精浆弹性蛋白酶对精浆锌及男性不育症的影响
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青海省科技项目(2016ZJ750)


Effecfs of seminal plasma elasfase on zinc and male mfertility
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    【摘要】 目的 探讨精浆弹性蛋白酶与锌、精液参数之间的关系,观察精浆弹性蛋白酶对锌的影响及在男性不育症中的价值。方法 收集就诊于我院生殖男科139例不育症男性的年龄、精浆弹性蛋白酶、一次射精的锌总量、精液常规分析主要参数(根据WHO第5版标准程序进行精液分析)。将精浆弹性蛋白酶≥600ng/ml设为感染组(83例),<600ng/ml设为非感染组(56例)。分析精浆弹性蛋白酶对精浆锌、精液浓度、活力、畸形率的影响及与年龄的关系。结果 年龄与精浆弹性蛋白酶无相关性(r=013,P>005);感染组的一次射精锌总量明显低于非感染组( t=229,P<005),且精子活力低于正常组(t=243 P<005);感染组与非感染组之间精子浓度(z=038) 、畸形率(t=067),差异均无统计学意义(P>005)。结论 精浆弹性蛋白酶与年龄无相关性,并不随着年龄的增加而变化。生殖道炎症对精浆锌及精子活力有影响,从而影响男性不育;但对精子浓度及形态无影响。因此,对于精浆弹性蛋白酶异常患者应重视对精浆锌及男性不育症的影响。

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    【Abstract】 Objective To investigate the effect of seminal plasma elastase on zinc and the value of seminal plasma elastase in male infertility by observing the relationship between seminal plasma elastase and zinc and semen parameters. Methods The age, seminal plasma elastase, zinc content of primary ejaculation and the main parameters of semen routine analysis were collected from 139 infertile men in reproductive andrology department of our hospital (according to the standard procedure of WHO 5th edition). Among them, 83 cases were infected with<600ng/ml elastase and 56 cases were noninfected with<600ng/ml elastase.Results There was no correlation between age and seminal plasma elastase (r=013 P>005). The total amount of single ejaculation zinc in the seminal plasma elastase abnormal group was significantly lower than that in the normal group (t=229, P<005), and the sperm motility was lower than that in the normal group (t=243, P<005). The difference was statistically significant (P<005). There was no significant difference in sperm concentration and deformity rate between the seminal plasma elastase abnormal group and the normal group (zn 038 P>005), but there was no significant difference in the abnormality rate (tr 067 P>005) between the seminal plasma elastase abnormal group and the normal group. Conclusion Seminal plasma elastase has no correlation with age and does not change with age. Genital tract inflammation affected seminal plasma zinc and sperm motility, thus affecting male infertility, but had no effect on sperm concentration and morphology. Therefore, attention should be paid to the effect of zinc in seminal plasma and male infertility in patients with abnormal seminal plasma elastase.

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  • 在线发布日期: 2019-02-25
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