北京昌平南部地区1 381例育龄男性精液质量分析

中华养生保健 ›› 2023, Vol. 41 ›› Issue (20): 21-25.

北京昌平南部地区1 381例育龄男性精液质量分析

李潇¹, 晏斌²

1.北京市昌平区中西医结合医院泌尿外科,北京,102208;
2.中国中医科学院西苑医院泌尿男科,北京,100091

出版日期:2023-10-16 发布日期:2023-10-12
作者简介:李潇（1989—）,男,汉族,籍贯：河北省保定市,硕士研究生,主治医师,研究方向：中西医结合泌尿外科。
基金资助:
国家自然科学基金青年科学基金项目（82104674）

Semen Quality Analysis of 1 381 Men of Childbearing Age in Southern Changping Area of Beijing

LI Xiao¹, YAN Bin²

1. Urology, Beijing Changping District Integrated Chinese and Western medicine hospital, Beijing 102208, China;
2. Andrology, Xiyuan Hospital of China Academy of Chinese Medial Sciences, Beijing 100080, China

Online:2023-10-16 Published:2023-10-12

摘要/Abstract

摘要： 目的了解北京昌平南部地区近两年男性精液质量状况。方法回顾性分析2021年7月—2023年6月因备孕来北京市昌平区中西医结合医院检查精液的育龄男性的精液质量,按年龄分为≤25岁、26~30岁、31~35岁、36~40岁、>40岁5组,统计分析比较各组精液参数;按时间分为A、B、C、D 4组,比较近两年男性精液质量的变化。结果共收集整理1 381例男性精液标本,总体精液质量达标719例,精液异常的662例,年龄分组中后4组比较精子总数、精子总活力、前向运动力、存活精子率,差异有统计学意义（P<0.05）,随年龄增加各项参数降低,其余参数差异无统计学意义（P>0.05）;时间分组中D组男性精子浓度和精子总数低于前3组,差异有统计学意义（P<0.05）。结论北京昌平南部地区育龄男性精液质量能够达到WHO规定的标准,精液异常主要为精子总活力、前向运动力、存活精子率;随年龄增加,精液质量下降;近半年男性精子浓度和精子总数较前明显减少。

关键词: 精液质量, 年龄, 男性生育力

Abstract: Objective To investigate the semen quality of men in southern Changping District in recent two years. Methods The semen quality of reproductive-age men who came to Changping District Integrated Traditional Chinese and Western medicine hospital for semen examination during July to June in the 2021 of 2023 was analyzed retrospectively, they were divided into 5 groups according to their ages: ≤25,26~30,31~35,36~40, >40, the semen parameters were analyzed and compared, and the semen parameters were divided into 4 groups according to their ages: A, B, C, D, to compare the changes of male semen quality in recent two years. Results A total of 1,381 male semen samples were collected and sorted. The total semen quality was up to standard in 719 cases, and abnormal semen in 662 cases, there were significant differences in total sperm count, sperm motility, forward motility and survival sperm rate (P<0.05), but there were no significant differences in other parameters with age (P>0.05). The sperm concentration and total sperm count in group D were significantly lower than those in the first 3 groups (P<0.05). Conclusion The semen quality of reproductive-age men in southern Changping District can meet the WHO standard. The main semen abnormalities are sperm total motility, forward motility and survival sperm rate, the sperm concentration and the total number of sperm decreased significantly in the last six months.

Key words: semen quality, age, male fecundity

中图分类号:

李潇, 晏斌. 北京昌平南部地区1 381例育龄男性精液质量分析[J]. 中华养生保健, 2023, 41(20): 21-25.

LI Xiao, YAN Bin. Semen Quality Analysis of 1 381 Men of Childbearing Age in Southern Changping Area of Beijing[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(20): 21-25.

参考文献

[1] 马静,马婧,王旭初,等.河北地区不育门诊男性患者精液质量与影响因素研究[J].中国计划生育杂志,2018,26(11):1024-1027.
[2] 何婷婷,张嘉会,李志祥.戒烟史和吸烟长短对男性精液质量的影响分析[J].临床医药文献杂志,2018,5(37):79.
[3] 尚海艳,赵乾程,毛加明.精液质量和精子DNA碎片指数与不明原因性自然流产风险的相关性研究[J].中国性科学,2021,30(7):4-7.
[4] 谷翊群,陈振文,卢文红,等.世界卫生组织人类精液检查与处理实验室手册[M].第5版.北京:人民卫生出版社,2011:5-96.
[5] 林雪. 新中国成立以来人口生育变迁的回眸与前瞻[J].延安大学学报(社会科学版),2022,44(5):62-69.
[6] 王越,王甲琪,胡娜,等.北京地区2308例男性精液治疗检查结果分析[J].检验医学与临床,2022,19(4):529-531.
[7] 孙丽,刘春秀,李全亭.北京昌平地区413例正常男子精液质量综合评价[J].中国妇幼健康研究,2016,27(2):519.
[8] 崔林,高睿,高攀,等.精索静脉曲张合并不育患者精液质量与心理压力的关系[J].中国性科学,2023,32(2):26-29.
[9] 闫泽晨,商学军,刘玮,等.生殖支原体感染对男性不育患者精液质量的影响[J].中华男科学杂志,2018,24(4):317-321.
[10] 安琪,屈艳霞,陈笑娟,等.二胎备孕男性精液质量与年龄、体质量指数以及肥胖生化指标的相关性分析[J].中华男科学杂志,2019,25(7):595-602.
[11] 张晓玲,盛佳智,王静,等.有氧运动对男性大学生精液质量的影响定量生物学分析[J].中国性科学,2019,28(2):49-52.
[12] 孙丛萌,罗兰.2016-2018年梅州地区3610例男性不育患者精液质量分析[J].黑龙江医学,2020,44(6):820-822.
[13] 雷洪恩,韩虎,张小东,等.影响北京地区11 973份精液标本质量的多因素分析[J].中国性科学,2022,31(4):1-5.
[14] JOHNSON S L, DUNLEAVY J, GEMMELL N J, et al.Consistent age-dependent declines in human semen quality: a systematic review and meta-analysis[J]. Ageing Res Rev,2015,19:22-33.
[15] 吴山强,杨怡艳.桂东南地区1918例男性精液质量结果分析[J].检验医学与临床,2019,16(20):3016-3018.
[16] 余红,玉婷,詹超武,等.皖南地区2025例拟生育男性精液常规调查分析[J].中国性科学,2022,31(12):48-51.
[17] 刘琳,李发敏子,张瑞,等.甘肃地区1705例不育门诊男性患者精液质量及影响因素分析[J].中国男科学杂志,2019,33(6):17-22.
[18] 周侃,陈志刚,陈月婵.石河子地区6178例男性精液质量评估及其与年龄的相关性探讨[J].中国优生与遗传杂志,2018,26(4):104-106.
[19] 买尔哈巴·阿不力孜,赵婉竹,张晨,等.社会支持在精液质量异常男性生育压力与生育生活质量中的中介作用[J].现代预防医学,2023,50(3):525-530.
[20] 薛瑜,廖明,覃爱平.高龄男性生育问题的研究进展[J].临床医学研究与实践,2019,8(3):195-197.
[21] 沈朗,谢利嘉,史潇,等.老来得子,忧患实多—辅助生殖中高龄男性的伦理思考[J].生殖医学杂志,2019,28(12):1505-1509.
[22] 杨静薇,黄学锋,王增军,等.CSRM数据报告:2008-2018年中国健康男性精液质量变化分析[J].生殖医学杂志,2020,29(1):1-6.
[23] 黄春妍,姚陈均,王春,等.1985~2008年间我国正常男性精液质量变化分析[J].中华男科学杂志,2010,16(8):684-688.