广西壮族自治区部分地区正常生育男性精液多中心分析  

evaluation of semen quality in normal fertility men from Guangxi Zhuang Autonomous Region

作　　者：谢伟[1] 秦雯[2] 莫毅[1] 廖相 王彤 黎靖宇 檀大羡[1] 王珩[1] 李梦洁[1] 李征[1] 华荣[1] 莫定敢[1] 谢丹尼[1] 

机构地区：[1]广西壮族自治区人口和计划生育研究中心生殖中心,广西南宁530021 [2]广西医科大学第一附属医院基础医学院,广西南宁530021 [3]桂林市妇幼医院生殖中心,广西545001 [4]柳州市妇幼医院生殖中心,广西541001

出　　处：《现代医药卫生》2015年第10期1466-1468,1471,共4页Journal of Modern Medicine & Health

基　　金：广西壮族自治区人口和计划生育委员会基金项目(桂人口计生研0903)

摘　　要：目的通过多中心合作,调查了解2011年广西部分地区生育男性精液质量情况。方法对2011年1-12月在广西壮族自治区南宁、柳州及桂林3个地区4家医院生殖中心进行婚前检查及生育健康体检的男性,共提取精液标本965份,严格按照纳入标准,对相关人员进行统一的精液分析和问卷培训,分析纳入人群的整体精液质量,比较不同年龄段、民族、地区、文化程度男性的精液质量差异。结果精液质量综合分析结果显示,965例精液标本中前向运动精子比例达到标准值的仅为61.7%,其次为精子形态,为73.5%,其余指标达标率超过80.0%。精液质量分年龄段分析,精子活力和前向运动精子值在18-〈30岁组最高,分别为（64.493±17.199）%、（47.478±15.305）%,与30-〈40岁组和≥40岁组比较,差异均有统计学意义（P〈0.05）。汉族男性精液密度值最大,而壮族人群精子形态学检查值最大。桂林地区人群精液密度值最大,精液形态学检查值最小。文化程度对精液质量无影响。结论广西壮族自治区部分地区精液质量中精子运动能力偏差和畸形程度较高,并有地方差异,需要进一步完善调查数据,明确影响因素。Objective To investigate and understand the semen quality sitration of normal fertility men in the partial areas of Guangxi Zhuang Autonomous Region during 2011 by the multicenter cooperation. Methods To study semen quality of 965 fertility men from four reproduction medcine centers in Guang xi zhuang autonomous Region. Their basic examine include age, longth of penis, volume of testis and so on. Semen samples were compared with the World Health Organization criteria. Questionnaire were used by special trainer for all reproductive centers. The semen quality were compared among different ages groups, nation groups,rigion groups and culture groups. Results Sperm progressive motility and sperm morphology reached 61.7%, 73.5% of normal levels respectively. Others reached above 80.0%. Sperm motility and sperm progressive motility were （64.493± 17.199） %, （47.478±15.305）% in 18-〈30 group respectively. Sperm density of Han group and sperm morphology of Zhuang group were best among all groups. Culture degree did not affect semen quality. Conclusions The sperm motility bias and sperm deformity degree in the partial areas of Guangxi Zhuang Autonomous Rigion are higher and have local difference ,which needs to further perfect the inrestigation data and felermine the influencing factors.

关 键 词：精液/化学 生育力 精子计数 广西[壮族自治区 

分 类 号：R619.3[医药卫生—外科学]