672例冻融胚胎移植病人妊娠率的观察及护理对策

Observation and nursing measures of pregnancy rates of 672 cases of patients with frozen-thawed embryo transfer

[目的]探讨提高冻融胚胎移植妊娠率的措施,总结适宜的护理对策。[方法]选择本中心2014年1月—2014年12月672例接受冻融胚胎移植病人作为研究对象进行回顾性分析,通过体外受精-胚胎移植或卵泡浆内单精子注射获得的胚胎采用玻璃化冷冻及解冻,予以病人移植窗的系列准备措施以及移植后的黄体支持,并予以科学、综合的护理干预。[结果]接受冷冻及解冻、移植窗的准备以及适宜的护理干预后,共解冻672个周期,复苏临床妊娠数为272例,复苏临床妊娠率为40.48%。[结论]采用玻璃化冷冻及解冻,做好移植窗的准备以及适宜的护理干预能显著提高冻融胚胎移植妊娠率。

Objective：To study the methods of improving pregnancy rates of frozen-thawed embryo transfer（FET）,and summarize the appropriate nursing countermeasures.Methods：A total of 672 cases received FET were collected for retrospective analysis from Jan.to Dec.2014.The embryos getting by in vitro fertilization and embryo transplantation or follicle intracytoplasmic sperm injection received vitrification frozen and thawed.The patients received by the series of preparation of transplant window and luteal support post-transplant.And the scientific and comprehensive nursing methods were also carried out.Results：After receiving vitrification frozenthawed,ready for transplanting window and appropriate nursing methods,the 672 cycles were thawed,and the clinical pregnancy cases of thawed recovery were 272 cases.The recovery rate of clinical pregnancy was 40.48%.Conclusion：To use the vitrification frozen and thawed,ready for transplanting window and the appropriate nursing methods could improve the pregnancy rate of frozen-thawed embryo transfer.