自然与药物诱导排卵监测的自身对照

Auto-control Study in Evaiuating Ovulation in Spontaneous & Superovulatory Cycles

人工授精治疗不孕症日益受到国内外科学家们的重视,近年应用促排卵药物促使多排卵以期提高妊娠率,一旦用药后卵泡的发育及内分泌的合成发生一系列的变化,本文用自身对照的方法观察到用药后卵泡数目加多、直径加大,血清E_2、P明显升高,LH值降低、峰提前出现,宫颈粘液受到严重抑制等。因此超排卵周期预测排卵的指标与自然排卵周期不同,应给以重视。

Investigation was made on the index used in detecting ovulation of spontaneous cycles and of superovulatory cycles. Results demonstrated that in superovulatory cycles the number of dominting follicles was increased with a simultaneous enlargement of follicles'size. Levels of serum E2 and progesterone were raised significantly, while levels of LH became lower with its'peak occured much earlier. The cervical mucus had a lower score during superovulatory cycles than in spontaneous cycles. Therefore it is clear that different indexes should be considered in detecting ovulation during the two different cycles. In superovulatory cycles the most useful index is that used in ultrasound detection, while BBT or LH serves as a only subsidiary method.