不孕夫妇男性精液质量和相关影响因素分析.docVIP

不孕夫妇男性精液质量和相关影响因素分析 　　[摘要] 目的 通过分析237对不孕不育夫妇男方精液常规形态及相关影响因素，探讨影响男性精液质量的危险因素。方法 对2012年间在惠州市中心人民医院生殖医学中心就诊的237对不育不孕夫妇中，按照可能对男方精液质量有影响的因素分为4组：暴露计算机电离辐射组、暴露高温作业组、暴露挥发化学物质组和未暴露以上环境的对照组，分析4组各组间精液质量差异。结果 计算机电离辐射组精子浓度19.97±12.28（M/mL）与对照组29.72±22.18相比差异有统计学意义；前向运动为15.94±11.73（%）与对照组29.37±23.48相比差异有统计学意义；精子形态为1.85±1.05（%）与对照组3.93±2.58相比差异有统计学意义。高温组精子前向运动为13.45±10.91（%）与对照组29.37±23.48相比差异有统计学意义；精子形态为1.93±1.28（%）与对照组3.93±2.58相比差异有统计学意义。结论 计算机电离辐射及高温是影响精液形态的主要因素。 　　[关键词] 不孕不育；精液；相关因素 　　[中图分类号] R711 [文献标识码] A [文章编号] 1674-0742（2014）08（b）-0018-03 　　[Abstract] Objective To explore the risk factors that affect the quality of semen of males by analyzing the conventional morphology of semen of males among 237 infertile couples. Methods According to the factors that might affect the quality of the semen of males， the 237 pairs of infertile couples visited the Reproductive Medicine Research Center of Huizhou Municipal Central Peoples Hospital in 2012 were divided into 4 groups， group exposed to electromagnetic radiation from computer， group exposed to high temperature group， group exposed to volatile compounds and the control group who had not exposed to the above environments. And the quality of semen of the 4 groups was analyzed. Results The sperm concentration of the group exposed to electromagnetic radiation from computer was 19.97±12.28（M/ml）， and that of the control group was 29.72±22.18， the difference between the two groups was significant； the sperm motility and the percentage of normal morphology sperm was 15.94±11.73（%）， 1.85±1.05（%）， respectively， and that of the control group was 29.37±23.48， 3.93±2.58， respectively， the differences were significant. The sperm motility and the percentage of normal morphology sperm of the group exposed to high temperature was 13.45±10.91（%），1.93±1.28（%）， respectively， and that of the control group was 29.37±23.48， 3.93±2.58， respectively， the differences were significant. Conclusion The morphology of semen is mainly affected by electrom