首页|脂代谢指标与不明原因不孕患者IVF-ET胚胎质量的相关性分析

脂代谢指标与不明原因不孕患者IVF-ET胚胎质量的相关性分析

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目的 分析脂代谢与不明原因不孕(UI)患者体外受精-胚胎移植(IVF-ET)胚胎质量的相关性.方法 选取2020年1月至2023年6月期间承德市中心医院收治的126例UI患者作为研究对象,所有患者均接受IVF-ET治疗,依据胚胎质量评估标准将患者分为优质组(n=76)与不良组(n=50).比较两组基线资料及实验室指标,并分析IVF-ET前脂代谢指标与UI患者胚胎质量的相关性.结果 不良组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、睾酮、孕酮水平均高于优质组,高密度脂蛋白胆固醇(HDL-C)、雌二醇水平低于优质组(P<0.05);经点二列相关性验证,TC、TG、LDL-C水平与UI患者IVF-ET胚胎质量呈正相关(r>0,P<0.05),HDL-C水平与UI患者IVF-ET胚胎质量呈负相关(r<0,P<0.05).结论 脂代谢与UI患者IVF-ET胚胎质量有关,脂代谢紊乱可能会导致UI患者IVF-ET胚胎质量不良.
Correlation analysis of lipid metabolism on embryo quality in patients with unexplained infertility undergoing in vitro fertilization and embryo transfer
Objective To analyze the correlation between lipid metabolism and embryo quality in patients with unexplained infertility(UI)undergoing in vitro fertilization and embryo transfer(IVF-ET).Methods A total of 126 UI patients admitted to Chengde Central Hospital from January 2020 to June 2023 were selected as the research objects.All patients received IVF-ET treatment.According to the embryo quality assessment criteria,the patients were divided into high-quality group(n=76)and poor-quality group(n=50).The baseline data and laboratory indexes of the two groups were compared,and the correlation between lipid metabolism indexes before IVF-ET and embryo quality of UI patients was analyzed.Results The levels of total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),testosterone,and progesterone in the poor-quality group were higher than those in the high-quality group,while the levels of high-density lipoprotein cholesterol(HDL-C)and estradiol were lower than those in the high-quality group(P<0.05).Through point biserial correlation,it was confirmed that the levels of TC,TG,LDL-C were positively correlated with the quality of IVF-ET embryos in UI patients(r>0,P<0.05),while the levels of HDL-C were negatively correlated with the quality of IVF-ET embryos in UI patients(r<0,P<0.05).Conclusions Lipid metabolism is related to the quality of IVF-ET embryos in UI patients,and lipid metabolism disorders may lead to poor IVF-ET embryo quality in UI patients.

Unexplained infertilityIn vitro fertilization and embryo transferLipid metabolism

王会男、冯琳、陆宏艳、许丽丽、司凡

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承德市中心医院生殖医学科,河北承德 067000

不明原因不孕 体外受精-胚胎移植 脂代谢

承德市科技计划

202301A015

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(8)
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