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基于传统医学的生活方式和饮食对接受辅助生殖的女性不孕治疗的影响:一项随机对照试验。

The Impact of Traditional Medicine-Based Lifestyle and Diet on Infertility Treatment in Women Undergoing Assisted Reproduction: A Randomized Controlled Trial.

机构信息

School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran.

Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Complement Med Res. 2020;27(4):230-241. doi: 10.1159/000505016. Epub 2020 Jan 21.

Abstract

The problem of infertility is growing rapidly in the world. Traditional medicine with thousands of years of history has claimed that it can treat some kinds of infertility using nutritional and lifestyle modifications and interventions. The purpose of this study was to evaluate the effect of a traditional medicine-oriented diet and lifestyle on infertility treatment. Based on a clinical trial study, 180 infertile women who were 20-40 years old and candidates for in vitro fertilization (IVF) were randomly assigned to 2 groups: an intervention group and a control group. The intervention group used diet and lifestyle recommendations based on Iranian traditional medicine for at least 3 months. The number of ova, mature ovum number, embryo number, embryo quality, and fertilization rate were significantly higher in the intervention group than in the control group (for all items; p < 0.05). Overall pregnancy rate was significantly higher in the intervention group (35.2 vs. 12.4%; odds ratio [OR], 3.8; 95% CI, 1.8-8.3). The intervention group had a higher rate of getting spontaneous pregnancy than the control group (20.9 vs. 2.2%; OR, 11.5; 95% CI, 2.6-50.9). Chemical pregnancy was significantly higher in the intervention group (64 vs. 27.5%; OR, 4.7; 95% CI, 1.9-11.6). Diet and lifestyle modifications based on traditional medicine can contribute greatly to the infertility treatment. Thus, many infertility cases can be treated without the need to use advanced methods. In case of using assisted reproductive techniques, traditional medicine can enhance the efficiency of these methods.

摘要

不孕症的问题在全球范围内迅速增长。拥有数千年历史的传统医学声称,通过营养和生活方式的改变和干预,可以治疗某些类型的不孕症。本研究的目的是评估基于传统医学的饮食和生活方式对不孕症治疗的影响。基于一项临床试验研究,将 180 名年龄在 20-40 岁之间且符合体外受精(IVF)条件的不孕女性随机分为两组:干预组和对照组。干预组至少采用基于伊朗传统医学的饮食和生活方式建议 3 个月。干预组的卵数、成熟卵数、胚胎数、胚胎质量和受精率均显著高于对照组(所有项目;p<0.05)。干预组的总妊娠率显著高于对照组(35.2%比 12.4%;优势比[OR],3.8;95%置信区间,1.8-8.3)。干预组自发性妊娠率高于对照组(20.9%比 2.2%;OR,11.5;95%置信区间,2.6-50.9)。干预组化学妊娠率显著高于对照组(64%比 27.5%;OR,4.7;95%置信区间,1.9-11.6)。基于传统医学的饮食和生活方式的改变可以极大地促进不孕症的治疗。因此,许多不孕症病例无需使用先进方法即可治疗。在使用辅助生殖技术的情况下,传统医学可以提高这些方法的效率。

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