摘要
目的探讨成年男性体质量指数(BMI)、腰臀比(WHR)及腰围与精子质量、数量的关系,从而为肥胖不育男性的治疗提供理论支持。方法选择2010年10月至2011年10月收治的男性不育症患者187例作为研究组,另选择20例健康者作为对照组。按照世界卫生组织(WHO)《人类精液及精子-宫颈黏液相互作用实验室检验手册》(第5版)标准,用重庆天海公司彩色精子质量分析系统分析精液,将获得的参数与受试者BMI、WHR及腰围进行统计分析。结果研究组患者BMI[(29.09±4.33)kg/m2]、腰围[(112.00±10.33)cm]、WHR(0.98±0.07)较对照组[分别为(20.53±1.55)kg/m2、(90.00±4.55)cm、(0.87±0.02)]显著升高,差异有统计学意义(P=0.00);研究组患者精液内精子数量轻、中、重度减少程度及质量减弱程度与BMI、WHR及腰围均呈负相关(P<0.05)。结论肥胖对男性精液数量及质量均存在影响,且影响程度与肥胖程度密切相关。
Objective To investigate the relationship of body mass index（BMI）,waist-hip ratio（WHR） and waist circumference of adult males with semen quality and quantity,so as to provide theoretical support for treatment of obese infertile males. Methods A total of 187 infertile males,who were received from October 2010 to October 2011,were selected as research group, another 20 healthy people were selected as control group. In accordance with the WHO laboratory manual for the Exami nation and Processing of Human Semen（5th edition）,the seminal fluid was analyzed by color sperm quality analysis system of Chongqing Tianhai Company, the obtained parameters and the BMI,WHR and waist circumference of the respondents were statistically analyzed. Results The BMI,waist circumstance and WHR of the research group [（29.09±4.33）kg/m2,（112.00±10.33）cm and（0.98±0.07）] increased more obviously than those of the control group [（20.53±1.55）kg/m2,（90.00±4.55）cm and（0.87±0.02）]with statistically significant difference（P=0.00）. The mild,moderate and severe reduction degree of semen quantity and the decrease degree of semen quality were negatively correlated with BMI,WHR and waist circumference（P〈0.05）. Conclusion Obesity has influence on the quantity and quality of semen, and the influence is closely related with the degree of obesity.
出处
《现代医药卫生》
2014年第13期1927-1928,1932,共3页
Journal of Modern Medicine & Health
基金
国家临床重点专科建设资助项目(2009-2-327)
