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马来西亚沙巴州农村地区农民使用农药对精液质量的影响。

Effects of pesticide use on semen quality among farmers in rural areas of Sabah, Malaysia.

机构信息

School of Medicine, University Malaysia Sabah, Kotakinabalu, Sabah, Malaysia.

出版信息

J Occup Health. 2010;52(6):353-60. doi: 10.1539/joh.l10006. Epub 2010 Sep 30.

Abstract

OBJECTIVES

To determine the relationship between semen quality and exposure to pesticide residues.

METHODS

A cross-sectional study was conducted among male farmers from 3 different communities in Sabah, Malaysia. A total of 152 farmers participated in this study of whom 62 farmers had been exposed to either paraquat or malathion or both to varying extents. Questionnaires were designed to record a history of pesticides exposure and other potential risk factors among farmers. All semen samples were collected, processed and analyzed by qualified personnel based on WHO guidelines. Volume, pH, sperm concentration, motility, morphology and WBC count were examined and recorded. The association between pesticide exposure and semen parameters was highly significant.

RESULTS

The mean values of volume, pH, sperm concentration, motility, and WBC count were significantly less in the exposed group than in compared with the non-exposed group, with p<0.005. Those who were exposed to pesticides had greater risk of having abnormal semen parameters than those in with the non exposed group, with p values of less than 0.05. The comparison between semen qualities such as lower sperm count, motility and higher percentage of sperm abnormality of those exposed to different types of pesticides (paraquat and malathion) showed no significant differences.

CONCLUSION

The results showed a significant decline in semen quality with a decline in sperm count, motility and higher percent of teratospermia among subjects with pesticide exposure, and those who were exposed to pesticides had significantly 3 to 9 times greater risk of having abnormal semen parameters.

摘要

目的

确定精液质量与接触农药残留之间的关系。

方法

在马来西亚沙巴州的 3 个不同社区进行了一项横断面研究。共有 152 名农民参加了这项研究,其中 62 名农民不同程度地接触过百草枯或马拉硫磷或两者兼有。设计了问卷来记录农民的农药接触史和其他潜在危险因素。所有精液样本均由合格人员按照世卫组织指南进行收集、处理和分析。检查并记录了体积、pH 值、精子浓度、活力、形态和白细胞计数。农药暴露与精液参数之间的关联具有高度显著性。

结果

暴露组的体积、pH 值、精子浓度、活力和白细胞计数的平均值明显低于未暴露组,p<0.005。与未暴露组相比,接触过农药的人出现异常精液参数的风险更大,p 值均小于 0.05。与那些接触过不同类型农药(百草枯和马拉硫磷)的人相比,那些接触过农药的人的精液质量(如精子计数较低、活力较低和精子畸形率较高)之间的比较没有显著差异。

结论

结果表明,与未接触农药的人相比,接触农药的人的精液质量显著下降,精子计数、活力下降,精子畸形率升高,而且接触农药的人出现异常精液参数的风险显著增加了 3 到 9 倍。

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