摘要
目的 分析海南地区少数民族和汉族不育男性精液质量状况,为海南地区不育男性患者在诊断与治疗方面提供科学依据.方法 回顾性分析2020年1月至2021年12月男性不育患者1 682例的临床资料.按民族分为少数民族组(367例)和汉族组(1 315例).比较两组间患者年龄、精液质量指标(精液量、精液液化时间异常率、精子浓度、精子活动率、前向运动精子百分率、精子正常形态百分率)、精子异常类型发生率.结果 两组中患者年龄、精液量、少精子症、弱精子症、无精子症的发生率比较,均无统计学意义(P＞0.05);但少数民族组精液液化时间异常率(10.40％)、畸形精子症的发生率(29.70％)均高于汉族组(6.60％、27.00％),差异均具有统计学意义(P＜0.05);少数民族组精子浓度66 × 106/mL、精子活动率(49.38±15.85)％、前向运动精子百分率(44.54±15.67)％、精子正常形态百分率(3.86±2.02)％均显著低于汉族组的 73 × 106/mL、(55.16±12.67)％、(48.85±12.73)％和(4.90± 2.54)％,差异均具有统计学意义(P＜0.05).结论 海南地区少数民族和汉族不育男性在精液质量方面存在差异性,少数民族患者的整体精液质量水平低于汉族,因此我们应该重视少数民族地区男性生殖健康教育,以提高其生育水平.
Abstract
Objective To analyze of the semen quality of infertile males of minorities and Han ethnic groups in Hainan and provide a scientific basis for the diagnosis and treatment of infertile men in Hainan area.Methods Clinical data of 1 682 infertility male patients from January 2020 to December 2021 were retrospectively analyzed.The patients were divided into two groups including the ethnic minority group(367 cases)and the Han nationality group(1315 cases)according to nationality.The age,semen quality indicators(semen volume,semen liquefaction time,sperm concentration,total sperm motility,forward motion sperm rate,normal sperm morphology rate)and the incidence of abnormal sperm types were compared between the two groups.Results There were no significant differences between the two groups in the incidence of age,semen volume,oligospermia occurrence,asthenospermia occurrence and azoospermia occurrence(P＞0.05);However,the abnormal rate of semen liquefaction time(10.40％)and the incidence of teratospermia(29.70％)in the ethnic minority group were higher than those in the Han nationality group(6.60％and 27.00％),and the differences were statistically significant(P＜0.05);Sperm concentration(66 × 106/mL),total sperm activity rate[(49.38±15.85)％],forward motility sperm rate[(44.54±15.67)％],and normal sperm morphology rate[(3.86±2.02)％]of the ethnic minority group were all remarkably lower than those of the Han nationality group[(73 × 106/mL,(55.16±12.67)％,(48.85± 12.73)％]respectively,and(4.90±2.54)％,and the differences were statistically significant(P＜0.05).Conclusions There is a significant differences in semen quality between infertile males of ethnic minority and Han nationality in Hainan area.The overall semen quality level of the ethnic minorities patients is obviously lower than that of Han nationality.So,we should strengthen male reproductive health education in areas of minority to improve their fertility level.
基金项目
海南省自然科学基金高层次人才项目(820RC769)
海南医学院第二附属医院青年培育基金(2020120)
NETL
NSTL
万方数据