男性职业、吸烟及精液质量与自然流产的相关性

目的:探讨男性职业、吸烟及精液质量与自然流产的关系。方法:2009年3月~2011年1月在厦门市妇幼保健院以优生检查就诊的2 431例男性患者在精液检查时填写调查问卷,取精后1 h内进行精液分析,记录精液参数。结果:男性职业暴露组与对照组自然流产史百分率比较,差异有统计学意义(P<0.05);男性吸烟组自然流产史百分率显著高于不吸烟组(P<0.05),尤其是日吸烟量≥20支组(P<0.01);不同"a+b"级精子活动百分率组的自然流产史百分率差异无统计学意义(P>0.05);正常精子形态百分率<15%组自然流产史百分率显著高于正常精子形态百分率≥15%组(P<0.05);精液白细胞浓度≥1×109/L组与精液白细胞浓度<1×109/L组自然流产史百分率比较,差异有统计学意义(P<0.05)。结论:男性特殊职业、吸烟、精子畸形率、精液白细胞浓度可能与女方发生自然流产相关,建议孕前避免接触有毒有害物质,并进行优生优育检查以预防自然流产。

Relationship between miscarriage and male occupation,smoking and semen quality

Objective:To explore the relationship between miscarriage and male occupation,smoking and semen quality.Methods:All the male patient who came our center for eugenic from March,2009 to January,2011 filled out a questionnaire from set up for patient consultation record.A total of 2 431 questionnaires were collected.Semen analysis was performed within one hour of production.Results:There was a significant difference in the rate of with miscarriage history of male occupational between exposure group and control...