慢性细菌性前列腺炎合并不育症患者精液质量及精子功能分析

Analysis of semen quality and sperm function of infertility male with chronic bacterial prostatitis

目的:探究男性慢性细菌性前列腺炎合并不育症患者精液质量与精子功能。方法:选取2018年1月-2020年1月本院收治的慢性细菌性前列腺炎合并不育症患者(感染不育组)、单纯不育症患者(单纯不育组)及单纯慢性细菌性前列腺炎患者(单纯感染组)各46例,均行精液质量及精子功能检测。结果:感染不育组精液量、液化时间均高于另外两组,pH值、精子浓度则低于另外两组(P<0.05);单纯不育组精液量、液化时间、精子浓度均低于单纯感染组,精液pH值高于单纯感染组(P<0.05)。精液量异常、液化时间异常、pH值异常及精子浓度异常占比感染不育组最高、单纯不育组次之、单纯感染组最低,精子总活力、存活率、前向运动精子百分比感染不育组最低、单纯不育组次之、单纯感染组最高。精子DNA碎片率感染不育组最高、单纯不育组次之、单纯感染组最低(均P<0.05)。结论:慢性细菌性前列腺炎对男性精液质量与精子功能有较大影响,可能是引起男性不育的重要原因。

Objective:To explore semen quality and sperm function of infertility male with chronic bacterial prostatitis.Methods:46 infertility males with chronic bacterial prostatitis were selected in group A,46 simple infertility males were selected in group B,and 46 males with simple chronic bacterial prostatitis were selected in group C from January 2018 to January 2020.The semen quality and sperm function of the males in the three groups were detected.Results:The semen volume and the liquefaction time of the males in group A were significantly higher than those of the males in group B,while the pH value and the sperm concentration of the males in group C were significantly lower than those of the males in group B and C(P<0.05).The semen volume,the liquefaction time,and the sperm concentration of the males in group B were significantly lower than those of the males in group C,and the semen pH value of the males in group B was significantly higher than that of the males in group C(P<0.05).The proportion of the abnormal semen volume,the abnormal liquefaction time,the abnormal pH value,or the abnormal sperm concentration of the males in group A was the highest,then followed by that of the males in group B,and which of the males in group C was the lowest.The total sperm motility,the survival rate,or the percentage of forward motile sperm of the males in group A was the lowest,followed by that of the males in group B,and which of the males in group C was the highest.The sperm DNA fragment rate of the males in group A was the highest,followed by that of the males in group B,and which of the males in group C was the lowest(all P<0.05).Conclusion:Chronic bacterial prostatitis has greater impact on the semen quality and sperm function of the males,which may be an important reason of male infertility.