Jiang Xiaomei, Yan Hua, Zhong Xiufang, Tong Guoqing, Zhang Wuwen
Department of Urology and Reproductive Medicine, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Reproductive Center, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Med (Lausanne). 2020 Nov 12;7:541537. doi: 10.3389/fmed.2020.541537. eCollection 2020.
This article investigated the effects of the traditional Chinese medicine (TCM) herbal recipe, Bushen Yutai, on fertilization (IVF) patients subjected to mild ovarian stimulation. Two hundred nineteen infertile patients were randomly divided into 2 groups: the control group and herbal treatment group. By studying, we found estrogen levels (E) on the human chorionic gonadotropin (hCG) triggering day were significantly lower in the control group ( < 0.05), with positive blood flow being less detected by ultrasound scanning on both the day of hCG triggering and day of fresh embryo transfer for the control group ( < 0.05). Additionally, the blood flow index, retroactive and proactive inhibition, was higher in the control group, whereas the fertilization rate and number of high-quality embryos in the control group were lower than the control TCM experimental group ( < 0.01). The expression levels of the endometrial receptivity gene, vascular endothelial growth factor (VEGF), were lower in the control group vs. the TCM experimental group on the day of fresh embryo transfer ( < 0.05), whereas the rate of fresh embryo transfer in the control group was lower than the TCM experimental group ( < 0.05). In conclusion, the TCM could increase the E during the IVF stage, with a higher number of oocytes and higher-quality embryos. It also improved the endometrium and increased the level of VEGF gene expression. By enhancing the fresh embryo transfer rate in a minimal ovarian stimulation protocol and by improving the clinical pregnancy and ongoing pregnancy rates, the Bushen Yutai recipe could be able to increase fresh embryo transfer and higher-quality embryos.
本文研究了中药补肾毓胎方对接受轻度卵巢刺激的体外受精(IVF)患者的影响。219例不孕患者被随机分为2组:对照组和中药治疗组。通过研究发现,对照组在人绒毛膜促性腺激素(hCG)触发日的雌激素水平(E)显著较低(<0.05),在hCG触发日和新鲜胚胎移植日,对照组经超声扫描检测到的阳性血流较少(<0.05)。此外,对照组的血流指数、 retroactive和proactive抑制较高,而对照组的受精率和高质量胚胎数量低于中药实验组(<0.01)。在新鲜胚胎移植日,对照组子宫内膜容受性基因血管内皮生长因子(VEGF)的表达水平低于中药实验组(<0.05),而对照组的新鲜胚胎移植率低于中药实验组(<0.05)。总之,中药可在IVF阶段提高E水平,获得更多卵母细胞和更高质量的胚胎。它还改善了子宫内膜,提高了VEGF基因表达水平。通过在最小卵巢刺激方案中提高新鲜胚胎移植率,以及提高临床妊娠率和持续妊娠率,补肾毓胎方能够增加新鲜胚胎移植和获得更高质量的胚胎。