首页|克罗米芬组合低剂量促性腺激素方案和常规拮抗剂方案在体外授精胚胎移植治疗中的临床治疗结局比较

克罗米芬组合低剂量促性腺激素方案和常规拮抗剂方案在体外授精胚胎移植治疗中的临床治疗结局比较

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目的:比较卵巢功能正常的体外授精胚胎移植治疗患者,应用克罗米芬组合低剂量促性腺激素方案和常规拮抗剂方案的临床治疗结局.方法:应用前瞻性随机对照研究,选择2014年9月-2015年12月在南京医科大学第一附属医院就诊,女方卵巢功能评估正常,拟行体外授精胚胎移植治疗的120对夫妇为研究对象.按随机数字信封法分为实验组(克罗米芬组合低剂量促性腺激素方案)和对照组(常规拮抗剂方案)进行促排卵及体外授精胚胎移植治疗,两组均行全胚冷冻,择期冻融胚胎移植,随访至活产或用完本次取卵周期形成的所有胚胎,比较两组患者治疗的临床指标、实验室指标和临床妊娠结局.结果:实验组患者促性腺激素用量低于对照组、促性腺激素用药天数短于对照组,但两组患者临床妊娠率、活产率的差异无统计学意义.结论:克罗米芬组合低剂量促性腺激素方案,在促性腺激素用量减少和用药天数缩短情况下,能达到常规拮抗剂方案的临床治疗结局,是一种经济、有效、温和的新促排卵方案.
Comparison of clinical outcomes between clomiphene citrate combined with low-dose gonadotropin and conventional antagonist protocol in the treatment of in vitro fertilization and embryo transfer
Objective:To compare the clinical outcomes of patients with normal ovarian function in vitro fertilization and embryo transfer therapy,using clomiphene citrate combined with low dose gonadotropin regimen and conventional antagonist regimen.Methods:A prospective randomized controlled trial was conducted.One hundrend and tweenty couples were selected from September 2014 to December 2015 at the First Affiliated Hospital of NJMU,the normal ovarian function of the woman and the in vitro fertilization embryo transfer therapy.The women were divided into experimental group (clomiphene citrate combination low dose gonadotropin regimen) and control group (conventional antagonist regimen) according to the randomized digital envelope method.Both of the two groups All embryo were frozen and frozen-thawed embryos were transfered,followed-up to live or running out of all embryos of this cycle in two groups,compare the clinical and laboratory results and clinical outcomes of the two groups were compared.Results:The dosage of gonadotropin in the experimental group was lower than that in the control group.The stimulate time of gonadotropin was shorter than that of the control group.There was no significant difference in clinical pregnancy rate and cumulative live birth rate between two groups.Conclusion:The combination of clomiphene citrate and low dose gonadotropin program can achieve the clinical outcome as good as the conventional antagonist regimen in the case of reduced dosage of gonadotropin and shortened stimulation days.It is a new economical,effective and mild ovulation induction program.

clomiphene citrategonadotropinin vitro fertilizationembryo transferclinical pregnancy ratelive birth rate

吴畏、冒韵东、王媁、蔡令波、马翔、刁飞扬、孟艳、刘嘉茵

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南京医科大学第一附属医院生殖医学中心,生殖医学国家重点实验室,江苏南京210029

克罗米芬 促性腺激素 体外授精 胚胎移植 临床妊娠率 活产率

国家科技重大专项子课题

2017YFC1001300

2017

南京医科大学学报(自然科学版)
南京医科大学

南京医科大学学报(自然科学版)

CSTPCDCSCD北大核心
影响因子:0.646
ISSN:1007-4368
年,卷(期):2017.37(12)
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