摘要
目的:通过对少精子症和弱精子症患者的精液常规检测,分析引起少精子症和弱精子症的病因,进而确定其治疗方向。方法:选取2017年1月至2019年12月到垫江县人民医院检查的已婚育龄男性182例,根据精液常规分析结果分为少精子症组69例、弱精子症组89例和对照组24例,对三组男性的年龄、禁欲天数、精液体积、精子浓度、精子总数、精子前向运动百分率和精子总活力进行比较。结果:三组男性的年龄、禁欲天数比较,差异均无统计学意义(P>0.05);少精子症组男性的精液体积、精子浓度、精子总数、精子前向运动百分率和精子总活力百分率均明显低于对照组,差异具有统计学意义(P<0.05)。弱精子症组男性的精子浓度、精子总数、精子前向运动百分率和精子总活力百分率均明显低于对照组,差异具有统计学意义(P<0.05)。结论:少精子症、弱精子症均有可能导致男性不育,治疗男性不育不仅要重点治疗少精或弱精的问题,而且要将少精与弱精视为一个整体同时治疗。
Objective To analyze the causes of oligospermia and asthenospermia through routine semen testing of patients with oligospermia and asthenospermia,and then determine the direction of treatment.Methods A total of 182 married men of childbearing age who were examined in Dianjiang County People’s Hospital from January 2017 to December 2019 were selected and divided into oligospermia group(69 cases),asthenospermia group(89 cases) and control group(24 cases) based on the results of routine semen analysis.The age,days of abstinence,semen volume,sperm concentration,total number of sperm,percentage of forward sperm movement and total sperm motility of the three groups were compared.Results There was no statistically significant difference in the age and abstinence days of the three groups (P > 0.05),the semen volume,sperm concentration,total number of sperm,the percentage of forward sperm movement and the percentage of total sperm motility of the men in the oligospermia group were significantly lower than those in the control group (P < 0.05).The sperm concentration,total number of sperm,percentage of forward sperm movement and percentage of total sperm motility of men in the asthenospermia group were significantly lower than those of the control group (P < 0.05).Conclusion Both oligospermia and asthenospermia may cause male infertility.The treatment of male infertility should not only focus on the problem of oligospermia or asthenospermia,but also treat oligospermia and asthenospermia as a whole at the same time.
作者
张存亮
刘智
ZHANG Cun-liang;LIU Zhi(Dianjiang County People's Hospital,Chongqing Dianjiang 408300)
出处
《深圳中西医结合杂志》
2021年第20期94-96,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
垫江县科技局项目资助课题(djkjxm2017jsyfysfyy028)。
