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高尔生, 武俊青, 杨秋英, 李文英, 徐晓, 付占海, 郭健, 蔡文娟, 唐锋, 陆卫群. 562例正常男子精液质量的综合评价[J]. 中国公共卫生, 2003, 19(6): 674-676.
引用本文: 高尔生, 武俊青, 杨秋英, 李文英, 徐晓, 付占海, 郭健, 蔡文娟, 唐锋, 陆卫群. 562例正常男子精液质量的综合评价[J]. 中国公共卫生, 2003, 19(6): 674-676.
GAO Er-sheng, WU Jun-qing, YANG Qiu-ying, . Comprehensive evaluation on semen quality of 562 healthy men[J]. Chinese Journal of Public Health, 2003, 19(6): 674-676.
Citation: GAO Er-sheng, WU Jun-qing, YANG Qiu-ying, . Comprehensive evaluation on semen quality of 562 healthy men[J]. Chinese Journal of Public Health, 2003, 19(6): 674-676.

562例正常男子精液质量的综合评价

Comprehensive evaluation on semen quality of 562 healthy men

  • 摘要:
      目的   了解我国男性精液质量的现状及探讨综合评价指标。
      方法   对我国7个省市妇幼保健所进行婚前体检的562例正常男性志愿者进行精液质量检查及流行病问卷调查.资料分析方法采用一般描述性分析和主成分分析等。
      结果   精液量为(2.61±1.10)ml, 精子密度为(64.47±34.59)×106/ml, 精子前向运动百分率(X2)为(59.89±17.11)%, 精子存活率(X3)为(77.19%±11.87)%, 精子正常形态率(X4)为(78.23±9.15)%.精液量、pH值、精子前向运动百分率、精子存活率及正常形态精子百分率的差值均在2%以内。精子密度的差值为6.18%。有效活精指数范围在0~8.01之间, 中位数为0.87。精液质量各常规指标都符合WHO标准的对象仅占42.3%。
      结论   常规精液质量指标与精液质量第一、第二主成分的相关分析显示: 第一主成分与精子前向运动百分率、精子存活率及正常形态精子百分率呈中、高度相关, 和精液量及精子密度为低度相关; 第二主成分与精液量及精子密度为中、高度相关, 与精子前向运动百分率、精子存活率及正常形态精子百分率呈低度负相关。表明第一主成分能较好的代表精液质量中的精子质量指标, 第二主成分能较好地代表精液质量中的精子数量指标。

     

    Abstract:
      Objective   To understand the status of quality of semen and its comprehensive evaluation indices in China.
      Methods   Questionnaire and experimental methods were used to survey the semen quality.There were 562 healthy male volunteers during their pre-marriage physical examinations among MCHs in 7 geographical areas.The main statistical methods are descriptive and principal component analysis.
      Results   The mean and standard deviation of semen volume was(2.61± 1110)ml.Semen density was(64.47±34.59)×106/ml.Sperm with forward progression was(59.89±17.11)%; sperm viability was(77.19±11.87)%; morphological percentage of normal sperm was(78.23±9.15)%.The differences of sperm with forward progression, viability and morphological percentage of normal sperm were within 20%, respectively, and the difference of semen density was 6.18%.Valid motile sperm index was 0-8.01, and its median was 0.87.There were 42.3% subjects whose indices met all WHO standards.
      Conclusion   Relative errors of semen quality was 0.40%-6.18%, which indicated that detective technique used was reliable, and laboratory testers were well endowed with know-how, also showed that the second semen quality indices were of little variation.

     

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