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目的:探讨贵州水族地区成年男性血清生殖激素水平与精液质量的关系。方法:整群随机抽取贵州水族地区555名已婚育龄男性进行问卷调查,检测血清卵泡刺激素(FSH)、黄体生成素(LH)及睾酮(T)等生殖激素水平,分析精液质量指标(精子总活力、前向运动率、体积、p H值和密度),采用Logistic回归分析探讨血清生殖激素水平与精液质量指标的关系。结果:低水平FSH组的精子总活力(OR=0.58,95%CI:0.35~0.97)和前向运动率(OR=0.58,95%CI:0.35~0.95)异常的危险性低于中水平FSH组,高水平LH组的精子总活力异常的危险性高于中水平LH组(OR=1.72,95%CI:1.07~2.76)。结论:FSH和LH水平与精子总活力及前向运动率密切相关。
Objective: To investigate the relationship between the level of serum reproductive hormones and the quality of semen of adult males in Guizhou Aquarium. Methods: A total of 555 married men of childbearing age in the aquariums of Guizhou were selected randomly to conduct a questionnaire survey. Levels of reproductive hormones such as serum follicle stimulating hormone (FSH), luteinizing hormone (LH) and testosterone (T) were measured. Semen quality indicators Total motility, forward movement rate, volume, p H value, and density). Logistic regression analysis was used to investigate the relationship between serum reproductive hormones and semen quality. Results: The risk of abnormal sperm motility (OR = 0.58, 95% CI: 0.35-0.97) and anteversion rate (OR = 0.58, 95% CI: 0.35-0.95) in patients with low FSH was lower than that in patients with moderate Group, high-level LH group sperm motility abnormalities were higher than the risk of LH group (OR = 1.72, 95% CI: 1.07 ~ 2.76). Conclusion: The levels of FSH and LH are closely related to sperm motility and forward motility.