【摘要】 目的了解本地区就诊男性患者的精液质量状况,初步探讨男性年龄对精液质量的影响,为临床诊治提供参考。方法对2012年1月至2016年8月来我院就诊男性患者的6178例精液标本进行回顾性分析和统计,并按照年龄分为<30岁、30-39岁及≥40岁3个年龄组,分析比较各组精液参数,分析指标主要包括pH值、精液量、精子密度、精子活率及前向运动率等。结果 6178例精液标本中,正常精液占27.57%,异常精液占72.43%,其中无精症占3.19%。异常精液主要以精子活率低为主,其次是前向运动率低及液化时间异常等。pH值在30-39岁年龄组高于其余2个年龄组,组间差异有统计学意义(P<0.05),精液量在≥40岁年龄组均显著低于<30岁年龄组及30-39岁年龄组,差异有统计学意义(P<0.01);另外随着年龄的增加,精子活率和前向运动率呈递减趋势而精子密度呈递增趋势,组间差异有统计学意义(P<0.01)。不同年龄组男性异常精液发生率不同,精子活率异常发生率在30-39岁组最高,精液量、前向运动率及液化时间异常发生率在≥40岁年龄组最高,组间差异有统计学意义(P<0.01)。结论?石河子地区男性精液质量异常主要表现为精子活率低,且随着年龄的增长男性精液质量除pH值及精子密度外呈逐渐下降趋势。通过对本地区男性精液质量分析可初步评估本地男性的生育能力,对临床的诊治也具有重要的意义。更多还原

【Abstract】 Objective:To investigate the semen quality of male patients in shihezi and explore the effect of male age on semen quality,which can provide the reference for clinical diagnosis and treatment. Methods:6178 males treated in our hospital from january 2012 to august 2016 were retrospectively analyzed and divided into<30 years,30-39 years and over 40 years old in 3 age groups,then compared the semen parameters. the analysis indicators including ph value,semen volume,sperm density,sperm motility rate and forward movement rate etc. Results:In those 6178 cases,normal semen accounted for 27.57 and abnormal semen accounted for 72.43,azoospermia accounted for 3.19.the low sperm motility was the primal problem in the abnormal sperm,then were the low rate of forward movement and the abnormal liquefaction time. the value of ph in the 30-39 age group was higher than the other 2 age groups,there was significant difference between the groups(P<0.05),semen volume in over 40 years old age group were significantly lower than those in<30 and 30-39 age groups,the difference was statistically significant(P<0.01);also increased with age sperm motility and forward movement rate decreased and the sperm density increased,there was significant difference between the groups(P<0.01). Conclusion:The low sperm motility was the primal problem in the abnormal sperm in shihezi,and increased male age is associated with a decline in male semen quality but not with the ph value and the sperm concentration. through the analysis of the male semen quality in Shihezi,it can be preliminarily evaluated the fertility of the local men and also can provide the reference for clinical diagnosis and treatment.更多还原