男性精液质量与生育压力关系研究  

Study on the relationship between semen quality and fertility pressure in men

作　　者：钟媛 黄云飞[1] 赵婉竹 何丽娟[1] Zhong Yuan;Huang Yunfei;Zhao Wanzhu;He Lijua(School of Public Health,Xinjiang Medical University,Urumqi 830000,Xinjiang,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830000

出　　处：《中国男科学杂志》2024年第1期54-61,共8页Chinese Journal of Andrology

基　　金：国家自然科学基金(82260651);新疆特殊环境与健康研究重点实验室开放课题项目(SKL-SEHR-2021-04)。

摘　　要：目的 分析男性精液质量的影响因素,探究其与生育压力间的关系,为提升男性精液质量提供社会心理学依据。方法 选取2021年7月—2022年4月前往新疆医科大学第一附属医院生殖助孕中心门诊就诊的男性作为研究对象,根据精液常规检查结果分为精液质量正常组(n=263)、少弱精子症组(n=221)及无精子症组(n=21),采用一般资料调查问卷及生育压力量表对影响男性精液质量的因素进行单因素、相关性及多因素分析。结果 纳入的研究对象中精液质量异常患者占47.92%;多元Logistic回归结果显示,民族、暴露于有害环境、性压力以及父母角色需求是影响男性精液质量的因素(P<0.05);性压力、父母角色需求与男性精液质量显著相关(P<0.05);社会压力与精子浓度(r=-0.090)、性压力与精子浓度(r=-0.102)、性压力与前向运动精子总数(r=-0.103)之间呈负性相关(P<0.05)。结论 应加强心理疏导,引导男性生活作息规律,降低慢性应激反应和外界环境因素对精液质量的影响,从而提升男性生育方面的自信心,改善生活质量。Objective To analyze the influencing factors on male semen quality,explore the relationship between it and fertility pressure,and provide a psychosocial basis for improving male semen quality.Methods The men who attended the outpatient clinic of the First Affiliated Hospital of Xinjiang Medical University from July 2021 to April 2022 were selected as the study subjects,and were divided into normal semen quality group(n=263),oligospermia group(n=221)and azoospermia group(n=21)by the results of routine semen examination.The study was conducted with the use of a general information questionnaire and a fertility stress scale to analyse the factors affecting semen quality.Results 47.92%of multiple Logistic regression showed that ethnicity and exposure to harmful environment were factors affecting male semen quality(P<0.05);Sexual pressure and parental role needs were significantly correlated with semen quality(P<0.05).There were negative correlations between social pressure and sperm concentration(r=-0.090),sexual pressure and sperm concentration(r=-0.102),sexual pressure and total sperm count(r=-0.103)(P<0.05).Conclusion Psychological counselling should be strengthened to guide men to lead a regular lifestyle and reduce the effects of chronic stress and external factors on semen quality,so as to enhance men’s self⁃confidence in fertility and improve their quality of life.

关 键 词：精液质量 生育压力 影响因素 

分 类 号：R697[医药卫生—泌尿科学]