广州市番禺区成年有生育力男性精液质量调查及相关因素分析

Investigation on Semen Quality of Adult Fertile Males in Panyu District,Guangzhou and Analysis of Related Factors

目的调查分析广州市番禺区成年有生育力的男性精液质量及相关因素。方法回顾性分析2018年3月-2020年3月于番禺区妇幼保健计划生育服务中心生殖门诊中心进行生育健康检查的200例有生育力男性的精液样本,行精液质量检测并根据精液质量标准分为异常组与正常组,比较两组精液常规指标[精子密度、精液量、精子总数、精子总活力及前向运动(PR)水平];统计两组包括年龄、文化程度、饮食营养、职业、婚姻、高血压疾病史、吸烟史、饮酒史、运动习惯、电子产品辐射、精索静脉曲张情况及社会心理因素等一般资料,对上述资料中P<0.05的变量进行Logistic回归分析,探讨影响精液质量的独立危险因素。结果200例样本中异常者82例,占比41.00%,正常者118例,占比59.00%。两组精液量比较差异不具有统计学意义(P>0.05),正常组精子密度、精子总数、精子总活力及PR水平均显著高于异常组(P<0.05);根据多因素Logistic回归分析,吸烟史、饮酒史、运动习惯、电子产品辐射、精索静脉曲张及社会心理因素是影响精液质量的独立危险因素(P<0.05)。结论广州市番禺区成年有生育力男性中部分男性精液质量存在异常,分析与吸烟、饮酒、电子产品及精索静脉曲张有关,应重视成年有生育力男性生育保健与检查,加强对男性生殖健康知识的宣传。

Objective To investigate the semen quality of adult fertile males in Panyu District,Guangzhou,and analyze related factors.Methods The semen samples from 200 fertile males who received reproductive health examinations in the hospital between March 2018 and March 2020 were retrospectively analyzed.The semen quality was tested,and the subjects were divided into abnormal group and normal group according to the semen quality standard.The routine semen indicators[sperm density,semen volume,total sperm count,total sperm motility and progressive motility(PR)]were compared between the 2 groups.General data of the 2 groups,including age,education level,diet and nutrition,occupation,marital status,hypertension history,smoking history,drinking history,exercise habits,electronic product radiation,varicocele status,and psychosocial factors,were statistically analyzed.Data with statistically significant differences were enrolled in Logistic regression analysis to explore the independent risk factors affecting semen quality.Results Among the 200 samples,82 samples were abnormal,accounting for 41.00%,and 118 samples were normal,accounting for 59.00%.There was no statistically significant difference in semen volume between the two groups(P>0.05).The sperm density,total sperm count,total sperm motility and PR level of the normal group were significantly higher than those of the abnormal group(P<0.05).Multivariate Logistic regression analysis showed that smoking history,drinking history,exercise habits,electronic product radiation,varicocele and psychosocial factors were independent risk factors affecting semen quality(P<0.05).Conclusion The semen quality of some fertile males in Panyu District,Guangzhou is abnormal,which is related to smoking,drinking,electronic products and varicocele.Attention should be paid to reproductive health care for adult fertile males,and propaganda of health knowledge about male reproduction should be strengthened.