生殖医学杂志2023年4月第32卷第4期·475.·中华医学会生殖医学分会专家共识·D01:10.3969/i issn1004-3845.202304.001关于人类精子库应对心理健康问题的中国专家共识范立青，孙莹璞，孙海翔，邓成艳，刘平，周灿权，冯云，郝桂敏，户文红，全松，沈浣，师娟子，藤晓明，王晓红，王秀霞，伍琼芳，曾勇，张松英，钟影，黄学锋*，黄国宁*(中华医学会生殖医学分会第五届委员会)【摘要】在人类精子库供精者捐精过程中，大部分人均存在不同程度的心理困境，这不仅影响了他们的捐精体验，也打击了其捐精的积极性，为此，本共识建议人类精子库医务人员应重视供精者的心理健康，提高鉴别和舒缓供精者心理困境的能力，并为供精者提供有效的心理咨询服务：同时，鉴于精神心理障碍具有遗传性，人类精子库应对供精志愿者的心理健康状态进行评估，对疑似精神心理障碍者应经精神心理专科的评估来决定供精资格的取合，以提升供精后代的健康水平。【关键词】人类精子库：心理健康；共识【中图分类号】R74992【文献标识码】ACSRM expert consensus on human sperm bank response to mental health issuesFAN Li-qing,SUN Ying-pu,SUN Hai-iang,DENG Cheng-yan,LIU Ping,ZHOU Can-quan,FENG Yun,HAOGui-min,LU Wen-hong,QUAN Song,SHEN Huan,SHI Juan-zi,TENG Xiao-ming,WANG Xiao-hong,WANG Xiu-xia,WU Qiong-fang,ZENG Yong,ZHANG Song-ying,ZHONG Ying,HUANG Xue-feng *HUANG Guo-ning*The Fifth Session of the Committee of Chinese Society of Reproductive Medicine[Abstract]Most people have different degrees of psychological distress during the sperm donation inhuman sperm bank,which not only affects their experience but also discourages their motivation for spermdonation.Therefore,the expert consensus suggests that the staff of sperm bank should pay attention to thepsychological problems,improve the ability to identify and relieve their psychological distress,and provideeffective psychological counseling services,for sperm donors.As the heritability of mental andpsychological disorders,the human sperm bank should evaluate the mental health status for sperm donors.To improve the health of sperm donor offspring,those who are suspected to have the mental andpsychological disorders should be evaluated by the psychiatric department for sperm donation eligibility.[Key words]Human sperm bank;Mental health;Consensus(J Reprod Med2023,32(04):475-480)一、背景本人捐精前的精神心理健康状态，对后代健康的可心理健康是健康的重要组成部分，世界卫生组能影响，到捐精过程中出现的各种心理优虑和压力织(WHO)把健康定义为个体身体、心理、社会适应以及自精冷冻保存者必须面临的各种抉择困惑等多和道德品质的良好状态。健康的对立面是疾病，健方面心理问题，亟待形成专家共识，以精准指导我国康和疾病（精神心理和躯体的）是一个连续谱的两人类精子库临床医技人员提高临床心理服务水平。极，从心理健康状态，发展到心理问题，乃至精神心【收稿日期】2023-01-10理障碍，可以在生物、心理和社会因素作用下发生相【作者简介】范立青，中南大学，中信湘雅生殖与遗传专科医互转化四。人类精子库在日常临床服务工作中常常院.(*通讯作者：黄学锋xuefhuang@126com:黄国宁gnhuang217面临诸多有关心理健康方面的问题，从供精志愿者sina com)
