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吸烟量对男性精液质量及体外受精结局的影响

龚国通 李大文 成俊萍 何泳志 肖鑫

广西医学Issue(7):900-903,4.
广西医学Issue(7):900-903,4.DOI:10.11675/j.issn.0253-4304.2015.07.05

吸烟量对男性精液质量及体外受精结局的影响

Effects of nicotine intake on male semen quality and in vitro fertilization outcome

龚国通 1李大文 2成俊萍 2何泳志 3肖鑫3

作者信息

  • 1. 广西科技大学附属柳州市人民医院泌尿外科,柳州市 545006
  • 2. 广西壮族自治区人民医院生殖医学与遗传中心,南宁市 530021
  • 3. 广西中医药大学研究生学院,南宁市 530001
  • 折叠

摘要

Abstract

Objective To explore the effects of nicotine intake on male semen quality and in vitro fertilization outcome.Methods 1 900 male infertility patients were divided into four groups according to their daily nicotine intake,Group A1(500 cases smoked individually more than 20 cigarettes daily),Group A2(600 cases smoked individually 10 to 20 cigarettes daily),Group A3(400 cases smoked individually less than 10 cigarettes daily ) , and the other 400 cases who weren′t smoker as control group.Semen routine parameters, sperm DNA fragmentation index( DFI ) , sperm acrosome intact rate, in vitro fertilization and pregnancy outcomes were compared among four groups. Results Semen volume,sperm motility,survival ability,density,normal sperm number and sperm acrosome intact rate decreased with the increasing nicotine intake of the patients among four groups(P<0.05),while DFI increased with the increasing nicotine intake(P<0.05). The total fertilization rate,double pronucleus(2PN) rate and good embryo rate decreased with the increasing nicotine intake among four groups (P<0.05).Group A1 gained the lowest clinical pregnancy rate as well as the highest incidences of spontaneous abortion and teras(P<0.05), while control group obtained the highest clinical pregnancy rate as well as the lowest incidences of spontaneous abortion and teras (P<0.05). Conclusion Male semen quality,function,in vitro fertilization rate,2PN rate,good embryo rate and clinical pregnancy rate decline with the increasing nicotine intake a,nd the incidences of spontaneous abortion and teras increase as well .

关键词

精液质量/吸烟/受精能力/体外受精

Key words

Semen quality/Smoking/Fertilization ability/In vitro fertilization

分类

医药卫生

引用本文复制引用

龚国通,李大文,成俊萍,何泳志,肖鑫..吸烟量对男性精液质量及体外受精结局的影响[J].广西医学,2015,(7):900-903,4.

基金项目

国家自然科学基金(81360107);广西医药卫生科研课题(Z2014191);广西医疗卫生适宜技术研究与开发课题 ()

广西医学

OACSTPCD

0253-4304

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