针灸在体外受精-胚胎移植过程中的应用研究进展

Application of acupuncture and moxibustion in in vitro fertilization-embryo transfer

现代辅助生殖技术(assisted reproductive technology,ART)为越来越多不孕不育夫妇解决生育问题的同时,其高额的费用、卵巢过度刺激综合征(ovarian hyperstimulation syndrome,OHSS)等副作用、较低的临床妊娠率等诸多问题仍待解决。针灸作为中医学中最具代表性的治疗方式和手段,被国内外学者关注,并广泛应用于体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)治疗过程中。本文综述了IVF-ET联合针灸治疗改善子宫膜容受性、提高冻融胚胎移植(frozen-thawed embryo transfer,FET)成功率、增加妊娠机会、降低OHSS发生概率、可能提高活产率等方面。

Modern assisted reproductive technology（ART） is a problem for more and more infertile couples to solve fertility problems. There are problems still to be resolved, such as high cost, side effects such as ovarian hyperstimulation syndrome（OHSS）, and low clinical pregnancy rate. As the most representative treatment and method in Chinese medicine, acupuncture has attracted the attention of scholars at home and abroad, and is widely used in the treatment of in-vitro fertilization-embryo transfer（IVF-ET）. This article reviews that IVF-ET combined with acupuncture treatment, improves endometrial receptivity from acupuncture, improves the success rate of frozen-thawed embryo transfer（FET）, increases the chance of pregnancy, and reduces occurrence rate of OHSS, possibly improves the live birth rate.