评估维生素D对怀孕成功的影响:辅助生殖技术结果的预测模型
Songwei Jiang1, Zushun Chen2, Liuming Li1
1Reproductive Center, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in reproductive health
|March 5, 2025
概括
维生素D水平与接受体外受精 (IVF) 和细胞内精子注射 (ICSI) 的妇女的怀孕成功相关. 综合维生素D和其他因素的预测模型可以预测辅助生殖技术 (ART) 的结果.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 临床生物化学 临床生物化学
背景情况:
- 维生素D缺乏很普遍,可能会影响生育能力.
- 了解影响辅助生殖技术 (ART) 成功的因素对于不育患者至关重要.
研究的目的:
- 检查IVF/ICSI接受女性维生素D水平与临床怀孕率之间的关系.
- 在对ART结果的预测模型中评估维生素D水平的潜力.
主要方法:
- 分析了188名接受初始试管婴儿/ICSI治疗的不育患者.
- 收集了血清25-氧维生素D水平和与ART相关的因素.
- 使用多变量回归构建了ART结果的预测模型.
主要成果:
- 不孕症年龄,维生素D水平,抗穆勒尔激素,腹膜毛囊数量,Gn剂量,子宫内膜厚度和检索卵数量显著影响了ART妊娠结果.
- 预测模型实现了曲线下的面积为75.34% (p=0.003).
- 胚胎数量,子宫内膜厚度和临床怀孕影响了维生素D水平.
结论:
- 结合血清25-基维生素D水平和ART因子的预测模型证明了临床效用.
- 这种模型可以帮助预测接受生育治疗的患者的怀孕结果.
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