精液常規(guī)檢驗(yàn)在男性不育診療中的應(yīng)用評(píng)價(jià)(1)
[摘要] 目的 探討在男性不育診療中進(jìn)行精液常規(guī)檢驗(yàn)的臨床價(jià)值。方法 方便選取1 593例該所接收的男性不育患者，時(shí)間為2013年8月—2018年8月期間，患者禁欲2～7 d，手淫法取精，收集完整精液于清潔蓋的小杯內(nèi)，采用北京偉力WLJY-9000彩色精子質(zhì)量檢測(cè)系統(tǒng)，檢測(cè)精子活力、精子密度等。 結(jié)果 1 593份不育患者精液檢查所有參數(shù)均正常的占29.8%(475/1 593)，有一項(xiàng)或多項(xiàng)參數(shù)異常的占70.2%(1 118/1 593)。異常組與正常組PH值和精液量比較，差異無(wú)統(tǒng)計(jì)學(xué)意義(t=0.742、-1.171，P>0.05);異常組與正常組精液液化時(shí)間、精子數(shù)、精子總活力、前向運(yùn)動(dòng)力比較，差異有統(tǒng)計(jì)學(xué)意義(t=-34.527、38.432、28.699、17.234，P<0.05);1 118例異常精液標(biāo)本中，異常率最高的指標(biāo)為精子總活力，占22.9%;除去無(wú)精子患者，共1 098例患者分為4個(gè)年齡段，在這4組間，其中>40歲年齡組前向運(yùn)動(dòng)百分率、精液濃度及精子總活力均較其他3個(gè)年齡組要低，且呈相對(duì)下降趨勢(shì)(F=10.471、24.547、11.895，P<0.05);經(jīng)單因素方差分析顯示，PH值和精液量、精子正常形態(tài)率比較，差異無(wú)統(tǒng)計(jì)學(xué)意義(F=1.341、1.524、2.956，P>0.05);>40歲年齡組患者精液異常率最高，明顯高于其他年齡組(χ2=11.391、19.321、16.781，P<0.05)。結(jié)論 男性不育患者中精子活力異常比例較高，此外年齡與男性精液質(zhì)量有一定影響。
[關(guān)鍵詞] 男性不育;精液常規(guī)檢驗(yàn);精子活力
[中圖分類(lèi)號(hào)] R271.14 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742(2020)03(a)-0192-03
Evaluation of Routine Semen Testing in Diagnosis and Treatment of Male Infertility
LAI Zhi-run
Fujian Institute of Family Planning Science and Technology， Fuzhou， Fujian Province， 350011 China
[Abstract] Objective To investigate the clinical value of routine semen testing in the diagnosis and treatment of male infertility. Methods A total of 1 593 male infertile patients received were conrenient selected from August 2013 to August 2018. The patients were abstained for 2～7 d， masturbation was used to extract sperm， and the complete semen was collected in a small cup with a clean lid. Beijing Weili WLJY-9000 color sperm quality detection system was used to detect sperm motility and sperm density. Results The parameters of semen examination of 1 593 infertile patients were normal (29.8% (475/1593))， and one or more parameters were abnormal 70.2% (1 118/1 593). There was no statistically significant difference in PH value and semen volume between the abnormal group and the normal group (t=0.742，-1.171 P>0.05); the semen liquefaction time， sperm count， total sperm motility， and forward motility were compared between the abnormal group and the normal group. The differences were statistically significant (t=-34.527， 38.432， 28.699， 17.234， P<0.05); among the 1 118 abnormal semen specimens， the highest abnormality index was the total sperm motility， which accounted for 22.9%; except for patients with sperm， a total of 1 098 patients were divided into 4 age groups. Among these 4 groups， the percentage of forward exercise， semen concentration， and total sperm motility of the> 40-year-old group were lower than those of the other three age groups， and they showed a relative downward trend(F=10.471， 24.547， 11.895， P<0.05); analysis of univariate analysis of variance showed that there was no statistically significant difference between PH value and semen volume and normal sperm morphology rate (F=1.341， 1.524， 2.956， P>0.05 ); the semen abnormality rate was highest in the> 40-year-old group， which was significantly higher than in other age groups(χ2=11.391， 19.321， 16.781， P<0.05). Conclusion The abnormal proportion of sperm motility is higher in male infertile patients， and age and male semen quality have a certain effect., http://www.www.srpcoatings.com(賴(lài)智潤(rùn))
[關(guān)鍵詞] 男性不育;精液常規(guī)檢驗(yàn);精子活力
[中圖分類(lèi)號(hào)] R271.14 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742(2020)03(a)-0192-03
Evaluation of Routine Semen Testing in Diagnosis and Treatment of Male Infertility
LAI Zhi-run
Fujian Institute of Family Planning Science and Technology， Fuzhou， Fujian Province， 350011 China
[Abstract] Objective To investigate the clinical value of routine semen testing in the diagnosis and treatment of male infertility. Methods A total of 1 593 male infertile patients received were conrenient selected from August 2013 to August 2018. The patients were abstained for 2～7 d， masturbation was used to extract sperm， and the complete semen was collected in a small cup with a clean lid. Beijing Weili WLJY-9000 color sperm quality detection system was used to detect sperm motility and sperm density. Results The parameters of semen examination of 1 593 infertile patients were normal (29.8% (475/1593))， and one or more parameters were abnormal 70.2% (1 118/1 593). There was no statistically significant difference in PH value and semen volume between the abnormal group and the normal group (t=0.742，-1.171 P>0.05); the semen liquefaction time， sperm count， total sperm motility， and forward motility were compared between the abnormal group and the normal group. The differences were statistically significant (t=-34.527， 38.432， 28.699， 17.234， P<0.05); among the 1 118 abnormal semen specimens， the highest abnormality index was the total sperm motility， which accounted for 22.9%; except for patients with sperm， a total of 1 098 patients were divided into 4 age groups. Among these 4 groups， the percentage of forward exercise， semen concentration， and total sperm motility of the> 40-year-old group were lower than those of the other three age groups， and they showed a relative downward trend(F=10.471， 24.547， 11.895， P<0.05); analysis of univariate analysis of variance showed that there was no statistically significant difference between PH value and semen volume and normal sperm morphology rate (F=1.341， 1.524， 2.956， P>0.05 ); the semen abnormality rate was highest in the> 40-year-old group， which was significantly higher than in other age groups(χ2=11.391， 19.321， 16.781， P<0.05). Conclusion The abnormal proportion of sperm motility is higher in male infertile patients， and age and male semen quality have a certain effect., http://www.www.srpcoatings.com(賴(lài)智潤(rùn))
參見(jiàn)：首頁(yè) > 醫(yī)學(xué)版 > 醫(yī)學(xué)知識(shí) > 生殖系統(tǒng) > 男性生殖系統(tǒng) > 精液