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体外不同温度下人类精子活力随时间的变化

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目的 了解人类精子在体外不同温度条件下其活力随时间的变化趋势,为优化精子的体外保存条件提供理论依据.方法 正常男性精液39份均分为两份,分别放置于26℃的室温和37 ℃的水浴箱中,在0 h、2 h、4 h、24 h分别测定精子活力、前向运动、非前向运动和不动精子的比例;将0 h和24 h的精液分别送细菌培养.结果 在0 h 39份精液中精子活动力55.68%(IQR,46.06%~64.93%),在26℃和37 ℃放置2 h精子活动力分别降为37.04%(IQR,30.35%~48.40%)和 44.69%(IQR,33.10%~55.42%)(P<0.05);26 ℃ 24 h 精子活动力为 10.39%(IQR,4.39%~17.62%),而在37 ℃ 24 h所有精子活动力为0%(P<0.000 1).放置37℃和26℃2 h前向运动精子比例为 33.26%(IQR,23.92%~44.58%)和 28.67%(IQR,19.41%~35.07%)(P<0.05),24 h 后在 37 ℃条件下前向运动精子和非前向运动精子比例均为0%,而在26℃条件下前向运动和非前向运动精子比例分别为3.57%(IQR,1.65%~8.06%)和 5.88%(IQR,2.19%~10.07%)(P<0.000 1).2 h 后 37 ℃ 不动精子比例[55.31%(IQR,44.42%~66.56%)]低于 26℃条件下的[61.99%(50.80%~69.24%)](P<0.05);24 h 后 37 ℃ 不动精子的比例达到了 100%,而26℃不动精子比例为89.51%(IQR,81.78%~95.44%)(P<0.000 1).0 h精液培养无细菌生长,24 h精液培养示蜡样芽胞杆菌生长.结论 在体外,人类精子活力随时间延长而下降,短时间(4 h)内精子活力在37℃下降较慢,时间延长后在37 ℃下降更快.精子活力下降可能与精液内细菌生长繁殖有关.
Changes in human sperm motility over time at different temperatures
Objective To understand the changes in human sperm motility over time at different temperatures for optimizing the preservation conditions of sperm in vitro.Methods Thirty-nine normal semen samples were evenly divided into two parts and placed in a water bath at 26 ℃ and 37 ℃,respectively.Their sperm motility,the proportion of forward motility,non-forward motility,and immotile sperm were measured at 0 h,2 h,4 h,and 24 h,respectively and semen samples at 0 and 24 hours were sent for bacterial culture.Results Sperm motility was 55.68%(IQR,46.06%-64.93%)in 39 semen samples at 0 h,and decreased to 37.04%(IQR,30.35%-48.40%)and 44.69%(IQR,33.10%-55.42%)after being placed at 26 ℃ and 37 ℃ for 2 h(P<0.05).Sperm motility at 26 ℃ for 24 h was 10.39%(IQR,4.39%-17.62%),while sperm motility at 37 ℃ for 24 h was 0%(P<0.000 1).The proportion of forward motile sperm after being at 37 ℃ and 26 ℃ for 2 hours was 33.26%(IQR,23.92%-44.58%)and 28.67%(IQR,19.41%-35.07%),respectively(P<0.05).After 24 h,the proportions of forward motile sperm and non-forward motile sperm at 37 ℃ were 0%,while the proportions of forward motile sperm and non-forward motile sperm at 26 ℃ were 3.57%(IQR,1.65%-8.06%)and5.88%(IQR,2.19%-10.07%),respectively(P<0.000 1).The proportion of immobile sperm(55.31%(IQR,44.42%-66.56%))at 37 ℃ after 2 h was lower than that at 26 ℃(61.99%(50.80%-69.24%))(P<0.05).After 24 hours,the proportion of immobile sperm at 37 ℃ reached 100%,while that at 26 ℃ was 89.51%(IQR,81.78%-95.44%)(P<0.000 1).After 48 hours bacterial culture,a lot of bacillus cereus were identified in semen samples collected at 24 hours while no bacterial was found in semen samples collected at 0 hour.Conclusions Sperm motility in vitro at 37 ℃was better than that at 26 ℃ for the first 4 hours,while sperm motility at 26 ℃ was better than that at 37 ℃ for 24 hours.The decrease in sperm motility may be related to bacterial growth and reproduction.

sperm motilityin vitrotemperature

罗怡云、刘章顺、史晓红、王明燚、谢晓东、邵红芳

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上海交通大学医学院附属第六人民医院生殖医学中心(上海 200233)

精子能动性 体外 温度

2024

中国男科学杂志
上海交通大学医学院,国家人口和计划生育委员会科学技术研究所

中国男科学杂志

CSTPCD
影响因子:0.437
ISSN:1008-0848
年,卷(期):2024.38(3)