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体外受精患者感知压力、针灸与妊娠率的关系:一项初步研究。

The relationship between perceived stress, acupuncture, and pregnancy rates among IVF patients: a pilot study.

机构信息

University of Pittsburgh, Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA.

University of Pittsburgh, Magee-Womens Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA.

出版信息

Complement Ther Clin Pract. 2010 Aug;16(3):154-157. doi: 10.1016/j.ctcp.2009.11.004. Epub 2009 Dec 24.

Abstract

UNLABELLED

The aim of this paper was to determine the effect of acupuncture on perceived stress levels in women on the day of embryo transfer (ET), and to determine if perceived stress levels at embryo transfer correlated with pregnancy rates. The study was an observational, prospective, cohort study based at the University IVF center.

PATIENT(S): 57 infertile patients undergoing IVF or IVF/ICSI.

INTERVENTIONS(S): Patients were undergoing Embryo Transfer with or without acupuncture as part of their standard clinical care.

MAIN OUTCOME MEASURE(S): Perceive Stress Scale scores, pregnancy rates.

RESULT(S): women who received this acupuncture regimen achieved pregnancy 64.7%, whereas those without acupuncture achieved pregnancy 42.5%. When stratified by donor recipient status, only non-donor recipients potentially had an improvement with acupuncture (35.5% without acupuncture vs. 55.6% with acupuncture). Those who received this acupuncture regimen had lower stress scores both pre-ET and post-ET compared to those who did not. Those with decreased their perceived stress scores compared to baseline had higher pregnancy rates than those who did not demonstrate this decrease, regardless of acupuncture status.

CONCLUSIONS(S): The acupuncture regimen was associated with less stress both before and after embryo transfer, and it possibly improved pregnancy rates. Lower perceived stress at the time of embryo transfer may play a role in an improved pregnancy rate.

摘要

目的

本研究旨在探讨胚胎移植日(ET)接受针刺对女性感知压力水平的影响,并确定 ET 时的感知压力水平与妊娠率是否相关。该研究为在大学 IVF 中心进行的观察性、前瞻性队列研究。

患者

57 名接受 IVF 或 IVF/ICSI 的不孕患者。

干预措施

患者正在接受胚胎移植,部分患者接受针刺作为标准临床护理的一部分。

主要观察指标

感知压力量表评分、妊娠率。

结果

接受该针刺方案的女性妊娠率为 64.7%,而未接受针刺的女性妊娠率为 42.5%。按供体-受体状态分层,只有非供体受体可能通过针刺获益(无针刺者妊娠率为 35.5%,有针刺者妊娠率为 55.6%)。与未接受针刺者相比,接受该针刺方案的患者在 ET 前和 ET 后压力评分均较低。与未显示这种下降的患者相比,压力评分降低的患者无论针刺状态如何,妊娠率均较高。

结论

针刺方案与 ET 前后的压力降低有关,可能提高妊娠率。ET 时感知压力降低可能与妊娠率提高有关。

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