育泡组方在体外受精-胚胎移植超排卵周期中的应用及临床观察Clinical Observation of Yupao Formula on Controlled Ovarian Hyperstimulation Cycles of in vitro Fertilization and Embryo Transfer
何珊,常宏,刘大艳,蒋绍艳,邓少洁
HE Shan,CHANG Hong,LIU Dayan,JIANG Shaoyan,DENG Shaojie
摘要(Abstract):
目的研究育泡组方对体外受精-胚胎移植(IVF-ET)超排卵周期结局的影响及其临床应用价值。方法将80例因输卵管因素不孕行IVF-ET的患者随机分为实验组(育泡组方联合控制性超排卵治疗)和对照组(控制性超排卵治疗)。观察及分析2组子宫内膜厚度、获卵数、受精率、移植率、优质胚胎数、临床妊娠率、生化妊娠率及流产率等。结果实验组的移植率(90%)和优质胚胎数(2.98±1.15)显著高于对照组(72.5%,2.57±1.12),实验组的流产率(2.8%)低于对照组(17.2%),差异有统计学意义(P<0.05)。结论育泡组方可以提高IVF-ET超排卵周期的胚胎移植率和优质胚胎数,辅助胚胎着床,降低流产率,有利于IVF-ET的助孕治疗。
OBJECTIVE To study the effect and clinical application value of Yupao formula on the outcome of controlled ovarian hyperstimulation cycles of in vitro fertilization and embryo transfer. METHODS A total of 80 infertility patients with tubal factors undergoing IVF-ET treatment were randomly divided into 2 groups: study group( Yupao formula combined with controlled ovarian hyperstimulation) and control group( controlled ovarian hyperstimulation). The thickness of endometrium,the number of oocytes and high quality embryos,the rate of fertilization,the rate of clinical and biochemical pregnancy and abortion were observed and analyzed.RESULTS The rate of embryo transfer( 90%) and the number of high quality embryos( 2. 98 ± 1. 15) in patients of study group were significantly higher than that of the control group( 72. 5%,2. 57 ± 1. 12),and the rate of abortion( 2. 8%) was lower than that of the control group( 17. 2%,P < 0. 05). CONCLUSION Yupao formula could improve the rate of embryo transfer and the number of high quality embryos on controlled ovarian hyperstimulation cycles of in vitro fertilization and embryo transfer. Yupao formula may contribute to embryo implantation and decrease the abortion rate which would impose beneficial effect on IVF-ET treatment.
关键词(KeyWords):
育泡组方;不孕;体外受精-胚胎移植;控制性超促排卵
Yupao formula;infertility;in vitro fertilization and embryo transfer;controlled ovarian hyperstimulation
基金项目(Foundation):
作者(Author):
何珊,常宏,刘大艳,蒋绍艳,邓少洁
HE Shan,CHANG Hong,LIU Dayan,JIANG Shaoyan,DENG Shaojie
参考文献(References):
- [1]庄广伦.现代辅助生育技术[M].北京:人民卫生出版社,2005:1-415.
- [2]连方,滕依丽,张建伟,等.二至天癸颗粒对体外受精-胚胎移植周期人卵泡白血病抑制因子和卵细胞质量的影响[J].中国中西医结合杂志,2007,27(11):976-979.
- [3]许小凤,谈勇,陈宣伊,等.补肾活血中药对雷公藤致卵巢储备下降大鼠颗粒细胞凋亡的影响[J].医学研究杂志,2009,38(12):123.
- [4]张玉珍.中医妇科学[M].北京:中国中医药出版社,2006:1-105.
- [5]常秀峰,高星,张敏,等.补肾调经方在体外受精-胚胎移植助孕中的应用[J]。中华中医药杂志,2011,26(5):1123-1125.
- [6]Kamble L,Gudi A,Shah A.Poor responders to controlled ovarian hyperstimulation for in vitro fertilisation(IVF).Hum Fertil,2011,14(4):230-245.
- [7]郭佳,李东,刘承,等.补肾养血活血中药对超促排卵周期干预作用的随机对照研究[J].中国中西医结合杂志,2013,33(4):484-487.
- [8]连方,辛明蔚.体外授精-胚胎移植患者降调节后肾虚本质探讨[J].山东中医药大学学报,2008,32(8):439-441.
- [9]黄艳芳,朱荩雯.补肾调周法治疗不孕症疗效观察[J].陕西中医,2014,35(11):1446-1447.
- [10]张晓红,杨正望,尤昭玲.补肾中药对卵巢功能及子宫内膜的影响[J].中医药学刊,2005,23(11):2054-2055.
- [11]丁彩飞,郑若,张永华,等.助孕汤对育龄期妇女子宫内膜容受性的影响[J].中医杂志,2009,50(4):317-320.
- [12]张建伟.补肾对控制性超排卵周期卵泡膜及子宫内膜血流的影响[J].世界中医药,2009,4(5):248-250.
- [13]王铮,帅文,腾晓明.益气养血补肾活血中药在体外受精-胚胎移植患者中的应用[J].生殖与避孕,2014,34(2):160-165.
- 育泡组方
- 不孕
- 体外受精-胚胎移植
- 控制性超促排卵
Yupao formula - infertility
- in vitro fertilization and embryo transfer
- controlled ovarian hyperstimulation