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影响宫腔人工授精妊娠率的临床因素分析

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目的 探讨影响宫腔内人工授精(IUI)妊娠率的相关因素.方法 回顾性分析2017年12月至2022年9月恩施土家族苗族自治州中心医院生殖医学中心收治的行IUI治疗的不孕不育夫妇的615个周期的临床资料,分析影响IUI妊娠率的相关因素.结果 共纳入615个IUI周期,其中71个周期获得妊娠,妊娠率为11.54%(71/615);65个周期获得临床妊娠,临床妊娠率为10.57%(65/615).消瘦、正常体重、超重、肥胖女性的临床妊娠率比较,差异具有统计学意义(P<0.05);排卵数≥2个的妊娠率、临床妊娠率与排卵数为1个比较,差异具有统计学意义(P<0.05).排卵个数(OR=1.970,95%CI:1.155~3.359)是影响妊娠率的独立因素(P<0.05).结论 排卵个数是影响IUI妊娠率的相关因素.
Analysis of clinical factors affecting pregnancy rate of intrauterine insemination
Objective To investigate related factors affecting pregnancy rate of intrauterine insemination(IUI).Methods The clinical data of 615 cycles of infertile couples treated with IUI in the Reproductive Medicine Center,Enshi Tujia and Miao Autonomous Prefecture Central Hospital from December 2017 to September 2022 were retrospectively analyzed.The correlative factors affecting pregnancy rate of IUI were analyzed.Results The study included a total of 615 IUI cycles,of which 71 cycles resulted in pregnancy,with a pregnancy rate of 11.54%(71/615),65 cycles resulted in clinical pregnancy,with a clinical pregnancy rate of 10.57%(65/615).There was a statistically significant difference in the clinical pregnancy rates between women with thinner women,normal-weight women,overweight women,and obese women(P<0.05).There were significant differences among pregnancy rate of ovulation number ≥ 2,clinical pregnancy rate and pregnancy rate of ovulation number=1.The number of ovulation(OR=1.970,95%CI:1.155-3.359)was an independent factor affecting pregnancy rate(P<0.05).Conclusions The number of ovulation is a related factor affecting the pregnancy rate of IUI.

Intrauterine inseminationInfertilityClinical pregnant rateInfluencing factor

黄琳璐、赵敏、刘春雷、解为全、覃瑶琴、陈杰

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恩施土家族苗族自治州中心医院生殖医学中心,湖北恩施 445000

宫腔内人工授精 不孕症 临床妊娠率 影响因素

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(3)
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