生殖道沙眼衣原体感染对精液性状的影响  

Effect of Genital Chlamydia Trachomatis Infection on Semen Traits

作　　者：郑厚斌 黄木兰 刘晃 朱胜辉 邓顺美 张欣宗 ZHENG Houbin;HUANG Mulan;LIU Huang;ZHU Shenghui;DENG Shunmei;ZHANG Xinzong(NHC Key Laboratory of Male Reproduction and Genetics,Family Planning Research Institute of Guangdong Province(Guangdong Provincial Family Planning Hospital),Guangzhou 510600,China;不详)

机构地区：[1]国家卫生健康委员男性生殖与遗传重点实验室(广东省计划生育科学技术研究所广东省计划生育专科医院),广东广州510600

出　　处：《中国医学创新》2020年第32期137-140,共4页Medical Innovation of China

基　　金：广东省医学科研基金项目(B2018250、A2018192、A2019336)。

摘　　要：目的:分析生殖道沙眼衣原体感染对精液性状的影响。方法:选取本院2017年1月-2019年12月398例生殖道沙眼衣原体感染的精液分析报告作为观察组,另选取同期398例未感染的精液分析报告作为对照组,进行回顾性分析。比较两组精液相关参数,比较观察组治疗前后精液相关参数。结果:观察组精液黏稠度重于对照组,液化时间长于对照组,且pH值与前向运动精子百分率均低于对照组(P<0.05)。治疗后,观察组精液黏稠度轻于治疗前,液化时间短于治疗前,且pH值与前向运动精子百分率均高于治疗前(P<0.05)。结论:生殖道沙眼衣原体感染可以延长精液的液化时间、影响黏稠度和酸碱程度,进而影响前向运动精子百分率,发现精液性状异常时建议排除是否存在沙眼衣原体感染的可能。Objective:To analyze the effect of genital chlamydia trachomatis infection on semen traits.Method:The semen analysis reports of 398 cases with genital chlamydia trachomatis infection in our hospital from January 2017 to December 2019 were selected as the observation group,and the semen analysis reports of 398 cases without infection in the same period were selected as the control group for retrospective analysis.Seminal parameters of the two groups were compared,and seminal parameters of the observation group were compared before and after treatment.Result:The sperm viscosity of the observation group was more serious than that of the control group,the liquefaction time was higher than that of the control group,and the pH value and percentage of forward motile sperm were lower than that of the control group (P<0.05).After treatment,the sperm viscosity in the observation group was more mild than that before treatment,the liquefaction time was lower than that before treatment,and the pH value and percentage of forward motile sperm were higher than those before treatment (P<0.05).Conclusion:Genital chlamydia trachomatis infection can prolong the liquefication time of semen,affect the viscosity,acid and alkali degree,and further affect the percentage of forward motile sperm,it is suggested to exclude the possibility of chlamydia trachomatis infection when abnormal semen traits are found.

关 键 词：生殖道 沙眼衣原体 精液 液化时间 黏稠度 

分 类 号：R691.3[医药卫生—泌尿科学]