摘要
目的:观察盆底肌按摩治疗对于行体外受精-胚胎移植(IVF-ET)卵巢储备低下患者妊娠结局的影响。方法:将接受IVF-ET的卵巢储备低下患者95例随机分为观察组(50例)、对照组(45例),两组在COH之前均给予人工周期治疗2个周期,观察组同时加用盆底肌按摩治疗。两组患者促排方案均选用改良超短方案。比较两组Gn使用天数,Gn用量,HCG日内膜厚度、类型、获卵数、受精率、卵裂率、优质胚胎率、种植率、妊娠结局。结果:HCG日观察组内膜厚度及A型内膜比例均优于对照组(P<0.05),观察组E2水平高于对照组(P<0.05)。观察组Gn用量低于对照组(P<0.05),获卵数、优质胚胎率、妊娠率均高于对照组(P<0.05)。结论:盆底肌按摩治疗对接受IVF-ET的卵巢储备低下患者的妊娠结局具有积极作用,可提高妊娠率。
Objective ： To explore the influence of massage treatment for the pelvic floor muscle （ PFM ） to pregnancy outcome for patients with low ovarian reserve undergoing IVF-ET. Methods ： 95 patients with low ovarian reserve were divided into observation group （ n=50 ） and control group （ n=45 ） randomly. Two groups were given artificial cycle therapy for two months before COH, meanwhile, the observation group were given massage treatment to the pelvic floor muscle （ PFM ）. Two groups were given modified ultra short GnRH a/hMG/hCG regimen. The two groups were compared with Gn duration （ d ）, Gn consumptions （ ampuls ）, endometrial thickness and endometrial type in HCG day, numbers of retrievaled oocytes, fertilization rate, cleavage rates, high- quality embryo rate, implementation rate, pregnancy outcome. Results ： The endometrial thickness, endometrial type, the level of E2 of HCG day in observation group were better than that in control group. Gn consumptions （ ampuls ） in observation group was significantly lower than those in control group （ P〈0.05 ）. The numbers of retrievaled ooeytes and high-quality embryo rate, pregnancy rate in observation group were significantly higher than those in control group （ P〈0.05 ）. Conclusion ： Massage treatment to the pelvic floor muscle （ PFM ） is effective in IVF- ET opatients with low ovarian reserve and can improve pregnancy rate.
出处
《辽宁中医药大学学报》
CAS
2014年第9期169-171,共3页
Journal of Liaoning University of Traditional Chinese Medicine
