辽宁地区正常成年男性精液质量调查

摘要

Objective To survey the semen quality of healthy adult men in the Liaoning area.Methods We included 400 male volunteers of different ages who underwent a premarital examination and reproductive health checkup in 2015 for semen sample collection.The inclusion criteria were as follows:men who underwent unified semen analysis,those who answered the questionnaire for analysis of overall semen quality,and those who were aged 18-25,26-30,and 31-40 years.Results Among the 400 male volunteers,the consistent standard rate only reached 40.5％ according to the World Health Organization-specified reference values for testicular volume,semen volume,semen concentration,total energy,forward movement,livability,normal appearance,pH,liquefaction time,DNA fragmentation index,and high DNA staining index.The differences between the three groups were statistically significant (P ＜ 0.05).The results of the 18-to 25-year age group were better than those of the other groups.Conclusion Healthy adults' semen quality in the Liaoning area has declined in recent years;therefore,male reproductive health education should be seriously considered.%目的 调查辽宁地区正常成年男性精液质量状况.方法 选择2015年在我中心进行婚前检查及生育健康体检的男性志愿者400人,共获取精液标本400份.严格按照纳入标准,对相关人员进行统一的精液分析和问卷培训,分析纳入人群的整体精液质量,比较18～25岁、26～30岁、31～40岁3个年龄组男性的精液质量差异.结果 400例正常育龄男性中,左右睾丸体积、精液体积、精子总数、精子浓度、总活力、前向运动、存活率、正常形态、pH值、液化时间、DNA碎片化指数、高DNA着色性指数与世界卫生组织规定的参考值标准相符率仅达40.5％,3个年龄组间各指标的差异有统计学意义(P＜0.05).18～25岁年龄组精液总体水平优于另外2组.结论 近年来辽宁地区正常成年男性的精液质量部分指标存在一定的下降趋势,应重视男性生殖健康的教育.