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空气质量对体外受精尝试结果的影响:一项回顾性研究。

Influence of air quality on the results of in vitro fertilization attempts: A retrospective study.

作者信息

Carré Julie, Gatimel Nicolas, Moreau Jessika, Parinaud Jean, Leandri Roger

机构信息

Médecine de la Reproduction, CHU Toulouse, 330 avenue de Grande Bretagne, 31059 Toulouse, France.

Médecine de la Reproduction, CHU Toulouse, 330 avenue de Grande Bretagne, 31059 Toulouse, France; Groupe de Recherche en Fertilité Humaine EA 3694, Université Paul Sabatier, 31059 Toulouse, France.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2017 Mar;210:116-122. doi: 10.1016/j.ejogrb.2016.12.012. Epub 2016 Dec 14.

Abstract

OBJECTIVE

To assess the influence of air quality on the results of IVF.

STUDY DESIGN

We performed a retrospective study on 292 patients who have undergone an IVF attempt from April 2012 to December 2015 in our French university hospital. Patients were included in the study if data on the air quality at home and at work were available and if they haven't been gone for more than 4days in a month. Data were recorded during the 3 months before oocyte collection and 1 month after embryo transfer. Air quality measurements were obtained from the Observatoire Régional de l'Air en Midi-Pyrénées (ORAMIP) and concerned the levels of nitrogen dioxide (NO), ozone (O), particulate matter PM10 and SO measured every day.

RESULTS

Acute exposures to high levels NO or PM10 were associated with lower results of IVF (ovarian response to stimulation, number of top embryos) while these parameters were enhanced when patients were exposed to high levels of O during the first 2 months of folliculogenesis. These effects were found even for a short exposure (1day).

CONCLUSIONS

Air quality has an impact on global health and also on the reproductive function and public and authorities must be aware of environmental protection.

摘要

目的

评估空气质量对体外受精(IVF)结果的影响。

研究设计

我们对2012年4月至2015年12月在我们法国大学医院接受IVF治疗的292例患者进行了一项回顾性研究。如果有患者在家和工作场所的空气质量数据,且他们一个月内离开不超过4天,则将其纳入研究。在取卵前3个月和胚胎移植后1个月记录数据。空气质量测量值来自南比利牛斯地区空气观测站(ORAMIP),涉及每天测量的二氧化氮(NO)、臭氧(O)、颗粒物PM10和二氧化硫(SO)的水平。

结果

急性暴露于高水平的NO或PM10与较低的IVF结果(卵巢对刺激的反应、优质胚胎数量)相关,而当患者在卵泡生成的前2个月暴露于高水平的O时,这些参数会得到改善。即使是短期暴露(1天)也发现了这些影响。

结论

空气质量不仅对全球健康有影响,对生殖功能也有影响,公众和当局必须意识到环境保护。

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