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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Effects of Chronic Musculoskeletal Pain on Fertility Potential in Lean and Overweight Male Patients
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Effects of Chronic Musculoskeletal Pain on Fertility Potential in Lean and Overweight Male Patients

机译:慢性肌肉骨骼疼痛对瘦弱和超重男性患者生育潜力的影响

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摘要

Both chronic pain and obesity are known to affect reproductive hormone profiles in male patients. However, the effect of these conditions, alone or in combination, on male fertility potential has received less attention. 20 chronic musculoskeletal pain patients and 20 healthy controls were divided into lean and overweight subgroups according to their BMI. Current level of chronic pain (visual analogue scale) and pressure pain thresholds (PPTs) in 16 predefined sites, classically described and tested as painful points on the lower body, were measured. Levels of reproductive hormone and lipid profiles were assessed by ELISA. Sperm concentration and motility parameters were analyzed using a computer-aided sperm analysis system. Sperm concentration, progressive motility, and percentage of hyperactivated sperm were generally lower in the chronic pain patients in both lean and overweight groups overweight control and the lean chronic pain groups demonstrated a significantly lower percentage of progressively motile sperm compared with the lean control group, suggesting that musculoskeletal chronic pain may have a negative influence on sperm quality in lean patients. However, due to the potential great negative influence of obesity on the sperm parameters, it is difficult to propose if musculoskeletal chronic pain also influenced sperm quality in overweight patients. Further research in chronic pain patients is required to test this hypothesis.
机译:已知慢性疼痛和肥胖症会影响男性患者的生殖激素谱。然而,这些条件,单独或组合的影响对男性生育潜力的影响较少受到关注。 20慢性肌肉骨骼疼痛患者和20名健康对照组根据其BMI分为瘦和超重亚组。测量了在16个预定位点的慢性疼痛(视觉模拟标度)和压力疼痛阈值(PPT)的当前水平,并在下半身上被评估和测试为疼痛点。通过ELISA评估生殖激素和脂质谱的水平。使用计算机辅助精液分析系统分析精子浓度和运动参数。精子浓度,渐进式精子的精子浓度,慢性疼痛患者在瘦疼痛患者中,超重控制和瘦慢性疼痛组的慢性疼痛患者均表现出与瘦对照组相比显着降低的逐步运动精子百分比,提示肌肉骨骼慢性疼痛可能对精益患者的精子质量产生负面影响。然而,由于肥胖对精子参数的潜在巨大负面影响,如果肌肉骨骼慢性疼痛也会影响超重患者的精子质量,难以提出。需要进一步研究慢性疼痛患者来测试这一假设。

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