摘要
目的通过对我院男性精液检查的分析,了解本地区男性精液质量情况,为男性不育的临床诊疗提供依据。方法采用伟力WLJY-9000型精子分析仪对308例精液进行分析,对异常指标分类统计,并根据年龄进行分组,比较各组精液量,液化时间,p H值,精子存活率,活力,精子密度,形态和各年龄组间精液量,精子密度,存活率,活力。结果 308例检查结果中,精液完全正常者179例,占58.12%,无精子症者3例,占0.97%,至少一项低于参考值者126例,占40.91%,其中精子活力异常占比最高;精液量方面:≥40岁组的为(2.85±1.13)ml,低于≤29岁组的(3.36±1.17)ml和30～39岁组的(3.41±1.21)ml,差异有统计学意义(P<0.05);精子存活率和活力方面随年龄有下降趋势,差异有统计学意义(P<0.05);精子密度方面,各组间比较,差异无统计学意义(P>0.05)。结论本地区男性精子活力、存活率、精子密度、精液量等指标异常所占比例较高;年龄对精液质量有一定影响,40岁以上人群精液质量下降。
Objective To understand the quality of male semen in this area through the analysis of male semen examination in our hospital, and to provide evidence for clinical diagnosis and treatment of male infertility. Methods 398 cases of semen were analyzed by Weili WLJY-9000 sperm analyzer. The abnormal indexes were classified and classified according to age. The semen volume, liquefaction time, pH value, sperm survival rate,vigor, sperm density, morphology and semen volume, sperm density, survival rate, viability between age groups. Results Among the 308 cases, 179 cases were completely normal, accounting for 58.12%, and 3 cases without azoospermia, accounting for 0.97%. At least one case was lower than the reference value of 126 cases, accounting for 40.91%, of which the abnormal proportion of sperm motility the highest;the amount of semen:(2.85 ±1.13)ml in the ≥ 40-year-old group,(3.36±1.17) ml in the ≤ 29-year-old group and(3.41±1.21) ml in the 30-39-year-old group, the difference is statistically significant(P <0.05);sperm survival rate and viability decreased with age, the difference was statistically significant( P <0.05);sperm density, there was no significant difference between groups(P>0.05). Conclusion The proportion of male sperm motility, survival rate, sperm density and semen volume is high in this area. Age has a certain influence on semen quality, and semen quality is lower in people over 40 years old.
作者
丁伟
严乃富
鹿红梅
周洋
卜承义
DING Wei;YAN Nai-fu;LU Hong-mei;ZHOU Yang;BU Cheng-yi(Department of Clinical Laboratory,PLA 36600 Military Hospital,Jiuquan 732750,Gansu,China)
出处
《医学信息》
2019年第4期127-128,133,共3页
Journal of Medical Information
关键词
精液检查
精液参数
年龄
Semen examination
Semen parameters
Age
