石河子地区不同民族男性精液质量的比较

目的 比较石河子地区不同民族男性精液质量，初步探讨其差异性，为临床诊治提供参考。方法 回顾性分析2016年8月~2017年8月我院行精液常规检查的1644名男性的临床资料，比较不同民族男性精液质量结果，精液质量各指标（pH值、精液量、精子浓度、精子活率、前向运动率）及异常指标发生率。结果 不同民族男性精液异常占比比较，差异无统计学意义（P＞0.05）。汉族男性精液pH值高于回族和哈萨克族，差异有统计学意义（P＜0.05）；汉族男性精液量及精子浓度最高，其次是哈萨克族及回族，但三个民族精液量及精子浓度比较，差异无统计学意义（P＞0.05）；汉族男性精子活率和前向运动率最高，其次是回族及哈萨克族，汉族与哈萨克族精子活率和前向运动率比较，差异有统计学意义（P＜0.05）。汉族男性精液液化时间异常发生率高于回族和哈萨克族，差异有统计学意义（P＜0.05）；回族男性精液pH值及精液量异常发生率高于汉族和哈萨克族，差异有统计学意义（P＜0.05）；哈萨克族男性精子活率、前向运动率、精子浓度异常及无精症发生率高于汉族和回族，差异有统计学意义（P＜0.05）。结论 石河子地区不同民族男性精液质量存在差异，回族男性的精子浓度最低，哈萨克族男性的精子活率及精子前向运动率最低，且哈萨克族男性无精症发生率最高，而液化时间异常则在汉族男性精液异常发生率最高。对不同民族男性精液质量的分析可进一步了解民族差异及评估整体生育水平，对临床诊治具有重要意义。

Comparison of Semen Quality among Men of Different Nationalities in Shihezi Area

Objective To compare the semen quality of men of different ethnic groups in Shihezi area, and to explore the differences, and provide reference for clinical diagnosis and treatment. Methods The clinical data of 1644 males who underwent routine semen examination in our hospital from August 2016 to August 2017 were retrospectively analyzed. Semen quality results of different ethnic groups were compared. Semen quality indicators (pH, semen volume, sperm concentration, sperm) rate of survival, forward rate of movement) and incidence of abnormal indicators.Results There was no significant difference in the proportion of semen in different ethnic groups (P>0.05). The pH value of semen in Han males was higher than that in Hui and Kazak,the difference was statistically significant (P<0.05). The semen volume and sperm concentration of Han males were the highest, followed by Kazakh and Hui, but the semen volume and sperm concentration of the three ethnic groups were compared,the difference was not statistically significant (P>0.05); the Han male had the highest sperm motility and forward motility rate, followed by the Hui and Kazakh, and the Han and Kazakh sperm motility and forward motility rate were statistically significant (P<0.05). The abnormal incidence rate of semen liquefaction time in Han males was higher than that in Hui and Kazakh,the difference was statistically significant (P<0.05). The incidence of semen pH and semen in Hui men was higher than that in Han and Kazakh,the difference was statistically significant (P<0.05); Kazakh male sperm motility, forward movement rate, abnormal sperm concentration and azoospermia incidence were higher than Han and Hui nationality, the difference was statistically significant (P<0.05). Conclusion There are differences in semen quality among men of different ethnic groups in Shihezi area. The sperm concentration of Hui men is the lowest. The sperm motility and sperm motility rate of Kazakh men are the lowest, and the Kazakh men have the highest incidence of azoospermia, while the liquefaction time is abnormal. Han males have the highest incidence of semen abnormalities. The analysis of semen quality in different ethnic males can further understand ethnic differences and assess the overall fertility level, which is of great significance for clinical diagnosis and treatment.