不孕少精症精液分析参数的相关性分析

Dr. Sumaiyya Firdous, Dr. Zeenath Begum, D. S. Patil, Dr. Syeda Heena Kauser
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摘要

精液的形态、活力、运动性、成熟度、pH值、计数、凝集和生化参数等多种参数共同决定了精液的整体质量。与少精子症相关的常见因素有疾病(遗传性、传染性、激素性和阻塞性)、吸烟、辐射、重金属中毒、睾丸过热等环境因素。目的:分析不同年龄段不育男性精液中与少精症相关参数的相关性。材料和方法:本横断面描述性观察性研究包括150份精液样本,来自不同的不孕不育诊所、产科妇科诊所、体外受精中心和有不孕问题的个体。该研究于2021年7月至2022年2月进行。研究的参数包括体积、液化时间、pH、计数、运动性、形态、未成熟形态、凝集、白细胞和果糖。结果:150例患者中,年龄以31 ~ 40岁为主,平均年龄33.14岁。正常73例(48.7%),无精子症6例(4%),少精子症71例(47.3%)。与少精症呈正相关的参数有年龄(Pearson相关性为0.008,0.946 p值,无统计学意义)、pH (Pearson相关性为0.194,0.106 p值,无统计学意义)、液化时间(Pearson相关性为0.106,0.378 p值,无统计学意义)。与少精子症呈负相关的参数有:体积(-0.58 Pearson相关,0.633 p值,无统计学意义)和活力(-2.77 Pearson相关,0.19 p值,有统计学意义)。结论:研究表明,少精子症与年龄、pH、液化时间呈正相关,与体积、活力呈负相关。该研究还表明,少精子症与运动性、形态、凝集和果糖之间存在显著关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation Of Parameters Of Semen Analysis In Oligospermia In Infertility
Background: Various semen parameters including morphology, vitality, motility, maturation, pH, count, agglutination and biochemical parameters altogether determine the overall quality of semen. Common factors associated with oligospermia are diseases (genetic, infectious, hormonal and obstructive), smoking, environmental factors such as radiation, heavy metal poisoning, overheating of testicles. Objective: Semen analysis in infertile males of various age group with possible correlation of parameters in relation to oligospermia. Materials and methods: This cross-sectional descriptive observational study included 150 semen sample received from various infertility clinics, obstetric gynaecology clinics, In vitro fertilization centers, and from individuals with infertility problems. The study was conducted from July2021-February2022. Parameters studied included volume, liquefaction time, pH, count, motility, morphology, immature forms, agglutination, leucocytes, and fructose. Results: Out of 150 cases, majority belonged to the age group of 31-40years, mean age was 33.14 years. Seventy-three cases (48.7%) were normal, six (4%) showed azoospermia, 71 (47.3%) showed oligospermia. Parameters correlated positively with oligospermia are age (0.008 Pearson correlation, 0.946 p value, not significant), pH (0.194 Pearson correlation, 0.106 p value, not significant), liquefaction time (0.106 Pearson correlation, 0.378 p value, not significant). Parameters correlated negatively with oligospermia are volume (-0.58 Pearson correlation, 0.633 p value, not significant) and motility (-2.77 Pearson correlation, 0.19 p value, significant) Conclusion: The study showed a positive correlation of oligospermia with age, pH, liquefaction time and negative correlation with volume and motility. The study also showed a significant association between oligospermia and motility, morphology, agglutination and fructose.
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