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1. 鹤壁市人民医院生殖科
2. 鹤壁市人民医院妇产科
纸质出版日期:2022,
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刘利芳, 刘皓, 张小燕, 等. 精子DNA碎片指数、精液常规参数与人工授精助孕结局的相关性[J]. 保健医学研究与实践, 2022,19(7):55-58.
Liu Lifang, Liu Hao, Zhang Xiaoyan, et al. Correlation of sperm DNA fragmentation index, semen routine and artificial insemination-assisted pregnancy outcomes[J]. Health Medicine Research and Practice, 2022,19(7):55-58.
刘利芳, 刘皓, 张小燕, 等. 精子DNA碎片指数、精液常规参数与人工授精助孕结局的相关性[J]. 保健医学研究与实践, 2022,19(7):55-58. DOI:
Liu Lifang, Liu Hao, Zhang Xiaoyan, et al. Correlation of sperm DNA fragmentation index, semen routine and artificial insemination-assisted pregnancy outcomes[J]. Health Medicine Research and Practice, 2022,19(7):55-58. DOI:
目的 分析精子DNA碎片指数、精液常规参数与人工授精助孕结局的相关性。方法 选取鹤壁市某医院2019年5月—2021年4月诊疗的232例男性不育患者为调查对象
对调查对象进行精子DNA碎片指数及精液常规检查(精液体积、精子浓度、精子总数、前向运动精子数、活动精子数、正常形态率)
统计调查对象人工授精助孕结局
分析调查对象人工授精助孕结局影响因素
分析调查对象精子DNA碎片指数与精液常规参数的相关性。结果 232例男性不育调查对象中
与其配偶人工授精助孕成功率为48.71%(113/232)
失败率为51.29%(119/232)。不同人工授精助孕结局男性不育调查对象前向运动精子数、活动精子数、正常形态率、精子DNA碎片指数比较
差异均有统计学意义(P<0.05)。Pearson相关分析结果显示:精子DNA碎片指数与前向运动精子数、活动精子数、正常形态率呈负相关关系(P<0.05)。多因素Logistic多元回归分析结果显示:前向运动精子数、活动精子数、正常形态率是男性不育调查对象配偶人工授精助孕成功的保护因素
精子DNA碎片指数是男性不育调查对象配偶人工授精助孕失败的独立危险因素(P<0.05)。结论 精子DNA碎片指数、精液常规参数与人工授精助孕结局关系密切
精子DNA碎片指数低、运动精子数及活动精子数多、精子正常形态率高的男性不育患者人工授精助孕成功率较高
此结果对临床人工授精助孕方案的选择具有指导作用。
Objective To analyze the correlation between sperm DNA fragmentation index
semen routine and the artificial insemination-assisted pregnancy outcomes. Methods A total of 232 male infertility patients treated in a hospital in Hebi City from May 2019 to April 2021 were selected as the subjects. The sperm DNA fragmentation index and semen routine indicators(semen volume
sperm concentration
total sperm count
number of forward-moving sperm
number of motile sperm
and normal morphology rate) of the subjects were examined
and the artificial insemination-assisted conception outcome of the subjects was counted. The correlation between the sperm DNA fragmentation index and the conventional parameters of semen was analyzed using univariate and multifactorial analysis.Results Among 232 male infertility cases
the success rate of artificial insemination with their partners was 48.71%(113/232) and the failure rate was 51.29%(119/232).The differences were statistically significant(P<0.05) in forward motile sperm count
motile sperm count
normal morphology rate
and sperm DNA fragmentation index among male infertility respondents with different artificial insemination-assisted conception outcomes.Pearson correlation analysis showed that sperm DNA fragmentation index was negatively correlated with forward motile sperm count
motile sperm count
and normal morphology rate(P<0.05). The results of multivariate logistic regression analysis showed that forward motile sperm count
motile sperm count
and normal morphology rate were protective factors for artificial insemination-assisted conception success in the spouses of male infertility respondents
and sperm DNA fragmentation index was an independent risk factor for artificial insemination-assisted conception failure in the spouses of male infertility respondents(P<0.05). Conclusion The sperm DNA fragmentation index and semen routine indicator were closely related to the outcome of artificial insemination-assisted conception
and the success rate was higher in male infertility patients who have low sperm DNA fragmentation index
high motile sperm count and motile sperm count
and high normal sperm morphology rate. This result serves as a guide for the selection of clinical artificial insemination protocol.
人工授精助孕精子DNA碎片指数精液常规临床结局
Artificial insemination-assisted pregnancySperm DNA fragmentation indexSemen routineClinical outcome
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