M. Sukprasert, A. Wongkularb, S. Rattanasiri, W. Choktanasiri, C. Satirapod
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引用次数: 12
摘要
这是一项实验性研究,旨在确定短时间禁欲对精子活力、形态和DNA损伤的影响,该研究在Ramathibodi医院辅助生殖技术(ART)部门进行。根据1999年世界卫生组织(WHO)和克鲁格(Kruger)严格标准,获得了57份精液样本,精液分析正常。受试者被要求禁欲3-5天、18-30小时和4天进行第1、2、3次精液采集,使用计算机辅助精液分析(CASA)测定总活动精子数(TMSC);采用伊红-亚甲基蓝染色法检测精子形态,TUNEL法检测DNA损伤。结果显示,第1次(3 ~ 5 d)和第2次(18 ~ 30 h)采精组TMSC差异无统计学意义(p值=0.289)。第二次采集的精子DNA损伤比例(4.6% vs. 9.8%, p值<0.001)和形态正常精子比例(14.9% vs. 17.2%, p值<0.001)均显著低于第一次采集,但仍在正常范围内。第三次采集的精液参数(第二次采集后禁欲4天)与第一次采集的精液参数相关。我们得出结论,在仅禁欲1天的正常精液中,TMSC在3-5天的禁欲时间和18-30小时的禁欲时间之间没有显著差异。禁欲时间为18 ~ 30 h时,精子DNA损伤结果和形态正常精子百分比显著降低。
The Effects of Short Abstinence Time on Sperm Motility, Morphology and DNA mDamage
This was an experimental study to determine the influence of short abstinence time on sperm motility, morphology and DNA damage performed at the Assisted Reproductive Technology (ART) unit, Ramathibodi Hospital. Fifty-seven semen samples with normal semen analysis according to World Health Organization (WHO) 1999 and Kruger strict criteria were obtained. Volunteers were instructed to abstain for 3-5 days, 18-30 hours and 4 days for the 1st, 2nd and 3rd semen collection Total motile sperm count (TMSC) was determined using computer-assisted semen analysis (CASA); sperm morphology was determined using eosin-methylene blue staining and DNA damage was assessed by TUNEL assay. The results showed that TMSC was not significantly different between the 1st (3-5 days abstinence time) and 2nd semen collection (18-30 hours abstinence time after the 1st collection) (p value=0.289). The percentage of DNA damage (4.6% vs. 9.8%, p value<0.001) and normal morphological sperm (14.9% vs. 17.2%, p value<0.001) in the 2nd semen collection were significantly lower than the 1st collection, although the value was still in the normal range. Semen parameters of the 3rd collection (4 days abstinence time after the 2nd collection) correlate with those of the 1st collection. We conclude that in normal semen, with an abstinence time of only one day, TMSC was not significantly different between 3-5 days abstinence time and 18-30 hours abstinence time. The result of DNA damage and the percentage of normal morphological sperm were significantly lower in 18-30 hours abstinence time.