青岛市工业区婚龄男子精液状况分析

Semen status Analysis of marriageable men in industry district of Qingdao

目的 为了解青岛市工业区婚龄男子精液质量 ,促进本地区优生优育工作。方法 按照《WHO人类精液及精子—宫颈粘液相互作用实验室检验手册》 ,使用清华同方产CASAS -QH -Ш仪器 ,对 10 0 0名婚龄男子完整精液标本进行分析。结果 ①我市工业区婚龄男子精液质量处于较低水平。②精液异常主要是精子活力降低 ,其余依次为体积减少、精子存活率降低、白细胞计数增多、精子密度降低及 pH值降低。③精液体积、pH值、a级、a +b级活动精子百分率、精子密度、总精子计数、精子存活率、正常精子形态率、白细胞计数、生精细胞计数的主要分布范围 (不包括范围上限 )分别在 2～ 2 .5ml、7.6～7.8、15 %～ 2 0 %、35 %～ 4 0 %、30～ 6 0× 10 6/ml、0～ 10 0× 10 6、6 0 %～ 70 %、6 0～ 70 %、0 .5～ 1× 10 6/ml、0～ 0 .5× 10 6/ml。结论 工业区婚龄男子精液质量较差 ,应当引起有关部门重视 ;在婚前保健中应重点针对精子活力降低状况 ,开展保健服务 ,同时建议开展精液常规检查 。

Objective: Know about the semen quality of marriageable men in industry district of Qingdao, and promote the programme of improving birth outcome and child development in our district. Methods: According to《WHO laboratory manual for the examination of human semen and sperm-cervical mucus interaction》,analyze integrated semen sample of 1000 marriageable men with CASAS-QH-Ⅲ Apparatus made by Qinghua Tongfang. Results:The semen quality of marriageable men in our industry district is in a lower level.② The semen vigor decreasing is accounted for the first of semen abnormalities, followed in turn by bulk decreasing, sperm survival rate debasing, leukocyte counting growing, sperm density falling and the PH's value decreasing. ③Main distribution range(Not including the upper limit)of semen bulk, pH's value, a's grade, a+b's grade sperm, percentage, sperm density, total sperm counting, sperm survival rate, the percentage of sperm with normal form, Leukocyte counting, spermoblast counting, is respectively 2～2.5ml、7.6～7.8、15%～20%、35%～40%、30～60×10 6/ml、0～100×10 6、60%～70%、60%～70%、0.5～1×10 6/ml、0～0.5×10 6/ml. Conclusion:The semen quality of marriageable men in our industry district is in a lower level, this should arouse the attention of some special departments; in the health care before marriage, we should spread out health care service mainly against sperm vitality decreasing, and suggest deploying the routine examination of semen ,so promote the work of improving birth outcome and child development.