河北省人类精子库5602例志愿者精液质量与影响因素分析
摘要
<正>精液质量是反映男性生殖健康、评价生育能力的最基本和最重要的指标[1]。精液质量关系到人口素质、生殖健康水平和种族的延续。近几年,有关男性精液质量及其影响因素的研究,不仅是学术界争论的焦点,也是公众舆论关注的热点。本研究采用WHO推荐的方法[2]对河北省人类精子库捐精志愿者的精液状况及相关因素进行分析,为今后在这方面的深入研究提供资料。
引文
[1] van der Merwe FH, Kruger TF, Oehninger SC, et al. The use of semen parameters to identify the subfertile male in the general population. Gynecol Obstet Invest, 2005, 59(2): 86-91.
[2] World Health Organisation. WHO Laboratory Manual for the Examination and Processing of Human Semen. 5th ed. Geneva: World Health Organization, 2010. 7-55.
[3] Swan SH, Elkin EP, Fenster L. The question of declining sperm density revisited: An analysis of 101 studies published 1934-1996. Environ Health Perspect, 2000, 108(10): 961-966.
[4] Borges E, Setti AS, Braga DP, et al. Decline in semen quality among infertile men in Brazil during the past 10 years. Int Braz J Urol, 2015, 41(4): 757-763.
[5] Wang L, Zhang L, Song XH, et al. Decline of semen quality among Chinese sperm bank donors within 7 years (2008-2014) . Asian J Androl, 2017, 19(5), 521-525.
[6] Yuan HF, Shangguan HF, Zheng Y, et al. Decline in semen concentration of healthy Chinese adults: Evidence from 9357 participants from 2010 to 2015. Asian J Androl, 2018, 20(4): 379-384.
[7] Huang C, Li B, Xu K, et al. Decline in semen quality among 30, 636 young Chinese men from 2001 to 2015. Fertil Steril, 2017, 107(1): 83-88.
[8] 乜照燕, 吴海峰, 张娜, 等. 不同年龄对精子凋亡率及DNA完整性影响的研究. 中华男科学杂志, 2012, 18(11): 1004-1008.
[9] 阎一鑫, 郝娜, 张文华, 等. 兰州地区4537例不育男性患者精液质量分析. 中国生育健康杂志, 2017, 28(2): 174-177.
[10] 杨译, 姜辉, 张海娇, 等. 男性不育患者年龄与精子DNA碎片和精液常规参数的相关性分析. 中国性科学, 2012, 21(2): 17-19.
[11] Vagnini L, Baruffi RL, Mauri AL, et al. The effects of male age on sperm DNA damage in an infertile population. Reprod Biomed Online, 2007, 15(5): 514-519.
[12] Winkle T, Rosenbusch B, Gagsteiger F, et al. The correlation between male age, sperm quality and sperm DNA fragmentation in 320 men attending a fertility center. J Assist Reprod Genet, 2009, 26(1): 41-46.
[13] Schwartz D, Mayaux MJ, Spira A, et al. Semen characteristics as a function of age in 833 fertile men. Fertil Steril, 1983, 39(4): 530-535.
[14] 张小建, 闵丽华, 李晓洁, 等. 1091例不育男性年龄与精液变化关系. 四川医学, 2009, 30(11): 1815-1817.
[15] 周侃, 陈志刚, 陈月婵. 石河子地区6178例男性精液质量评估及其与年龄的相关性探讨. 中国优生与遗传杂志, 2018, 26(4): 104-106.
[16] 黄静, 陈玲, 万凌, 等. 重庆市人类精子库捐精志愿者精液质量分析. 中华男科学杂志, 2018, 24(8): 700-704.
[17] Gyllenborg J, Skakkebaek NE, Nielsen NC, et al. Secular and seasonal changes in semen quality among young Danish men: A statistical analysis of semen samples from 1927 donor candidates during 1977-1995. Int J Androl, 1999, 22(1): 28-36.
[18] Levine RJ, Mathew RM, Chenault CB, et al. Differences in the quality of semen in outdoor workers during summer and winter. N Engl J Med, 1990, 323(1): 12-16.
[19] 张欣宗, 姚康寿. 供精者捐精的最佳时间研究. 中国男科学杂志, 2009, 23(1): 39-41, 47.
[20] 李文英, 武俊青, 高尔生, 等. 禁欲时间对男性精液质量的影响. 复旦学报(医学版), 2003, 30(4): 391-393.
[21] 王丽, 许成岩, 陈子江, 等. 禁欲时间对人类精液参数的影响. 中国男科学杂志, 2007, 21(8): 21-23.
[22] 刘国霖, 范宇平, 滕晓明, 等. 取精禁欲天数对精液常规参数的影响. 中国男科学杂志, 2016, 30(4): 38-41.
[23] 曹长生, 童传良, 范国华, 等. 禁欲时间与精液参数的相关性研究. 中国计划生育学杂志, 2010, 10: 625-627.
[24] 高榜华, 叶英, 万奇, 等.成都地区50例正常男子精液连续一年的动态观察.男性学杂志, 1998, 2(1) : 29-32.
[25] Jensen TK, Jacobsen R, Christensen K, et al. Good semen quality and life expectancy: A cohort study of 43, 277 men. Am J Epidemiol, 2009, 170(15): 559-565.
[26] Joffe M. What has happened to human fertility? Hum Reprod, 2010, 25(2): 295-307.
[2] World Health Organisation. WHO Laboratory Manual for the Examination and Processing of Human Semen. 5th ed. Geneva: World Health Organization, 2010. 7-55.
[3] Swan SH, Elkin EP, Fenster L. The question of declining sperm density revisited: An analysis of 101 studies published 1934-1996. Environ Health Perspect, 2000, 108(10): 961-966.
[4] Borges E, Setti AS, Braga DP, et al. Decline in semen quality among infertile men in Brazil during the past 10 years. Int Braz J Urol, 2015, 41(4): 757-763.
[5] Wang L, Zhang L, Song XH, et al. Decline of semen quality among Chinese sperm bank donors within 7 years (2008-2014) . Asian J Androl, 2017, 19(5), 521-525.
[6] Yuan HF, Shangguan HF, Zheng Y, et al. Decline in semen concentration of healthy Chinese adults: Evidence from 9357 participants from 2010 to 2015. Asian J Androl, 2018, 20(4): 379-384.
[7] Huang C, Li B, Xu K, et al. Decline in semen quality among 30, 636 young Chinese men from 2001 to 2015. Fertil Steril, 2017, 107(1): 83-88.
[8] 乜照燕, 吴海峰, 张娜, 等. 不同年龄对精子凋亡率及DNA完整性影响的研究. 中华男科学杂志, 2012, 18(11): 1004-1008.
[9] 阎一鑫, 郝娜, 张文华, 等. 兰州地区4537例不育男性患者精液质量分析. 中国生育健康杂志, 2017, 28(2): 174-177.
[10] 杨译, 姜辉, 张海娇, 等. 男性不育患者年龄与精子DNA碎片和精液常规参数的相关性分析. 中国性科学, 2012, 21(2): 17-19.
[11] Vagnini L, Baruffi RL, Mauri AL, et al. The effects of male age on sperm DNA damage in an infertile population. Reprod Biomed Online, 2007, 15(5): 514-519.
[12] Winkle T, Rosenbusch B, Gagsteiger F, et al. The correlation between male age, sperm quality and sperm DNA fragmentation in 320 men attending a fertility center. J Assist Reprod Genet, 2009, 26(1): 41-46.
[13] Schwartz D, Mayaux MJ, Spira A, et al. Semen characteristics as a function of age in 833 fertile men. Fertil Steril, 1983, 39(4): 530-535.
[14] 张小建, 闵丽华, 李晓洁, 等. 1091例不育男性年龄与精液变化关系. 四川医学, 2009, 30(11): 1815-1817.
[15] 周侃, 陈志刚, 陈月婵. 石河子地区6178例男性精液质量评估及其与年龄的相关性探讨. 中国优生与遗传杂志, 2018, 26(4): 104-106.
[16] 黄静, 陈玲, 万凌, 等. 重庆市人类精子库捐精志愿者精液质量分析. 中华男科学杂志, 2018, 24(8): 700-704.
[17] Gyllenborg J, Skakkebaek NE, Nielsen NC, et al. Secular and seasonal changes in semen quality among young Danish men: A statistical analysis of semen samples from 1927 donor candidates during 1977-1995. Int J Androl, 1999, 22(1): 28-36.
[18] Levine RJ, Mathew RM, Chenault CB, et al. Differences in the quality of semen in outdoor workers during summer and winter. N Engl J Med, 1990, 323(1): 12-16.
[19] 张欣宗, 姚康寿. 供精者捐精的最佳时间研究. 中国男科学杂志, 2009, 23(1): 39-41, 47.
[20] 李文英, 武俊青, 高尔生, 等. 禁欲时间对男性精液质量的影响. 复旦学报(医学版), 2003, 30(4): 391-393.
[21] 王丽, 许成岩, 陈子江, 等. 禁欲时间对人类精液参数的影响. 中国男科学杂志, 2007, 21(8): 21-23.
[22] 刘国霖, 范宇平, 滕晓明, 等. 取精禁欲天数对精液常规参数的影响. 中国男科学杂志, 2016, 30(4): 38-41.
[23] 曹长生, 童传良, 范国华, 等. 禁欲时间与精液参数的相关性研究. 中国计划生育学杂志, 2010, 10: 625-627.
[24] 高榜华, 叶英, 万奇, 等.成都地区50例正常男子精液连续一年的动态观察.男性学杂志, 1998, 2(1) : 29-32.
[25] Jensen TK, Jacobsen R, Christensen K, et al. Good semen quality and life expectancy: A cohort study of 43, 277 men. Am J Epidemiol, 2009, 170(15): 559-565.
[26] Joffe M. What has happened to human fertility? Hum Reprod, 2010, 25(2): 295-307.