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[季节变化影响北京地区精子捐献者的精液质量]

[Seasonal variations influenced the semen quality of the sperm donor in Beijing area].

作者信息

Tang W H, Deng C Y, Gao J M, Luo Z C, Wu H, Tian S L, Wei N, Li B, Zhao Q C, Song J F, Zhang L, Ma L L, Jiang H

机构信息

Department of Urology, Peking University Third Hospital, Beijing 100191, China.

Department of Reproductive Medicine Center, Peking University Third Hospital, Beijing 100191, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2022 Aug 18;54(4):658-662. doi: 10.19723/j.issn.1671-167X.2022.04.012.

Abstract

OBJECTIVE

To investigate the change trends of sperm quality with seasonal variations among the volunteers of sperm donors in Beijing area, as well as the relationship between two parameters.

METHODS

Semen data from the volunteers of sperm donors in Human Sperm Bank of Peking University Third Hospital were collected using a retrospective study method. The subjects were divided into 4 seasonal groups based on the lunar solar terms and the time of sperm donation. The data were assessed to find whether there were differences in semen parameters among different seasonal groups, and to analyze the change trends and the influence of seasonal factors on semen parameters.

RESULTS

A total of 21 174 semen parameter data were analyzed. Firstly, to analyze all data as a whole, in spring, summer, autumn and winter groups, sperm concentration was (106.04±59.67)×10/mL, (97.61±47.41)×10/mL, (100.18±47.17)×10/mL, (100.59±38.68)×10/mL, respectively, and the spring group was significantly higher than the other 3 seasonal groups ( < 0.001); proportion of progressive motility sperm (PR) was 56.49%±12.76%, 58.02%±13.65%, 58.05%±12.36%, and 57.66%±12.61%, respectively, spring group was lower than the other three seasonal groups, and summer group was better among the latter ( < 0.001). There was no difference in normal rate of sperm morphology among the four seasonal groups. The qualified rate of sperm donors in the winter group was higher than that in the other three seasons groups ( < 0.01), while the qualified rate in the summer group was lower than that in the other three seasons groups. In addition, the semen parameters of the volunteers during the screening period and the official sperm donation period were analyzed respectively, which revealed that sperm concentration of spring group was higher than that of summer and winter groups, and PR was lower than that of summer and autumn groups. On account of the semen parameters of official sperm donation period, multiple linear regression analysis found that season was the main factor affecting sperm concentration, the average sperm concentration in spring group was about 6×10/mL higher than in winter group, but PR was 2.9% lower in spring group compared with autumn group (all < 0.05).

CONCLUSION

Season was the influencing factor of semen quality of sperm donors in Beijing area. We recommend spring and winter may be the preferred seasons for sperm donation.

摘要

目的

探讨北京地区志愿捐精者精液质量随季节变化的趋势以及两个参数之间的关系。

方法

采用回顾性研究方法收集北京大学第三医院人类精子库志愿捐精者的精液数据。根据节气和捐精时间将研究对象分为4个季节组。评估数据以发现不同季节组精液参数是否存在差异,并分析精液参数的变化趋势以及季节因素对精液参数的影响。

结果

共分析21174条精液参数数据。首先,整体分析所有数据,春、夏、秋、冬组精子浓度分别为(106.04±59.67)×10⁶/mL、(97.61±47.41)×10⁶/mL、(100.18±47.17)×10⁶/mL、(100.59±38.68)×10⁶/mL,春季组显著高于其他3个季节组(P<0.001);前向运动精子(PR)比例分别为56.49%±12.76%、58.02%±13.65%、58.05%±12.36%、57.66%±12.61%,春季组低于其他3个季节组且夏季组在这3组中最佳(P<0.001)。4个季节组精子形态正常率无差异。冬季组捐精者合格率高于其他3个季节组(P<0.01),夏季组合格率低于其他3个季节组。此外,分别分析了筛查期和正式捐精期志愿者的精液参数,结果显示春季组精子浓度高于夏季组和冬季组,PR低于夏季组和秋季组。基于正式捐精期的精液参数,多元线性回归分析发现季节是影响精子浓度的主要因素,春季组平均精子浓度比冬季组高约6×10⁶/mL,但春季组PR比秋季组低2.9%(均P<0.05)。

结论

季节是北京地区志愿捐精者精液质量的影响因素。我们建议春季和冬季可能为捐精更佳季节。

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