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    题名 作者 年代 出处 被引量
1不孕不育患者对体外受精-胚胎移植的认知倾向调查显示文摘目的了解不孕不育患者对试管婴儿的认知倾向,为试管婴儿的宣传工作提供参考依据。方法使用自制问卷对广州市三甲医院共计196例不孕不育患者进行问卷调查。结果在问卷认知部分得分情况符合正态分布(P=0.277),平均32.75分,其中调查对象的认知与文化程度呈正相关(P<0.05)。问卷态度部分中,调查对象对普及试管婴儿相关知识必要性的态度与年龄呈正相关(P=0.006),对惧怕别人知道自己在做试管婴儿治疗的态度与文化程度呈正相关(P=0.023)。结论不孕不育患者对试管婴儿的认知尚存在一定缺陷不足,态度也有所差异,提示社会、医院及科室应当重视不孕不育患者及其家属对试管婴儿的认知倾向变化,分析其影响因素,并从此中获得提升认知、转变态度的方法。邓运芝 窦婷 林燕珊 翟巾帼 2019实用医学杂志2019,35,14:7
2电针干预非预期卵巢低反应人群体外受精结局的研究显示文摘目的:观察电针对非预期卵巢低反应(POR)患者体外受精(IVF)结局的影响。方法:分析2019年1月1日至12月31日在我院行IVF治疗的不孕患者的临床资料,纳入符合非预期POR患者158例,所有患者均于第一次IVF周期取卵后开始治疗,经期暂停,隔日1次,直至第二次IVF周期HCG(人绒毛膜促性腺激素)日(扳机日)停止,比较两次IVF周期基础性激素、窦卵泡数(AFC)、促排卵周期相关指标。结果:对于非预期POR患者,相比电针治疗前,电针后IVF周期基础血清促卵泡刺激素(FSH)、促黄体生成素(LH)、雌二醇(E_(2))有所升高,窦卵泡数有所下降,电针治疗后促性腺激素(Gn)用量显著减少,HCG日E2明显增加,获卵数、成熟卵细胞(MⅡ)数、受精数、优胚数、囊胚形成率均显著增加。结论:对于非预期POR患者,电针不能改善其卵巢储备功能,但能减少Gn的使用量,升高血E2峰值,增加获卵数和MⅡ数,提高优胚率和囊胚形成率,从而改善IVF结局。王竹然 肖婷 漆光兰 许晓露 徐虹云 伍慧丽 2021中医药导报2021,27,5:2
3Effect of Acupuncture on Endometrial Blood Flow in Women Undergoing in vitro Fertilization Embryo Transfer: A Single Blind, Randomized Controlled Trial显示文摘Objective: To evaluate the effect of manual acupuncture on endometrial blood flow parameters by three-dimensional(3D) power Doppler ultrasound in women undergoing in vitro fertilization embryo transfer(IVF-ET). Methods: Seventy patients undergoing IVF-ET were equally randomized into traditional or sham acupuncture treatment group for totally 4 days(from the day of oocyte aspiration to the day of embryo transfer) of treatment by random envelope method at the Reproductive Medicine Center and Outpatient Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medicine College, Huazhong University of Science and Technology from January 2013 to December 2015. Patients in the traditional acupuncture group accepted traditional acupuncture methods with manual acupuncture, and Zhongji(CV3), Qihai(CV 6), Sanyinjiao(SP6), Taichong(LR 3), Tianshu(ST 25), Guilai(ST 29) and Zusanli(ST 36) were chosen. Patients at the sham acupuncture group accepted shallow acupuncture methods at 4 non-meridian points at each shoulder and upper arm. Outcome measures included endometrial ultrasonic indices such as vascularization index(VI), flow index(FI) and vascularization flow index(VFI), endometrial thickness and volume, subendometrial VI(sVI), subendometrial FI(sFI), subendometrial VFI(sVFI), implantation rate, clinical pregnancy rate, abortion rate, live birth rate and number of live births. Results: Finally, 34 patients in the traditional acupuncture group and 35 in the sham acupuncture group completed this trial. VI, FI and VFI of the traditional acupuncture group were significantly higher than those in the sham acupuncture group(P<0.05). No significant differences were found in endometrial thickness, endometrial volume, sVI, sFI, sVFI, implantation rate, clinical pregnancy rate, abortion rate, live birth rate and number of live births(P>0.05). Conclusions: Manual acupuncture performed after oocyte aspiration and before transplantation improved the endometrial blood flow parametersVI, RI and VFI in women who underwent IVF-ET, instead of sVI, sFI and sVFI. Therefore, acupuncture might be beneficial in women undergoing IVF-ET by increasing endometrial blood flow and endometrial receptivity.(Registration No. ChiCTR2100053354)DONG Hao-xu Wu Xiao ZHOU Qin HUANG Dong-mei ZHANG Ming-min HUANG Guang-ying YANG Wei 2024Chinese Journal of Integrative Medicine2024,30,1:0
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