| 张海忠,胡守利.育龄男性精液质量现状及其与社会因素的相关性研究[J].浙江中西医结合杂志,2015,25(9): |
| 育龄男性精液质量现状及其与社会因素的相关性研究 |
| A Study on Sperm Quality of Childbearing Age Men and the Relation between Quality and S |
| 投稿时间：2015-03-27 修订日期：2015-03-27 |
| DOI： |
| 中文关键词: 育龄男性 精液质量 社会因素 |
| 英文关键词: |
| 基金项目: |
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| 中文摘要: |
| 目的 了解育龄男性的精液质量情况,分析其与社会学因素的相关性,为男性生殖健康干预提供依据。方法 对自愿在各医疗机构进行婚检的20～50岁育龄男性进行问卷调查,并收集调查对象的精液样本,进行精液常规检查；检测指标包括精液量、精子密度、精子存活率、前向精子百分率 、正常形态精子百分率等参数。结果 根据WHO精液健康标准(第5版),样本精液总合格率为39.78%。随着年龄的增加,精液总合格率显著降低(χ2=9.653,P=0.002)；合格率最低的单指标是精子密度(65.82%)。多因素Logistic回归分析显示,年龄(OR=0.510,95%CI：0.310～0.922),BMI(OR=0.763,95%CI：0.439～0.885),吸烟(OR=0.699,95%CI: 0.453～0.873)、饮酒(OR=0.544,95%CI : 0.287～0.874)、射精频率(OR=1.285,95%CI: 1.110～1.526)进入回归模型,是独立的影响因素。结论 本地区育龄男性精液质量不高,20～30岁年龄组精液质量最高,吸烟、饮洒、超重或肥胖和射棈频率髙是影响精液合格率的危险因素。 |
| 英文摘要: |
| 【】Objective: To study sperm quality of childbearing age men and the the relation between quality and sociological factors, and provide basis for male reproductive health intervention. Method: Childbearing age men who volunteered for premarital check-up were conducted an investigation. Sperm samples were collected to detect Semen Analysis, including semen volume, sperm concentration, survivability of sperm, sperm forward percentage, normal morphology sperm percentage. Sperm quality was grade by result and WHO Sperm Health Standard. Result: According to WHO Sperm Health Standard(Fifth Edition), total 39.78% parts of sperm samples were qualified, and single indicator with lowest qualified rate was sperm concentration(65.82%). Sperm quality of childbearing age men went lower as age increased(χ2=9.653, P=0.002). Multi-factor Logistic regression revealed that age(OR=0.510,95%CI：0.310~0.922), BMI(OR=0.763,95%CI：0.439~0.885), smoking(OR=0.699,95%CI: 0.453~0.873), drinking(OR=0.544,95%CI : 0.287~0.874), ejaculation frequency (OR=1.285,95%CI: 1.110～1.526) were independent influencing factors. Conclusion: Sperm quality of childbearing-age men was poor, and the quality of 20～30 years group was the best. Smoking, drinking, overweight and obesity, high ejaculation frequency were risky factors of sperm quality. |
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