摘要
目的:探讨患者体重对体外受精-胚胎移植(IVF-ET)结局的影响。方法:选择140例首次接受IVF-ET助孕的患者为研究对象,按体重指数(BMI)分成超重组37例(BMI≥24 kg/m2)及正常体重组103例(BMI<24 kg/m2),回顾性分析比较两组患者促性腺激素(Gn)用量及使用时间、取卵数、受精率、妊娠率、卵巢过度刺激综合征(OHSS)发生率及未移植率。结果:超重组Gn的使用时间(11.43±2.01)天、OHSS发生率(13.51%)及未移植率(10.81%)明显高于正常体重组〔分别为(9.79±1.46)天、2.51%及0.97%〕,两者比较,差异有统计学意义(P<0.05);其余各指标两组比较,差异无统计学意义(P>0.05)。结论:超重对IVF-ET妊娠结局有一定的负面影响,因此在接受IVF-ET治疗前指导患者适当减轻体重可能会改善IVF-ET结局。
Objective: The aim of this study was to evaluate the effects of body weight on the outcome of patients receiving in vitro fertilization and embryo transfer (IVF- ET) treatment. Methods: A retrospective study was carried out on 140 patients who first received IVF - ET. According to their body mass index ( BMI), they were divided into two groups by a cutoff of 24 kg/m^2 : normal weight ( BMI 〈 24 kg/m^2, P = 103 ) and overweight ( BMI 〉124 kg/m2, n = 37), and these two groups were compared in regards to the outcome of IVF - ET. Results: Days of stimulation and hyperstimulation in the overweight group was higher than the normal weight group ( P 〈 0. 05 ) ; There were no significant differences in other indexes between the two groups. Conclusion: Overwei - ght can take some negative effects on the outcome of IVF- ET, so loss weight to overweight patients before IVF- ET may improve the outcome.
出处
《中国妇幼保健》
CAS
北大核心
2007年第15期2101-2103,共3页
Maternal and Child Health Care of China
关键词
体重指数
体外受精-胚胎移植
Body mass index
Fertilization
In vitro
Embryo
Transfer