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目的通过分析男性糖尿病(DM)患者精液的主要参数,明确糖尿病导致男性生育能力损伤在精液方面的具体指标。方法采集2013年3月至2014年5月期间在本研究机构就诊的且已经在我院内分泌科确诊为糖尿病、并有生育需求的就诊患者与正常育龄男性对照研究。两组均按照25~35岁、36~45岁分为两个年龄段组。采集其精液观测精液量、酸碱度(pH)、液化时间、精子密度、精子总数、各级精子百分率。所得数据进行统计学分析比较。结果糖尿病患者精液量减少、精液液化时间延长、(a+b)级精子减少,这几项均与正常组人群存在显著性差异;精液的pH、精子密度、c级和d级精子均与正常组比较没有显著性差异。结论糖尿病患者精液质量下降主要引起了精液量、精液液化时间、精子活力的异常,从而导致男性生育能力降低。
Objective By analyzing the main parameters of sperm in male patients with diabetes mellitus (DM), the specific parameters of sperm in the diagnosis of male fertility caused by diabetes were clarified. Methods A control study was conducted on patients who had been diagnosed with diabetes mellitus and had fertility needs during the period from March 2013 to May 2014 in our institution and from normal fertility men. The two groups were divided into two age groups according to 25 ~ 35 years old, 36 ~ 45 years old. Semen collected semen volume, pH (pH), liquefaction time, sperm density, the total number of sperm, sperm percentage at all levels. The data obtained for statistical analysis and comparison. Results Semen volume, sperm liquefaction time, and (a + b) spermatozoa decreased in diabetic patients, which were significantly different from those in normal subjects. The sperm pH, sperm density, c- There was no significant difference between groups. Conclusion The decline of sperm quality in diabetic patients mainly caused abnormal semen volume, sperm liquefaction time and sperm motility, which resulted in the decrease of male fertility.