南阳市男性孕前精液质量分析  

Male semen quality analysis before childbirth in Nanyang city

作　　者：周平[1] 

机构地区：[1]南阳市人口和计划生育指导中心,河南南阳473000

出　　处：《河南预防医学杂志》2016年第6期415-417,423,共4页Henan Journal of Preventive Medicine

摘　　要：目的分析南阳市男性孕前精液质量。方法选取2012年1月至2014年1月来我院进行孕前体检的已婚未育男性836例,根据年龄将836例男性分为〉40岁、36-39岁、30-35岁、25-29岁和〈25岁5组,对836例男性的完整精液标本进行分析,并对各组的精液参数进行分析。结果 836例育龄男性精液的精液量为（2.85±0.92）mL,a级精子为（30.08±12.90）%,a＋b级精子为（49.81±14.92）%,密度为（77.15±53.88）×106/mL,pH为（7.46±0.16）,精子存活率为（67.36±18.41）%。异常组的各精液质量指标均显著低于正常组精液质量,比较两组间差异具有统计学意义（P〈0.05）。25-29岁年龄组的精子质量显著优于其他年龄组,且精子质量随着年龄的增大而下降。精液异常主要为精子活率下降、精子活力下降、精子密度下降、精液量下降、pH值异常。结论南阳市男性精子质量基本正常,但有较多男性精子活力下降。25-29岁年龄组的精子质量显著优于其他年龄组,且精子质量随着年龄的增大而下降。应当选择合适的育龄年龄,并加强育前保健服务,提高优生优育。Abstract： Objective To analyze the Nanyang City male pregnancy semen quality. Methods Selected in January 2012 to January 2014. During my hospital for a medical examination before pregnancy are not married infertile men 836 cases, 836 cases based on age will be divided into men〉 40 years old, 36-39 years old, 30-35 years old, 25 29 years and 〈25 years of age five teams to complete 836 cases of male semen samples were analyzed, and the semen parameters were analyzed in each group. Results 836 cases of child-bearing age semen volume semen was （2.85 ± 0.92） ml, a level of sperm was （30.08 ± 12.90）%, a ＋ b grade sperm was （49.81 ±14.92）%, density （77.15 ±53.88） x 100/mL, pH was （7.46 ± 0.16）, sperm survival rate （67.36 ± 18.41 ）%. Abnormal semen quality indicators for each group were significantly lower than normal semen quality, comparing the differences between the two groups was statistically significant （P〈0.05）. Sperm quality 25-29 age group was significantly better than the other age groups, and sperm quality decreases with increasing age. Abnormal sperm sperm motility decreased mainly, decreased sperm motility, sperm density decreased, decreased semen volume, pH value of the exception. Conclusion Nanyang City sperm quality is normal, but there are more males decreased sperm motility. Sperm quality 25-29 age group was significantly better than the other age groups, and sperm quality decreases with increasing age. Should choose the right childbearing age, and to strengthen health services before fertility, improve prenatal and postnatal care.

关 键 词：男性 孕前 精液质量 

分 类 号：R691.5[医药卫生—泌尿科学]