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[1]陳曉菁,朱素芹,李榕珊,等.卵泡期長效長方案不同促性腺激素啟動(dòng)劑量助孕效果的比較[J].福建醫(yī)藥雜志,2022,44(03):16-19.
 CHEN Xiaojing,ZHU Suqin,LI Rongshan,et al.Comparison of assisted reproductive outcome of different gonadotropin initiation dose groups in follicular phase long-acting long protocol[J].FUJIAN MEDICAL JOURNAL,2022,44(03):16-19.
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卵泡期長效長方案不同促性腺激素啟動(dòng)劑量助孕效果的比較()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年03期
頁碼:
16-19
欄目:
臨床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Comparison of assisted reproductive outcome of different gonadotropin initiation dose groups in follicular phase long-acting long protocol
文章編號:
1002-2600(2022)03-0016-04
作者:
陳曉菁朱素芹李榕珊姜雯雯1
福建省婦幼保健院 福建醫(yī)科大學(xué)婦兒臨床醫(yī)學(xué)院(福州 350001)
Author(s):
CHEN Xiaojing ZHU Suqin LI Rongshan JIANG Wenwen
College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fujian Maternity and Child Health Hospital, Fuzhou,Fujian 350001, China
關(guān)鍵詞:
卵泡期長效長方案 低劑量促性腺激素 臨床結(jié)局
Keywords:
follicular phase long-acting long protocol low dose gonadotropin clinical outcomes
分類號:
R711.6
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討接受輔助生殖技術(shù)中卵泡期長效長方案超促排卵治療的患者低劑量促性腺激素(gonadotropin,Gn)啟動(dòng)對助孕效果的影響。方法 收集于我中心接受助孕的1 289例患者臨床資料,按照Gn啟動(dòng)劑量分為低劑量Gn啟動(dòng)組894例,常規(guī)Gn啟動(dòng)組395例,將兩組患者的基本資料及臨床結(jié)局進(jìn)行統(tǒng)計(jì)分析。 結(jié)果 低劑量啟動(dòng)組的平均Gn起始劑量為(136.5±16.4)IU,常規(guī)劑量組為(207.0±27.1)IU,兩組間Gn起始劑量差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。低劑量組的Gn總量少于常規(guī)劑量組,兩者差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。 低劑量組的臨床妊娠率高于常規(guī)劑量組,差異有統(tǒng)計(jì)學(xué)意義(P<0.05),而宮外孕率與早期流產(chǎn)率兩組差異無統(tǒng)計(jì)學(xué)意義(P均>0.05)。中度卵巢過度刺激綜合征(OHSS)發(fā)生率在低劑量組稍高于常規(guī)劑量組,而重度OHSS發(fā)生率在低劑量組稍低,但兩者間差異無統(tǒng)計(jì)學(xué)意義(P均>0.05)。 結(jié)論 卵泡期長效長方案中采用低劑量Gn啟動(dòng)超促排卵可以獲得更好的助孕效果,值得在臨床進(jìn)一步推廣應(yīng)用。
Abstract:
Objective To investigate the effect of low dose Gonadotropin(Gn)initiation on pregnancy outcome in patients undergoing ovarian hyperstimulation with follicular phase long-acting long protocol in assisted reproductive technology.Methods The clinical data of 1 289 patients who received assisted pregnancy in our center were collected and divided into low dose Gn initiation group(n=894)and conventional Gn initiation group(n=395)according to the dose of Gn initiation.The basic data and clinical outcomes of the two groups were statistically analyzed.Results The average Gn initial dose in the low-dose initiation group was(136.5±16.4)IU, and that in the conventional dose group was(207.0±27.1)IU.The difference in Gn initial dose between the two groups was statistically significant(P<0.05). The total amount of Gn in the low-dose group was lower than that in the conventional dose group, and the difference was statistically significant(P<0.05).The clinical pregnancy rate in the low dose group was higher than that in the conventional dose group, and the difference was statistically significant(P<0.05), while there was no significant difference in the ectopic pregnancy rate and early abortion rate between the two groups(P>0.05).The incidence of moderate ovarian hyperstimulation syndrome(OHSS)was slightly higher in the low-dose group than in the conventional dose group, while the incidence of severe OHSS was slightly lower in the low-dose group, but the difference was not statistically significant(P>0.05).Conclusion Low dose Gn in the follicular phase long-acting long protocol can achieve better clinical outcome and economic benefit, which is worth further promotion and exploration in clinical practice.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
1 通信作者,Email:[email protected]
更新日期/Last Update: 2022-06-15