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[对配偶有早期反复胚胎死亡史的个体的非典型精液参数评估:寻找参考值]

[Evaluation of atypical semen parameters in individuals whose couples had a history of early recurrent embryo death: in search for a reference value].

作者信息

Rodríguez Edisson, Gil-Villa Aura María, Aguirre-Acevedo Daniel Camilo, Cardona-Maya Walter, Cadavid Angela P

机构信息

Grupo Reproducción, Universidad de Antioquia, Medellín, Colombia.

出版信息

Biomedica. 2011 Mar;31(1):100-7. doi: 10.1590/S0120-41572011000100012.

Abstract

INTRODUCTION

Previous studies related alterations in non-conventional seminal parameters with recurrent early embryonic death for one couple. A reference standard of clinical assessment is required for the management of these kinds of patients.

OBJECTIVE

Normal semen parameters were established based on functional tests including lipid peroxidation of sperm membranes, antioxidant capacity of seminal plasma and integrity of sperm chromatin to compare with men whose partners have recurrent early embryonic death. These parameters set reference values to identify subfertile individuals whose condition can be attributed to altered semen parameters.

MATERIALS AND METHODS

The conventional and non-conventional semen parameters of 47 samples of semen were evaluated. Thirty-six samples were from subfertile individuals whose partners had a history of early recurrent embryo death, and 11 samples were from individuals with recent evidence of normal fertility.

RESULTS

By discriminant analysis, the two groups were classified as follows: a value below 0.50 for 86.1% of individuals in the group of recurrent early embryonic death, and a value above 0.50 to classify 81.8% of individuals in the group of recent fertility.

CONCLUSIONS

This reference value of 0.5 based on the results of sperm tests can identify infertile male patients whose partners have a history of early embryonic death. This will aid the physician to suggest treatments more focused on the possible cause of subfertility.

摘要

引言

先前的研究探讨了一对夫妇反复早期胚胎死亡与非传统精液参数改变之间的关系。对于这类患者的管理,需要临床评估的参考标准。

目的

基于包括精子膜脂质过氧化、精浆抗氧化能力和精子染色质完整性在内的功能测试,建立正常精液参数,以便与伴侣反复早期胚胎死亡的男性进行比较。这些参数设定了参考值,以识别其不育状况可归因于精液参数改变的亚生育个体。

材料与方法

评估了47份精液样本的传统和非传统精液参数。36份样本来自伴侣有早期反复胚胎死亡史的亚生育个体,11份样本来自近期有正常生育证据的个体。

结果

通过判别分析,两组分类如下:反复早期胚胎死亡组中86.1%的个体值低于0.50,近期生育组中81.8%的个体值高于0.50。

结论

基于精子测试结果的0.5这一参考值可以识别伴侣有早期胚胎死亡史的不育男性患者。这将有助于医生建议更侧重于不育可能原因的治疗方法。

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