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在日本对辅助生殖技术的调查调查
Sayaka Harada1, Mitsutoshi Yamada1, Hiromitsu Shirasawa2
1Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
The journal of obstetrics and gynaecology research
|August 28, 2023
概括
对日本辅助生殖技术 (ART) 设施的调查显示,尽管关键角色的人员短缺,有效性证据有限,但冷解胚胎移植和附加治疗的广泛使用.
科学领域:
- 生殖医学 生殖医学
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 辅助生殖技术 (ART) 正在迅速发展,需要了解当前的做法和资源配置.
- 整合新的ART技术需要对现有的医疗系统人员和治疗方案进行彻底评估.
- 越来越多地使用体外受精 (IVF) 补充剂,引发了关于其保险覆盖和临床必要性的辩论.
研究的目的:
- 评估日本ART设施当前的人员状况.
- 调查各种ART治疗的实施率,包括卵巢刺激和胚胎移植策略.
- 确定体外受精 (IVF) 补充治疗的流行情况及其目前的使用情况.
主要方法:
- 在日本的437个ART设施进行了全国性调查,实现了71%的响应率.
- 收集的数据包括人员数量,ART周期数量以及特定附加程序的采用率.
- 分析的重点是比较传统与轻度卵巢刺激,新鲜与冷解的胚胎移植,以及各种附加干预措施的采用.
主要成果:
- 虽然胚胎学家,护士和妇产科医生充足,但报告说,辅导员和麻醉师的短缺严重.
- 冷解的胚胎移植周期 (中位数300) 比新鲜周期 (中位数30) 更频繁.
- 广泛采用的补充包括辅助化 (85.1%),慢性子宫内膜炎治疗 (76.9%) 和子宫内膜微生物组分析 (58.9%).
结论:
- 在日本ART设施中,冷解胚胎移植周期和各种附加治疗的广泛采用是显而易见的.
- 尽管它们很受欢迎,但许多广泛使用的补充治疗的安全性和有效性缺乏强有力的支持证据.
- 解决人员短缺问题,特别是辅导员和麻醉师短缺问题,对于ART服务的安全和有效推进至关重要.
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