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针灸治疗在体外受精—胚胎移植技术中的临床应用研究

Clinical study of embryo transfer techniques-acupuncture treatment in vitro fertilization

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【作者】 严红莲何淑祯邢彦君罗晓丹林冰赖慧华

【Author】 Yan Honglian;He Shuzhen;Lin Bing;Maternal and child health care hospital of Shunde District in Foshan city;

【机构】 广东省佛山市顺德区妇幼保健院

【摘要】 目的探讨针灸治疗在体外受精—胚胎移植技术的临床效果。方法以2013年8月—2015年8月在顺德妇幼保健院生殖科,因不孕进入IVF/ICSI周期的108例患者为研究对象,按照随机自愿原则将其分为三组,针刺组、安慰针刺组、对照组各36例,针刺组:在移植前24小时、移植后30分钟进行相关的针刺治疗,安慰针刺组:针刺穴位与妊娠无关,对照组:不使用针刺疗法,比较三组临床效果。结果治疗后针刺组Ⅰ型内膜血流类型及PI、RI、S/D低于治疗前,Ⅱ+Ⅲ型内膜下血流类型高于治疗前,差异有统计学意义(P<0.05)。针刺组总有效率高于安慰针刺组、对照组,三组差异有统计学意义(P<0.05)。针刺组种植成功率、妊娠成功率及活产率均高于安慰针刺组、对照组,三组差异有统计学意义(P<0.05)。结论在体外受精—胚胎移植技术中为患者实施针灸治疗可改善子宫内膜下血流情况,提高临床疗效、改善妊娠结局。

【Abstract】 Objective To investigate clinical results of acupuncture treatment in vitro fertilization-embryo transfer technology. Methods August 2013- August 2015 reproductive and child health hospital in Shunde branch,due to infertility entering IVF/ICSI cycles of 108 patients for the study,in accordance with the principle of voluntary they were randomly divided into three groups,the acupuncture group,placebo group and control group 36 cases,respectively. Acupuncture group: 24 hours before transplantation,30 minutes post-transplant treatment of infertility acupuncture. Placebo group: acupuncture and were unrelated to infertility. The control group: acupuncture was not used. We compared three groups of clinical effect. Results In the treatment of type Ⅰ endometrial blood flow in the acupuncture group type and PI,RI,S/D were significantly lower than before treatment,Ⅱ + Ⅲ,endometrial blood type under were significantly higher than before treatment. the difference was significance( P < 0. 05). The acupuncture group was more efficient than placebo group and the control group,the three groups was significant( P < 0. 05). The success rate of acupuncture group planting,the success rate of pregnancy and live birth rates were higher than placebo group and the control group,the three groups was significant differences( P < 0. 05). Conclusion In vitro fertilization-embryo transfer technology into the implementation of acupuncture treatment for patients can improve blood flow under the endometrium,improve clinical outcomes and improve pregnancy outcomes.

【关键词】 体外受精胚胎移植针灸
【Key words】 Vitro fertilizationEmbryo transferAcupuncture
【基金】 2013年佛山市医学类科技攻关项目(201308298)
  • 【文献出处】 广州医药 ,Guangzhou Medical Journal , 编辑部邮箱 ,2015年01期
  • 【分类号】R714.8
  • 【被引频次】29
  • 【下载频次】464
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