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体外受精-胚胎移植者体重指数对最终妊娠结局的影响
作者:陆菲菲  
单位:鼓楼医院
关键词:体重指数  体外受精-胚胎移植  促性腺激素 
分类号:
出版年·卷·期(页码):2015·43·第三期(300-303)
摘要:

【摘要】 目的 探讨在辅助生殖IVF(ICSI)周期中, 患者体重指数对治疗过程和妊娠结局的影响。方法 在本中心2011年1月-2011年12月期间应用长方案促排卵行体外受精—胚胎移植(IVF-ET)周期和卵胞浆内单精子注射( ICSI)周期的患者中,选取764例为对象进行回顾性分析。根据体重指数(BMI),将患者分为体重正常组( BMI ≤24.0 kg/m2) 606例、超重及肥胖组(BMI > 24.0kg/m2) 158例 , 分别比较两组的基本临床资料,IVF(ICSI)周期中的相关指标以及妊娠结局。结果 两组患者的双方年龄、不孕时间、基础FSH、基础LH水平的差异没有统计学意义,同时两组患者促性腺激素(Gn)使用时间、取卵数、受精率、优质胚胎率、注射hCG 日内膜厚度、平均移植胚胎数、胚胎种植率、临床妊娠率、分娩率、自然流产率与异位妊娠率的差异也没有统计学意义(P > 0.05),而两组患者的Gn使用总量的差异有统计学意义(P <0.05) 。结论 超重及肥胖患者在辅助生殖IVF(ICSI)周期促排卵过程中,需要更多的Gn用量,但对妊娠结局无显著影响。

【Abstract】 Objective To find the impact of women patients weight on outcome in vitro fertilization and embryo transfer cycles. Methods A retrospective study was carrid out on the long protocol IVF/ICSI cycles in our reproductive center from January,2011 to December,2011.The study included 764 patients .And the patients were stratified according to the body mass index(BMI) : normal with BMI ≤ 24.0 kg/m2 (n=606), overweight and obese with BMI > 24.0 kg/m2 (n=158), compared the basic clinical factors, the major factors in cycles treatment and the last pregnancy outcome. Results The factors including ages of both men and women, the period of infertility, and basic sexual hormonal including FSH and LH levels were similar in two different groups of cycles(P > 0.05). Also, there were no differences between the two groups about the duration of using gonadotropin, the number of oocytes, fertility rate,embryo quality rate, on the day of HCG injection intimal thickness, the average number of embryo transfer ,implantation rate,clinical pregnancy rate,parturition rate,the abortion ratio and ectopic pregnancy rate (P > 0.05). However, there are more differences in gonadot ropin dose(P <0.05). Conclusions Overweight and obese patients require a higher gonadot ropin dose in ovulation induction,but has no influence on the outcome of the IVF(ICSI) cycles.

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