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电针对卵巢反应不良患者体外受精-胚胎移植(IVF-ET)的影响

[Effects of electroacupuncture on in vitro fertilization-embryo transfer (IVF-ET) of patients with poor ovarian response].

作者信息

Chen Jun, Liu Li-li, Cui Wei, Sun Wei

机构信息

Department of Reproduction, The Second Affiliated Hospital of Shandong University of TCM, Jinan 250001, China.

出版信息

Zhongguo Zhen Jiu. 2009 Oct;29(10):775-9.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture therapy on oocyte quality and pregnancy outcome of patients with poor ovarian response or decreased reserve in the course of in vitro fertilization (IVF).

METHODS

Sixty cases accepting IVF-ET were randomly divided into an observation group and a control group, 30 cases in each group. The two groups were both treated with antagonist scheme for ovulation induction, and the electroacupuncture intervention was also added in the observation group, Guanyuan (CV 4), Taixi (KI 3), Sanyinjiao (SP 6) etc. were selected. The therapeutic effects in the two groups were compared after treatment.

RESULTS

There was no significant difference between the two groups before treatment. The symptoms of kidney difficiency in the observation group were significantly improved after treatment, and the levels of serum estradiol (E2), fertilization rate, oocyte maturation rate, good quality embryos rate, and implantation rate in the observation group were superior to those in the control group on human Chorionic Gonadotropin (hCG) injection day (all P<0.05); the levels of stem cell factor (SCF) in follicular fluid and serum in the observation group were significantly higher than those in the control group (both P<0.05). The pregnancy rate in the observation group was higher than that in the control group, and the abortion rate in the observation group was lower than that in the control group, but there was no significant difference between the two groups (both P>0.05).

CONCLUSION

Electroacupuncture therapy has a good clinical effect for IVF patients with poor ovarian reserve, and can improve oocyte quality and pregnancy outcome.

摘要

目的

观察电针疗法对体外受精(IVF)过程中卵巢反应不良或储备功能下降患者卵母细胞质量及妊娠结局的影响。

方法

将60例行IVF-ET的患者随机分为观察组和对照组,每组30例。两组均采用拮抗剂方案进行促排卵,观察组在此基础上加用电针干预,选取关元(CV 4)、太溪(KI 3)、三阴交(SP 6)等穴位。治疗后比较两组的治疗效果。

结果

治疗前两组无显著差异。治疗后观察组肾虚症状明显改善,在注射人绒毛膜促性腺激素(hCG)日,观察组血清雌二醇(E2)水平、受精率、卵母细胞成熟率、优质胚胎率及着床率均优于对照组(均P<0.05);观察组卵泡液及血清中干细胞因子(SCF)水平明显高于对照组(均P<0.05)。观察组妊娠率高于对照组,流产率低于对照组,但两组间差异无统计学意义(均P>0.05)。

结论

电针疗法对卵巢储备功能不良的IVF患者具有良好的临床效果,可改善卵母细胞质量及妊娠结局。

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