对SARS-CoV-2感染对精子参数影响的系统性审查和元分析
Xi Chen1, Jinli Ding1, Miao Liu2
1Reproductive Medical Centre, Renmin Hospital of Wuhan University, Wuhan, China.
Research (Washington, D.C.)
|September 20, 2024
概括
COVID-19 感染显著影响男性生育能力,降低精子质量,度和运动性. 这一系统性审查强调了监测SARS-CoV-2感染后男性生殖健康的必要性.
科学领域:
- 生殖医学 生殖医学
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 关于SARS-CoV-2对男性生殖参数的影响存在争议.
- 之前的研究在COVID-19后对精子质量产生了相互矛盾的结果.
研究的目的:
- 对SARS-CoV-2感染对精子参数的影响进行系统审查和元分析.
- 为了调查COVID-19和男性生育能力结果之间的相关性.
主要方法:
- 在7个数据库中进行系统文献搜索,截至2022年6月10日.
- 使用随机效应或固定效应模型的元分析.
- 使用纽卡斯尔-太华尺度对所包含研究的质量评估.
主要成果:
- 对14项研究 (1174名参与者) 的分析显示,COVID-19患者的精子总流动性明显受损.
- 亚组分析表明,在<90天康复的患者中,精子体积,精子度和运动率下降.
- 观察到对精子度,精子总数,运动性,渐进性运动性和正常形态学的显著负面影响.
结论:
- SARS-CoV-2 感染与精子质量降低显著相关,特别是精子的运动性和度.
- 研究结果表明,它可能对丸功能和男性生育能力产生负面影响.
- 建议在COVID-19患者中密切监测男性生殖健康.
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