223例门诊患者的精子质量调查

目的了解男性科门诊患者的精子质量状况。方法采用计算机辅助精子分析（CASh）技术，检测223例男性科门诊患者精液的精子密度、a级精子、b级精子、精子活率，并将其分为正常组和异常组进行比较分析。结果223例患者的精子密度为（79．60±33．26）×10^6／ml、a级精子为（14．79±11．99）％、a＋b级精子为（48．51±15．96）％、精子活率为（71．80±15．79）％；其中正常组121例占54．26％，异常组102例占45．74％。正常组精子密度、8级精子、a＋b级精子、精子活率均显著大于异常组（P〈0．01）；异常组102例中，精子活力低下80例占78．43％，精子密度和精子活力异常16例占15．69％，精子密度降低6例占5．88％。结论男性科门诊就诊患者的精子质量存在明显异常，异常者中以精子活力低下为主。

Investigation on Sperm Quality of 223 Outpatients

Objective To investigate the sperm quality of andriatry outpatients. Methods A computer-aided sperm analysis（CASA） was performed in 223 outpatients for their sperm concentration, grade a sperm, grade b sperm, sperm viability rate. The patients were divided into normal group and abnormal group for a comparative analysis. Results The 223 patients＇ sperm concentration, grade a sperm, grade a and b sperm, and the sperm viability rate were （79.60±33.26）×10^6/ml, （14.79 ± 11.99）%, （48.51 ± 15.96）%, （71.80 ± 15.79）% ,respectively. The 121 patients with normal sperm accounted for 54.26% in contrast with the 102 abnormal cases accounted for 45.74%. The sperm concentration,grade a sperm,grade a and b sperm,and the sperm viability rate of normal group were significantly higher than those of abnormal group（ P 〈0.01 ）. Among the 102 patients in the abnormal group ,there were 80（78.43% ） with abnormal motility, 16 （15.69%） with both abnormal concentration and abnormal motility, and 6 （5.88%） with abnormal concentration. Conclusion Abnormality occurs in the sperm quality of andriatry outpatients with poor sperm motility as the main cause.