针对复发性植入失败的妇女有好处:一种倾向性得分匹配的队列研究
Di Gan1,2, Li-Ying Liu3, Ying Zhong4
1Chengdu Jinjiang Hospital for Women's and Children's Health, Chengdu, China.
Heliyon
|August 4, 2023
概括
针可以改善复发性植入失败 (RIF) 患者的怀孕率. 虽然它促进了生化和临床怀孕,但它对活产率的影响需要进一步调查.
科学领域:
- 生殖医学 生殖医学
- 不孕症治疗方法 不孕症治疗方法
- 补充和替代医学 补充和替代医学
背景情况:
- 复发性植入失败 (RIF) 在辅助生殖技术中是一个重大挑战.
- 确定RIF有效的辅助疗法对于改善患者的治疗结果至关重要.
研究的目的:
- 评估针作为RIF患者进行冷胚胎移植 (FET) 的辅助疗法的有效性.
- 评估针对关键生育结果的影响,包括活产率 (LBR),持续妊娠率 (OPR),临床妊娠率 (CPR) 和生化妊娠率 (BPR).
主要方法:
- 一项回顾性研究,涉及成都西南妇科医院接受FET的923名RIF患者.
- 患者被分为两组:接受针与激素替代疗法 (HRT) /延迟HRT (d-HRT) 一起治疗的患者和仅接受HRT/d-HRT的对照组.
- 包括LBR,OPR,CPR,BPR和妊娠损失率在内的结果在各组之间进行了比较.
主要成果:
- 与非针组相比,针组的生物化学怀孕率 (BPR) (P=0.08) 和临床怀孕率 (CPR) (P=0.049) 显著更高.
- 在针组中观察到较高的活产率 (LBR) (P=0.16) 和持续妊娠率 (OPR) (P=0.248) 的趋势.
- 生存率分析没有显示针治疗对活产率的统计学显著改善.
结论:
- 针似乎是在体外受精 (IVF) 过程中是一种有益的辅助疗法,提高了RIF患者的生化和临床怀孕率.
- 需要进一步的研究来充分阐明针在整个怀孕周期中的作用和影响.
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