞[1] 

机构地区：[1]哈励逊国际和平医院生殖中心,河北衡水053000

出　　处：《中国性科学》2015年第5期94-96,共3页Chinese Journal of Human Sexuality

摘　　要：目的：分析2814例不孕男性不同年龄段的精液参数，探讨各年龄段精液质量的决定因素和变化规律。方法：将2010年至2013年来我院检测精液的不孕患者分为：0～20岁组（n ＝35），21～25岁组（n＝1047），26～30岁组（n ＝1200），31～35岁组（n ＝359），36～40岁组（n ＝134），41～45岁组（n ＝31），46岁以上组（n ＝8）。统计各组患者精液分析的主要参数（多次检测的患者取平均值），并计算各组主要精液参数的正常率，进行比较。结果：各年龄段患者精液密度正常率随年龄段降低而降低，其中20岁以下组与其他组差异显著（P ＜0.05）；各年龄段活率正常的标本其他参数也趋于正常；各年龄段 a 级精子正常率均较高（＞60％）。结论：2814例不孕男性精子总数随年龄降低恶化加重；男性精子活力一生中都会保持较高水平，但活率随年龄增长会降低；各年龄段活率正常的标本其他参数也趋于正常，活率是影响男性精液质量的主要参数。Objectives：To analyze the semen parameters of 2814 male infertility patients at different ages and explore the key factors affecting semen quality and its variation in different age groups.Methods：In the years 2010 -2013,infertility patients with routine semen detection were divided into：the 0 -20 age group （n =35）,21-25 group （n =1047）,26 -30 group （n =1200）,31 -35 group （n =359）,36 -40 group （n =134）,41 -45 group （n =31）,above 46 years old group （n =8）.The main parameters were statistically analyzed,（multiple de-tection patients with average rate）and the normal rate of main semen parameters of every group was calculated and compared.Results：The density normal rate of every group decreased with ages decreasing and the normal rate of 20 year -old group had significant difference from other groups （P〈0.05）;survival rate of sperm decreased with age, and other parameters in each age group tended to be normal when survival rate was normal;the a sperm normal rate of each age group was relatively high （〉60%）.Conclusion：The total number of sperm in the 2814 male infertil-ity patients deteriorates seriously with age decreasing,and the sperm motility maintains a high level throughout life, but survival rate decreases with age increasing.Other parameters in each age group tend to be normal when survival rate is normal.Therefore,the survival rate is a key parameter affecting the male semen quality.

关 键 词：精液参数 年龄 正常率 活率 活力 

分 类 号：R698.2[医药卫生—泌尿科学]