在进行体外受精和胚胎移植的正常甲状腺功能和甲状腺自身免疫性妇女中,levothyroxine对流产的影响:随机临床试验
Haining Wang1, Hongwei Gao1, Hongbin Chi1
1Department of Endocrinology and Metabolism, Center of Reproductive Medicine, Peking University Third Hospital, Beijing, China.
JAMA
|December 14, 2017
概括
在接受体外受精和胚胎移植 (IVF-ET) 并且甲状腺功能正常且甲状腺自身抗体呈阳性的妇女中,Levothyroxine治疗没有降低流产率或改善活产率.
科学领域:
- 生殖内分泌学
- 临床试验
- 甲状腺学
背景情况:
- 甲状腺自身抗体在非甲状腺女性中与流产风险的增加有关.
- 在接受IVF-ET的妇女中,莱沃西对改善妊娠结果的疗效尚不清楚.
研究的目的:
- 评估levothyroxine对IVF-ET接受正常甲状腺功能和阳性甲状腺自身抗体的妇女流产率的影响.
主要方法:
- 一个开放的随机临床试验,涉及600名接受IVF-ET的女性,其抗氧化酶抗体呈阳性.
- 干预组接受了勒沃西;对照组没有. 结果包括流产,临床子宫内怀孕和活产率.
主要成果:
- 在Levothyroxine (10. 3%) 和对照组 (10. 6%) 中,流产率没有显著差异.
- 临床子宫内怀孕率分别为35. 7%和37. 7%,活产率分别为31. 7%和32. 3%.
结论:
- 在该群体中,Levothyroxine治疗并没有显著降低流产率或增加活产率.
- 研究结果表明,对于接受IVF-ET的特定患者群体来说,莱沃甲状腺素没有好处.
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