赣北地区2015—2019年精液常规结果分析  

Analysis of conventional examination results of semen in Northern Jiangxi from 2015 to 2019 Year

作　　者：陈亚强 邢梦雪 欧阳龙斌 CHEN Yaqiang;XING Mengxue;OUYANG Longbin(Department of Assisted Reproduction,Jiujiang Maternal and Child Health Hospital,Jiujiang 332000,China;Department of Clinical Laboratory,Jiujiang Maternal and Child Health Hospital,Jiujiang 332000,China;Laboratory Department,Pengze County Maternal and Child Health Hospital,Pengze 332700,China)

机构地区：[1]江西省九江市妇幼保健院辅助生殖科,江西九江332000 [2]江西省九江市妇幼保健院检验科,江西九江332000 [3]江西省彭泽县妇幼保健院检验科,江西彭泽332700

出　　处：《中国现代医生》2021年第16期154-157,共4页China Modern Doctor

摘　　要：目的分析2015—2019年赣北地区精液常规检查结果变化。方法对14 429例来我院辅助生殖科男科实验室进行精液相关项目检测患者作为研究对象,使用精液分析仪等相关设备进行精液常规检验并对结果进行分析。项目指标包括精液量、精子浓度、精子活率、活力、p H值等;并按照年龄分为<20岁、20~29岁、30~39岁及≥40岁四个组,分析各组精液参数相关性;比较5年间精液质量各参数变化趋势情况。结果14 429例男性患者中,精液质量报告为正常比例为44.82%(6467/14429);精液质量报告为异常比例为55.18%(7962/14429),其中无精子症的比例为5.25%(418/7926)。异常组各精液质量指标与正常组相比,异常组的精液量呈现显著下降(P<0.05),而精子浓度、总活率、前向运动百分率呈现较明显的下降(P<0.01)。各年龄组中≥40岁年龄组患者精液异常率最高,该年龄组精液浓度、前向运动百分率及精子总活力与其他各年龄组相比,患者精液异常率呈显著性差异(P<0.05),但其他各组间比较差异无统计学意义(P>0.05)。结论本地区男性精液异常的主要原因是精子活力和活动率下降,精液浓度降低。本研究调查分析了赣北地区中育龄男性的精液参数的变化,从而初探现代社会发展变化对男性精液质量、生育能力的影响。Objective To analyze the changes of conventional examination results of semen in Northern Jiangxi from 2015 to 2019.Methods A total of 14429 patients who came to the Male Laboratory of Assisted Reproductive Department of our hospital for semen examination were taken as the research objects.The semen analyzer was used for conventional semen examination and the results were analyzed.The analysis indexes included semen volume,sperm concentration,sperm motility rate,motility,pH value,etc.According to age,they were divided into four groups:<20 years old,20-29 years old,30-39 years old and≥40 years old.The semen parameters of each group were analyzed and compared.The change trend of semen quality parameters in 5 years was compared.Results Among 14429 male patients,44.82%(6467/14429)had normal semen quality.The number of patients with abnormal semen quality accounted for 55.18%(7962/14429),of which patients with azoospermia accounted for 5.25%(418/7926).Compared with the normal group,the semen volume in the abnormal group decreased significantly(P<0.05),while the sperm concentration,viability and percentage of forward movement decreased significantly(P<0.01).The abnormal rate of semen was the highest in the group≥40 years old.Compared with other groups,the abnormal rate of semen concentration,forward movement percentage and total sperm motility in this age group showed significant differences(P<0.05),but there were no significant differences among other groups(P>0.05).Conclusion The main causes of male semen abnormalities in this area are the decrease of sperm motility and motility rate and the decrease of semen concentration.This study investigated and analyzed the changes of semen parameters of men of childbearing age in Northern Jiangxi,so as to explore the influence of modern social development and changes on male semen quality and fertility.

关 键 词：男性不育 精液质量分析 年龄 变化趋势 

分 类 号：R697[医药卫生—泌尿科学]