在不孕妇女中,打和体外受精结果之间的关联
Huanhuan Wang1, Yun Liang2, Xiaosong Dong3
1Peking University School of Nursing, Beijing, 100191, China; Division of Sleep Medicine, Peking University People's Hospital, Beijing, 100044, China.
Sleep medicine
|February 1, 2025
概括
在接受体外受精 (IVF) 的女性中,频繁的打与可用的胚胎数量减少和更高的早期怀孕丧失风险有关. 建议对阻塞性睡眠呼吸暂停 (OSA) 进行进一步研究.
科学领域:
- 生殖医学 生殖医学
- 睡眠科学 睡眠科学
背景情况:
- 打是一种常见的症状,可能表明潜在的健康问题,包括阻塞性睡眠呼吸暂停 (OSA).
- 打对女性生育能力和体外受精 (IVF) 结果的影响仍未得到充分探索.
研究的目的:
- 为了研究打和IVF在不孕妇女的结果之间的联系.
- 在接受试管婴儿的妇女中分析打,胚胎学参数和怀孕结果之间的关系.
主要方法:
- 对632名经过第一次试管婴儿周期的不孕女性 (24-45岁) 进行了二次分析.
- 患者在排卵诱导 (OI) 之前填写了有关打状态的问卷.
- 胚胎学参数和怀孕结果在第一个试管婴儿周期中进行了评估.
主要成果:
- 频繁打与更高的可用胚胎和胚囊细胞数量有关 (P < 0.05).
- 频繁打的人具有显著增加的生化妊娠损失风险 (14.6%vs4.8-5.7%,P<0.05).
- 经常打被确定为生化妊娠损失的独立风险因素 (aOR: 2.95,P = 0.039).
结论:
- 频繁打与IVF成功降低有关,特别是可用的胚胎减少和生化妊娠损失增加.
- 研究结果表明,打可能是影响生育能力的潜在条件的指标.
- 未诊断的阻塞性睡眠呼吸暂停 (OSA) 应该被视为影响这些结果的潜在因素.
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