首页|生殖联盟转诊机制在辅助生殖助孕患者中的应用效果研究

生殖联盟转诊机制在辅助生殖助孕患者中的应用效果研究

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目的 探索生殖联盟转诊机制和转诊专职接待护士在辅助生殖助孕患者中的应用效果.方法 回顾性总结2023年3月至9月期间于郑州大学第三附属医院生殖中心转诊+联合促排卵(记为转诊+联合促排卵组)、转诊非联合促排卵(记为转诊非联合促排卵组)和自行来诊(记为对照组)行辅助生殖助孕的患者情况.比较3组间来诊次数、促排卵方案及助孕结局等指标.结果 本研究共调查425例患者,其中转诊+联合促排卵组99例,转诊非联合促排卵组98例,对照组228例.3组患者的基线数据差异均无统计学意义(均P>0.05).在患者来本院就诊的次数上,转诊+联合促排卵组来院次数为1.79±1.20,转诊非联合促排卵组来院次数为5.48±2.24,对照组来院次数为5.77±1.72,3组间比较差异有统计学意义(P<0.001),LSD多重比较结果显示,转诊+联合促排卵组与转诊非联合促排卵组、对照组的来院次数差异均存在统计学意义(均P<0.001).3组患者促排卵方案、促性腺激素释放激素激动剂使用总量和使用时间、促性腺激素使用总量和使用时间差异均无统计学意义(均P>0.05).3组间获卵数、双原核数、可利用胚胎数、MⅡ卵数、优质胚胎数、可移植胚胎数、冷冻胚胎数、囊胚培养数、囊胚形成数、可利用囊胚数差异均无统计学意义(均P>0.05).结论 联盟促排卵转诊模式在辅助生殖助孕患者中临床应用效果较好,可以避免患者两地辗转的辛苦.
Application effect of reproductive alliance referral mechanism in patients with assisted reproductive technology
Objective To explore the application effect of reproductive alliance referral mechanism and referral full-time reception nurses in patients with assisted reproductive technology.Methods From March 2023 to September 2023,the demographic data of patients attending the Reproductive Center of the Third Affiliated Hospital of Zhengzhou University were retrospectively summarized.This included patients referred for combined ovarian stimulation,patients referred without combined ovarian stimulation,and a control group consisting of self-visit patients.The number of visits,ovulation induction protocols,and outcomes among the three groups were compared.Results The study included a total of 425 patients,comprising 99 patients in combined ovarian stimulation,98 patients in no combined ovarian stimulation,and 228 patients in control group.The baseline data did not show any significant differences among the three groups(all P>0.05).The number of hospital visits was 1.79±1.20 in the referral+ovulation induction group,5.48±2.24 in the referral non-ovulation induction group,and 5.77±1.72 in control group,with a significant difference among the three groups(P<0.001).The results of LSD multiple comparison method revealed statistically significant differences in the number of visits between the referral+combined ovarian stimulation group and the referral non-combined ovarian stimulation group,as well as the control(all P<0.001).The protocol,dosage and duration of gonadotropin-releasing hormone agonist used and the duration and dosage of gonadotropin used were no significant differences among the three groups(all P>0.05).The numbers of oocytes retrieved,two pronuclei,available embryos,MⅡ,high-quality embryos,transferable embryos,frozen embryos,blastocyst culture,blastocyst formation,and available blastocysts were not significantly different among the three groups(all P>0.05).Conclusion The alliance ovulation induction referral model demonstrates a favorable clinical application effect in patients undergoing assisted reproduction,alleviating the burden of patients having to visit multiple locations.

Assisted reproductionAlliance referralReferral to full-time nursesPatient satisfaction

张彩华、贺婧、窦姗姗、管一春

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郑州大学第三附属医院生殖中心,郑州 450000

辅助生殖 联盟转诊 转诊专职护士 患者满意度

河南省科技攻关联合共建课题

LHGJ20200429

2024

中华生殖与避孕杂志
上海计划生育科学研究所

中华生殖与避孕杂志

CSTPCD北大核心
影响因子:0.989
ISSN:2096-2916
年,卷(期):2024.44(8)
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