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维生素 D 可改善需要宫腔内人工授精的多囊卵巢综合征患者的子宫内膜厚度:一项随机、双盲、安慰剂对照试验。

Vitamin D improves endometrial thickness in PCOS women who need intrauterine insemination: a randomized double-blind placebo-controlled trial.

机构信息

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Gynecol Obstet. 2014 Apr;289(4):865-70. doi: 10.1007/s00404-013-3055-x. Epub 2013 Oct 26.

Abstract

PURPOSE

To determine whether administration of vitamin D affects the success rates of intra uterine insemination (IUI) in infertile polycystic ovarian syndrome (PCOS) women and their endometrial thickness.

METHODS

This randomized, double-blind, placebo-controlled trial was conducted in an infertility clinic of Women's Hospital, and 110 infertile PCOS patients undergoing IUI were randomly divided to receive vitamin D or placebo. Endometrial thickness, IUI results, number of dominant follicles, duration of IUI cycle, and dose of HMG used in IUI were determined.

RESULTS

The endometrial thickness was significantly different in the group treated with vitamin D versus the placebo group (p = 0.003). There was no statistical difference in pregnancy out come between the two groups (RR = 1.167, CI 95 % 0.70-1.93). No statistical difference was found in number of dominant follicles (p = 0.96), duration of IUI cycles (p = 0.70) and dose of HMG used for IUI (p = 0.95).

CONCLUSIONS

It seems that administration of vitamin D induces endometrial proliferation in PCOS women during IUI cycle. The study was recorded in Iranian Registry of Clinical Trials(IRCT201104216246N1).

摘要

目的

探究维生素 D 的补充是否会影响不孕多囊卵巢综合征(PCOS)妇女宫腔内人工授精(IUI)的成功率及其子宫内膜厚度。

方法

该随机、双盲、安慰剂对照试验在一家不孕不育诊所进行,将 110 名接受 IUI 的不孕 PCOS 患者随机分为维生素 D 组和安慰剂组。记录子宫内膜厚度、IUI 结果、优势卵泡数量、IUI 周期持续时间和 IUI 中 HMG 的使用剂量。

结果

与安慰剂组相比,维生素 D 组的子宫内膜厚度差异有统计学意义(p = 0.003)。两组的妊娠结局无统计学差异(RR = 1.167,95%CI 0.70-1.93)。两组间优势卵泡数量(p = 0.96)、IUI 周期持续时间(p = 0.70)和 IUI 中 HMG 使用剂量(p = 0.95)无统计学差异。

结论

在 IUI 周期中,维生素 D 的补充似乎会诱导 PCOS 妇女的子宫内膜增殖。本研究已在伊朗临床试验注册中心(IRCT201104216246N1)注册。

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