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性激素水平、精液质量与不育症患者精子DNA碎片指数的相关性

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目的:分析性激素指标水平、精液质量与不育症患者精子DNA碎片指数(DFI)的相关性.方法:回顾性分析2022年1-12 月于该院就诊的 80 例不育症患者的临床资料,设为观察组,另回顾性分析同期该院 80 名男性健康体检者的临床资料,设为对照组.统计两组DFI,依据DFI将观察组患者分为异常患者(DFI≥30%)和正常患者(DFI<30%),比较两组及异常患者、正常患者性激素指标[睾酮、卵泡刺激素(FSH)、促黄体生成素(LH)]水平和精液质量,分析性激素指标水平、精液质量与DFI的相关性.结果:观察组DFI为(18.93±2.10)%,高于对照组的(15.38±2.05)%,差异有统计学意义(P<0.05);观察组DFI≥30%有58例,占72.50%(58/80);DFI<30%有 22 例,占 27.50%(22/80);观察组LH、FSH水平均高于对照组,睾酮水平和精子总数、精子浓度、精子总活力、精子前向运动比例均低于对照组,差异有统计学意义(P<0.05);异常患者睾酮水平和精子总数、精子浓度、精子总活力、精子前向运动比例均低于正常患者,LH、FSH水平均高于正常患者,差异有统计学意义(P<0.05);Pearson相关性分析结果显示,睾酮水平和精子总数、精子浓度、精子总活力、精子前向运动比例均与不育症患者精子DFI呈负相关(r<0,P<0.05);LH、FSH水平均与不育症患者精子DFI呈正相关(r>0,P<0.05).结论:精液质量、睾酮水平均与不育症患者精子DFI呈负相关,LH、FSH水平均与不育症患者精子DFI呈正相关.
Correlations among sex hormone index levels,semen quality and sperm DNA fragmentation index in infertile patients
Objective:To analyze correlations among sex hormone index level,semen quality and sperm DNA fragmentation index(DFI)in infertile patients.Methods:The clinical data of 80 patients with infertility who were treated in the hospital from January to December 2022 were retrospectively analyzed and they were set as the observation group.The clinical data of 80 healthy subjects in the hospital during the same period were retrospectively analyzed and they were set as the control group.The DFI of the two groups was statistically analyzed.The patients in the observation group with DFI≥30%was set as the abnormal patients,and those with DFI<30%was set as the normal patients.The levels of sex hormone indexes[testosterone,follicle stimulating hormone(FSH),luteinizing hormone(LH)]and the semen quality were compared between the two groups and among the abnormal patients and the normal patients.The correlations among the sex hormone index levels,the semen quality and the DFI were analyzed.Results:The DFI of the observation group was(18.93±2.10)%,which was higher than the control group of(15.38±2.05)%,and the difference was statistically significant(P<0.05).There were 58 cases of DFI≥30%in the observation group,accounting for 72.50%(58/80);and there were 22 cases with DFI<30%,accounting for 27.50%(22/80).The levels of LH and FSH in the observation group were higher than those in the control group,the testosterone level,the total sperm count,the sperm concentration,the total sperm motility and the sperm forward motility ratio were lower than those in the control group;and the difference was statistically significant(P<0.05).The testosterone level,the total sperm count,the sperm concentration,the total sperm motility and the sperm forward motility ratio of the abnormal patients were lower than those of the normal patients,the levels of LH and FSH were higher than those of the normal patients,and the differences were statistically significant(P<0.05).Pearson correlation analysis showed that the testosterone level,the total sperm count,the sperm concentration,the total sperm motility,the sperm forward motility ratio were negatively correlated with DFI(r<0,P<0.05);while the levels of LH and FSH were positively correlated with DFI(r>0,P<0.05).Conclusions:The semen quality and the testosterone level are negatively correlated with DFI in the infertile patients,while the LH and FSH levels are positively correlated with DFI.

InfertilitySperm DNA fragmentation indexSex hormoneSemen qualityCorrelation

马子珺

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郑州市妇幼保健院生殖遗传科,河南 郑州 450000

不育症 精子DNA碎片指数 性激素 精液质量 相关性

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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