接种SARS-CoV-2疫苗可提高COVID-19康复男性的精液质量:回顾性队列研究

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yuanqi Zhao, Yangyang Wan, Xuechun Hu, Xianhong Tong, Bo Xu, Xiaohua Jiang, Shun Bai, Cheng Cao
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引用次数: 0

摘要

据报道,2019 年冠状病毒病(COVID-19)会降低育龄男性的精液质量。SARS-CoV-2感染后接种疫苗男性的精液质量仍不清楚。我们招募了计划在 2022 年 12 月至 2023 年 3 月期间接种 COVID-19 疫苗的育龄中国男性。在 1,639 名接种者中,我们发现 COVID-19 疫苗恢复后,精子浓度(p < .001)、渐进活力(p < .001)、总活力(p < .001)、总活动精子数(TMSC)(p < .001)和正常形态(p = .01)均呈上升趋势。在感染 SARS-CoV-2 不超过 30 天的男性中,接种灭活疫苗加强剂的男性精子进步率(p = .006)、总活力(p = .005)和总活动精子数(TMSC)(p = .008)均高于未接种加强剂疫苗的男性,而接种重组蛋白疫苗的男性精液参数则无差异。同样,122 名在 COVID-19 前后提供精液样本的男性的精液质量也呈上升趋势。与未接种 COVID-19 的男性相比,SARS-CoV-2 感染持续时间少于 30 天的男性发生无精子症(几率比 [OR] = 2.23,p < .001)和畸形精子症(几率比 = 2.09,p = .03)的风险更高。总之,在接种 SARS-CoV-2 疫苗后,随着时间的推移,在 COVID-19 恢复期的男性中观察到了不利但可逆的精液参数。应向所有育龄男性推荐重组蛋白疫苗和灭活疫苗增强剂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SARS-CoV-2 Vaccination Improves Semen Quality in Men Recovered From COVID-19: A Retrospective Cohort Study.

Coronavirus disease 2019 (COVID-19) has been reported to decrease semen quality in reproductive-age men. Semen quality in vaccinated men after SARS-CoV-2 infection remains unclear. We recruited reproductive-age Chinese men scheduled for COVID-19 vaccination from December 2022 to March 2023. Among 1,639 vaccinated participants, an upward trend was found in sperm concentration (p < .001), progressive motility (p < .001), total motility (p < .001), total motile sperm count (TMSC) (p < .001), and normal morphology (p = .01) over time following COVID-19 recovery. Among men with an SARS-CoV-2 infection that lasted less than 30 days, men who received an inactivated vaccine booster had higher sperm progressive (p = .006) and total motility (p = .005) as well as TMSC (p = .008) than those without a booster vaccine, whereas no difference was found in semen parameters among men who received a recombinant protein vaccine. Similarly, an upward trend in semen quality was found among 122 men who provided semen samples before and after COVID-19. Higher risks of asthenozoospermia (odds ratio [OR] = 2.23, p < .001) and teratozoospermia (OR = 2.09, p = .03) were found among men who had an SARS-CoV-2 infection that lasted less than 30 days than among those without COVID-19. Collectively, after receiving SARS-CoV-2 vaccination, adverse but reversible semen parameters were observed in men recovering from COVID-19 over time. Recombinant protein vaccines and inactivated vaccine boosters should be recommended to all reproductive-age men.

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来源期刊
American Journal of Men's Health
American Journal of Men's Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
107
审稿时长
15 weeks
期刊介绍: American Journal of Men"s Health will be a core resource for cutting-edge information regarding men"s health and illness. The Journal will publish papers from all health, behavioral and social disciplines, including but not limited to medicine, nursing, allied health, public health, health psychology/behavioral medicine, and medical sociology and anthropology.
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