立陶宛氧化压力与男性不孕症之间的联系:一项回顾性研究
Eglė Jašinskienė1, Marija Čaplinskienė1
1Department of Biochemistry, Vytautas Magnus University, K. Donelaicio St. 58, 44248 Kaunas, Lithuania.
Medicina (Kaunas, Lithuania)
|September 27, 2025
概括
男性不孕症影响许多夫妇,氧化压力起着关键作用. 这项研究表明,氧化降低潜力 (ORP) 测试可以帮助识别无法解释的男性不孕症病例.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 男性不孕症是一个重要的公共卫生问题,很大一部分病例缺乏明确的原因.
- 了解男性不孕症的流行病情景对于公共卫生倡议至关重要.
- 氧化应激越来越被认为是男性生殖健康的一个因素.
研究的目的:
- 确定立陶宛男性不孕症的流行病学特征.
- 评估氧化降低潜力 (ORP) 测试使用MiOXSYS系统诊断男性不孕症的临床有用性.
- 探索ORP评估在重新分类不明原因不育病例中的潜力.
主要方法:
- 这是一项两阶段的回顾性研究,涉及718名男性进行流行病学分析和261名男性进行ORP测试.
- 根据世界卫生组织 (WHO) 2010年指南评估的精液参数.
- 用于确定ORP的诊断精度的接收器操作特征 (ROC) 曲线分析.
主要成果:
- 在20.1%的夫妻中,男性不孕症是唯一的原因;不明原因不孕症占24.4%.
- 几乎一半 (48.5%) 的normozoospermic男性显示升高的ORP水平.
- ORP测试显示了中度的诊断准确性 (AUC=0.634),并有助于在男性氧化应激不孕症 (MOSI) 框架下重新分类无法解释的病例.
结论:
- 这项研究提供了关于立陶宛男性不孕症的重要流行病学数据.
- 氧化降低潜力 (ORP) 测试显示,作为男性不孕不育的补充诊断工具具有前途.
- 系统的氧化应激评估可以改善无法解释的不孕不育的识别,并个性化治疗策略.
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