抗氧化剂对早期不明原因复发流产史男性精子DNA碎片率的影响

    The effect of antioxidant treatment on male sperm DNA fragmentation rate in couples with early unexplained recurrent spontaneous abortion

    • 摘要: 目的:探讨抗氧化剂在治疗早期不明原因复发性流产史男性精子DNA碎片中的作用。方法:42例精子DNA碎片率15%的患者进行3个月抗氧化剂治疗(治疗组),复查精液常规和精子DNA碎片率;23例精子DNA碎片率15%的不进行抗氧化剂治疗(对照组),1年后比较2组妊娠及流产情况。结果:治疗组治疗后精子密度和精子前向运动率均较治疗前明显增高(P0.01),精子DNA碎片率亦显著降低(P0.01),精子正常形态率无变化(P0.05);治疗组妊娠成功率为66.7%,高于对照组的25.0%(P0.05)。结论:抗氧化剂治疗可降低早期不明原因复发性流产史男性精子DNA碎片率,是减少早期不明原因复发性流产的有效途径之一。

       

      Abstract: Objective: To investigate the effects of antioxidant treatment on male sperm DNA fragmentation in couples with early unexplained recurrent spontaneous abortion.Methods:Forty-two cases with more than or equal to 15% of sperm DNA fragmentation rate were treated with antioxidant(treatment group),their semen routine and sperm DNA fragmentation rate were detected in 3 months after treatment.The antioxidant treatment was not used in 23 cases with less than 15% of sperm DNA fragmentation rate(control group).The pregnancy and abortion rate of two groups were compared after 1 year.Results:Compared with pretreatment in treatment group,the sperm density and spermatic forward movement rate were significantly higher (P0.01),the sperm DNA fragmentation rate was significantly lower(P0.01) and the difference of sperm morphology rate was not statistical significance after treatment(P0.05).The pregnancy rate of treatment group(66.7%) was higher than that in control group(25.0%) (P0.05).Conclusions:Antioxidant treatment is a effective means to reduce the sperm DNA fragmentation rate in couples with early unexplained recurrent spontaneous abortion.

       

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