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某医院男性精液检查结果分析(1)
http://www.100md.com 2019年1月29日 《医学信息》 2019年第4期
     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型精子分析儀对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,pH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。

    关键词:精液检查;精液参数;年龄
, 百拇医药
    中图分类号:R966 文献标识码:A DOI:10.3969/j.issn.1006-1959.2019.04.041

    文章编号:1006-1959(2019)04-0127-03

    Abstract: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.

    Key words:Semen examination;Semen parameters;Age

    随着二胎政策的全面放开,育龄夫妇生育需求越来越高,但由于近年来环境和生活方式等因素的影响,不孕不育的发病率居高不下,其中男性因素所占的比例约50%[1],精液常规检查是评估男性生育能力的重要检查。为了解本地区男性精液质量,为临床上男性不育提供诊疗依据,现对我院2012年1月~2018年11月就诊的308例男性精液标本结果进行分析,结果汇报如下。, 百拇医药(丁伟 严乃富 鹿红梅)
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