CAJ | 학술논문

目的：探讨清远地区男性不育症患者精液质量与年龄的关系。方法选取该院生殖中心男科门诊就诊的727例男性不育症患者为研究对象，依据年龄分为5组：≤25岁、＞25～30岁、＞30～35岁、＞35～40岁、＞40岁。采用计算机辅助精液分析（CASA）技术以及 Diff-Quick 快速染色法进行精液质量分析。结果＞30～40岁年龄段男性精液浓度较高，各年龄组间精液浓度变化没有统计学差异（P ＞0．05）。随着年龄的增长，前向运动（PR）精子比例、精子总活力以及精子存活率呈相对下降趋势，但各组间无明显统计学差异（P ＞0．05）。＞25～30岁组各项精液参数指标均达到 WHO 标准的比例最高，占该组人数的38．19％，＞40岁组比例最低，占该组人数的27．42％。结论随着年龄的增长，男性的精液质量呈下降趋势，但是不育症可发生在生育期男性的任何阶段。
목적：탐토청원지구남성불육증환자정액질량여년령적관계。방법선취해원생식중심남과문진취진적727례남성불육증환자위연구대상，의거년령분위5조：≤25세、＞25～30세、＞30～35세、＞35～40세、＞40세。채용계산궤보조정액분석（CASA）기술이급 Diff-Quick 쾌속염색법진행정액질량분석。결과＞30～40세년령단남성정액농도교고，각년령조간정액농도변화몰유통계학차이（P ＞0．05）。수착년령적증장，전향운동（PR）정자비례、정자총활력이급정자존활솔정상대하강추세，단각조간무명현통계학차이（P ＞0．05）。＞25～30세조각항정액삼수지표균체도 WHO 표준적비례최고，점해조인수적38．19％，＞40세조비례최저，점해조인수적27．42％。결론수착년령적증장，남성적정액질량정하강추세，단시불육증가발생재생육기남성적임하계단。
Objective To study the relationship between the semen quality and age in infertile men in Qingyuan.Methods 727 cases of infertile men from Reproductive Medicine Center outpatient were enrolled and divided into 5 groups:≤ 25,> 25 - 30,>30-35,>35-40,>40 age groups.The semen characteristics were carried out by calculator assistance sperm analysis(CASA) technique and Diff-Quick staining method.Results The sperm density of >30 -35 age group was the highest,but there was no significantly difference from other groups(P >0.05).Semen analysis showed that the rates of PR,PR+NP and survival sperm were on downward trends with the increase of age,but not statistically significant(P >0.05).38.19% of >25 -30 age group reached WHO′s semen parameters standard,which was the highest proportion among 5 groups.And the proportion in >40 age group was the lowest,which counted for 27.42%.Conclusion The semen quality shows a down trend with the increase of age,however,the infertility could occur in the reproductive men at any stage.