首页|短期针灸干预对冻融胚胎移植人群妊娠结局的影响

短期针灸干预对冻融胚胎移植人群妊娠结局的影响

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目的 通过回顾性分析 694 个冻融胚胎移植周期观察针灸疗法短期干预对冻融胚胎移植(frozen-thawed embryo transfer,FET)患者的妊娠结局的影响.方法 将 694 个移植周期根分为观察组(301 个周期)和对照组(393 个周期).对照组采用常规冻融胚胎移植干预,观察组在对照组基础上从患者进行内膜转化日起行5~6 d 针灸干预.收集两组基线资料(年龄、既往周期数、不孕年限、基础日黄体生成素水平、基础日卵泡雌激素水平、基础日雌二醇水平、身体质量指数、胚胎移植次数、移植当天的内膜厚度和不孕类型)采用单因素与多因素Logistic回归探索经FET治疗不孕患者妊娠结局的危险因素.比较两组胚胎种植率、早期流产率和临床疗效.结果 观察组的临床妊娠率(46.5%)高于对照组(39.4%),差异具有统计学意义(P<0.05).观察组的胚胎种植率(33.5%)高于对照组(25.9%),差异有统计学意义(P<0.01).观察组早期流产率(12.9%)低于对照组(22.0%),差异有统计学意义(P<0.05).针灸和年龄是影响妊娠结局的因素(P<0.05).结论 针灸联合FET可提高FET患者的临床妊娠率和胚胎种植率,降低早期流产率.
Effect of short-term acupuncture-moxibustion intervention on the pregnancy outcome in people undergoing frozen-thawed embryo transfer
Objective To observe the effect of short-term acupuncture-moxibustion intervention on the pregnancy outcome in patients undergoing frozen-thawed embryo transfer(FET)by retrospectively analyzing 694 FET cycles.Method The 694 FET cycles were divided into an observation group(301 cycles)and a control group(393 cycles).The control group received conventional FET.The observation group received acupuncture-moxibustion for 5-6 d starting from the day of endometrial transformation.Baseline data(age,number of previous cycles,years of infertility,luteinizing hormone level at the basal day,follicular estrogen level at the basal day,estradiol level at the basal day,body mass index,number of embryo transfers,endometrial thickness on the day of transfer,type of infertility)were collected from both groups to explore risk factors for pregnancy outcomes in infertile patients receiving FET treatment using the single-factor and multivariate logistic regression.The embryo implantation rate,early miscarriage rate,and clinical efficacy were compared between the two groups.Result The observation group had a higher clinical pregnancy rate than the control group,46.5% versus 39.4%,showing statistical significance(P<0.01).The embryo implantation rate was 33.5% in the observation group,significantly higher than 25.9% in the control group(P<0.05).The early miscarriage rate in the observation group(12.9% )was lower than that in the control group(22.0% ),and the difference was statistically significant(P<0.05).Acupuncture-moxibustion and age were factors that affected the pregnancy outcome(P<0.05).Conclusion Incorporating acupuncture-moxibustion into FET can enhance the clinical pregnancy rate and embryo implantation rate and reduce the early miscarriage rate in patients undergoing FET.

Acupuncture-moxibustionNeedle warming therapyThermal box moxibustionReproductive techniques,AssistedEndometriumInfertilityInfertility,Female

余洋、杜惠、李伟红

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海军军医大学,上海 200433

海军军医大学第一附属医院,上海 200433

针灸疗法 温针疗法 温灸器灸 生殖技术,辅助 子宫内膜 不孕症 不育,女性

2025

上海针灸杂志
福建省水利学会

上海针灸杂志

影响因子:1.273
ISSN:1005-0957
年,卷(期):2025.44(1)