Effects of thawing-induced softening on fracture behaviors of frozen rock

Due to the presence of ice and unfrozen water in pores of frozen rock,the rock fracture behaviors are susceptible to temperature.In this study,the potential thawing-induced softening effects on the fracture behaviors of frozen rock is evaluated by testing the tension fracture toughness(KIC)of frozen rock at different temperatures(i.e.-20℃,-15℃,-12℃,-10℃,-8℃,-6℃,-4℃,-2℃,and 0℃).Acoustic emission(AE)and digital image correlation(DIC)methods are utilized to analyze the microcrack propagation during fracturing.The melting of pore ice is measured using nuclear magnetic resonance(NMR)method.The results indicate that:(1)The KIC of frozen rock decreases moderately between-20℃ and-4℃,and rapidly between-4℃ and 0℃.(2)At-20℃ to-4℃,the fracturing process,deduced from the DIC results at the notch tip,exhibits three stages:elastic deformation,microcrack propagation and microcrack coalescence.However,at-4℃e0℃,only the latter two stages are observed.(3)At-4℃e0℃,the AE activities during fracturing are less than that at-20℃ to-4℃,while more small events are reported.(4)The NMR results demonstrate a reverse variation trend in pore ice content with increasing temperature,that is,a moderate decrease is followed by a sharp decrease and-4℃ is exactly the critical temperature.Next,we interpret the thawing-induced softening effect by linking the evolution in microscopic structure of frozen rock with its macroscopic fracture behaviors as follow:from-20℃ to-4℃,the thickening of the unfrozen water film diminishes the cementation strength between ice and rock skeleton,leading to the decrease in fracture parameters.From-4℃ to 0℃,the cementation effect of ice almost vanishes,and the filling effect of pore ice is reduced significantly,which facilitates microcrack propagation and thus the easier fracture of frozen rocks.

Artificial Cycle with or without a Depot Gonadotropin-releasing Hormone Agonist for Frozen-thawed Embryo Transfer： An Assessment of Infertility Type that Is Most Suitable

The clinical outcomes of five groups of infertility patients receiving frozen- thawed, cleavage-stage embryo transfers with exogenous hormone protocols with or without a depot gonadotropin-releasing hormone （GnRH） agonist were assessed. A retrospective cohort analysis was performed on 1003 cycles undergoing frozen-thawed, cleavage-stage embryo transfers from January 1, 2012 to June 31, 2015 in the Reproductive Medicine Center of Wuhan General Hospital of Guangzhou Military Region. Based on the infertility etiologies of the patients, the 1003 cycles were divided into five groups： tubal infertility, polycystic ovary syndrome （PCOS）, endometriosis, male infertility, and unexplained infertility. The main outcome was the live birth rate. Two groups were set up based on the intervention： group A was given a GnRH agonist with exogenous estrogen and progesterone, and group B （control group） was given exogenous estrogen and progesterone only. The results showed that the baseline serum hormone levels and basic characteristics of the patients were not significantly different between groups A and B. The live birth rates in groups A and B were 41.67% and 29.29%, respectively （P〈0.05）. The live birth rates in patients with PCOS in groups A and B were 56.25% and 30.61%, respectively （P〈0.05）. The clinical pregnancy, implantation and on-going pregnancy rates showed the same trends as the live birth rates between groups A and B. The ectopic pregnancy rate was significantly lower in group A than in group B. We concluded that the live birth rate was higher and other clinical outcomes were more satisfactory with GnRH agonist co- treatment than without GnRH agonist co-treatment for frozen-thawed embryo transfer. The GnRH agonist combined with exogenous estrogen and progesterone worked for all types of infertility tested, especially for women with PCOS.

Improvement of Live Birth Rate Following Frozen-Thawed Blastocyst Transfer by Combination of Prednisolone Administration and Stimulation of Endometrium Embryo Transfer

The endometrial condition is a significant factor for successful pregnancy. To regulate endometrial function in fertility treatment, prednisolone (PSL) is administered for suppression of increased natural killer cells and stimulation of endometrium embryo transfer (SEET) to enhance communication between embryo and maternal tissues. We attempted to improve the endometrial condition by PSL administration and SEET during frozen–thawed blastocyst transfer (FBT). Patients took PSL (5 mg) 3 times daily for 3 days after ovulation during the FBT cycle. To analyse effects of PSL combined with SEET, we determined rates of chemical pregnancy, clinical pregnancy, foetal heart movement (FHM) and live birth. Rates of chemical pregnancy, clinical pregnancy and FHM were significantly higher in the PSL(+)/SEET(+) (57.7%, 50.0% and 46.2%, respectively) and PSL(+)/SEET(-) (53.3%, 46.7% and 46.7%, respectively) groups than in the PSL(-)/SEET(+) (30.3%, 18.2% and 18.2%, respectively) and PSL(-)/SEET(-) (22.4%, 22.4% and 18.4%;P = 0.0043, 0.0081 and 0.0055, respectively) groups. The live birth rate was significantly higher in the PSL(+)/SEET(+) group than in the PSL(+)/SEET(-), PSL(-)/SEET(+) and PSL(-)/SEET(-) groups (42.3%, 26.7%, 18.2% and 12.2%, respectively;P = 0.0237). PSL combined with SEET may be a useful adjunct to assisted reproductive technology in women who repeatedly fail to conceive by infertility treatment.

Comparison of clinical outcomes of frozen-thawed blastocysts transfer in natural and hormonally controlled cycles

Objectives:To assess the clinical outcomes of frozen-thawed blastocysts transfer in natural and hormonally controlled cycles.Methods:A retrospective analysis of natural and hormonally controlled cycle for 246 frozen-thawed blastocyst transfer cycles,the clinical pregnancy rate,implantation rate,early abortion rate were compared.Results:Of the 192 hormonally controlled cycles,the cancel rate,clinical pregnancy rate per ET,implantation rate and abortion rate were 7.3%(14/192),53.9%(96/178),38.8%(131/338)and 11.5%(11/96)respectively,whereas in 54 natural cycles,these rates were 16.7%(9/54),68.9%(31/45),52.9%(45/85)and 16.1%(5/31)respectively.There was no significant difference between the two groups with regard to the clinical pregnancy and abortion rate per ET,but the cancel rate and implantation rate were higher in natural cycles.However,the pregnancy and implantation rates of patients without PCOS in hormonal control cycles(57.2%,40.9%)were similar with those in natural cycles(P>0.05).Conclusion:These findings suggested that both hormonally controlled and natural cycles had similar pregnancy outcomes in frozen-thawed blastocysts transfer.

Shear strength of frozen clay under freezing-thawing cycles using triaxial tests

Using a new low-temperature dynamic triaxial apparatus, the influence law of freezing-thawing cycles on clay shear strength is studied. In this research, the concept of correction coefficients of freezing-thawing cycles on clay static strength, cohesion and internal friction angles is proposed, and the change patterns, correction curves and regressive formulae of clay static strength, cohesion and internal friction angles under freezing-thawing cycles are given. The test results indicate that with increasing numbers of freezing-thawing cycles, the clay static strength and cohesion decrease exponentially but the internal friction angle increases exponentially. The performance of static strength, cohesion and internal friction angles are different with increasing numbers of freezing-thawing cycles, i.e., the static strength decreases constantly until about 30% of the initial static strength prior to the freezing-thawing cycling and then stays basically stable. After 5-7 freezing-thawing cycles, the cohesion decreases gradually to about 70% of the initial cohesion. The internal friction angle increases about 20% after the first freezing-thawing cycle, then increases gradually close to a stable value which is an increase of about 40% of the internal friction angle. The freezing-thawing process can increase the variation of the density of the soil samples; therefore, strict density discreteness standards of frozen soil sample preparation should be established to ensure the reliability of the test results.

Determination of long-term strength of frozen loess after numerous freeze-thaw cycles

In order to determine the changing rule of long-term frozen soil strength and elucidate the connection between long-term strength and soil physical properties,frozen loess was subjected to 4,6,8,10,and 50 freeze-thaw cycles,under closed-state conditions in a constant-temperature box.The frozen samples were tested on a spherical template indenter,and the results show that under the effect of repeated freeze-thaw cycles,the long-term strength of frozen loess decreased; changes in the mechanical property indices were highly unstable during the first 10 cycles; the soil strength and density were the greatest at the eighth cycle while the void ratio was the smallest; and after eight cycles all of the indices had less fluctuation and certain rising or falling tendencies.By converting the number of freeze-thaw cycles into elapsed time in the tests,three different forecasting methods of long-term soil strength could be assessed and the soil equivalent cohesive force after 10 years,20 years,or 30 years could be estimated.

Analysis of Factors Influencing Pregnancy Rate in Frozenthawed Embryo Transfer

Objective To analyse factors influencing the outcome of frozen-thawed embryo transfer （FET）. Method A retrospective analysis was performed in our center on 129 thawing cycles from March 2001 to April 2003. The related parameters were compared between conceived and non-conceived cycles. Results There were totally 129 clinical pregnancies in these transfers （pregnancy rate： 27.1%）. Frozen-thawed embryos were transferred to natural cycles and CC cycling and hormone replacement treatment had equal success. Groups of IVF and ICSI did not differ significantly in pregnancy rates （P〉0.05）. The pregnancy rates for one, two, three and four pre-embryos transfer were 0, 20.0%,44.1% and 75.0%, respectively （P〈0.05）. There were statistical differences between pregnancy group or non- pregnancy group in the endometrial thickness, CES, CES/No. of embryo. A higher pregnancy rate was observed in embryo transfers which had at least one 4-cell grade I embryo （d 2）（P〈0.01）. Conclusions The most important factors influencing the implantation rate and pregnancy rate of frozen-thawed embryo transfer are age, endometrium thickness, and the number, morphology and growth rate of transferred frozen embryos of women participants.

冻融循环对季冻土区粉质黏土-混凝土界面剪切性能的影响

为探究季冻土区粉质黏土-混凝土界面剪切性能,进行了不同冻融循环次数、土体含水率和法向应力的粉质黏土-混凝土二元体冻融循环试验和直剪试验,探讨了界面抗剪强度、抗剪强度参数和抗剪强度损伤度的变化规律。结果表明:直剪试验得到的应力-应变曲线均发生应变硬化现象,可分为弹性变形阶段(剪切位移为0~3 mm)和弹塑性变形阶段(剪切位移为4~15 mm);冻融循环对界面抗剪强度有劣化作用,即通过对土体造成损伤,导致界面内摩擦角和黏聚力下降,从而降低界面抗剪强度;随着冻融循环次数增加,界面抗剪强度损伤度增加,当冻融循环进行0、4次,抗剪强度损伤迅速,冻融循环进行12~20次,抗剪强度损伤较缓,最大界面抗剪强度损伤度为25%;土体含水率的增加对抗剪强度有削弱作用,随着土体含水率的增加,界面内摩擦角降低,但黏聚力先增加后减小,当土体含水率为20.7%时,黏聚力达到最大值;法向应力的增加对抗剪强度有增强作用。

Coupling of the Calculated Freezing and Thawing Front Parameterization in the Earth System Model CAS-ESM

The soil freezing and thawing process affects soil physical properties,such as heat conductivity,heat capacity,and hydraulic conductivity in frozen ground regions,and further affects the processes of soil energy,hydrology,and carbon and nitrogen cycles.In this study,the calculation of freezing and thawing front parameterization was implemented into the earth system model of the Chinese Academy of Sciences(CAS-ESM)and its land component,the Common Land Model(CoLM),to investigate the dynamic change of freezing and thawing fronts and their effects.Our results showed that the developed models could reproduce the soil freezing and thawing process and the dynamic change of freezing and thawing fronts.The regionally averaged value of active layer thickness in the permafrost regions was 1.92 m,and the regionally averaged trend value was 0.35 cm yr–1.The regionally averaged value of maximum freezing depth in the seasonally frozen ground regions was 2.15 m,and the regionally averaged trend value was–0.48 cm yr–1.The active layer thickness increased while the maximum freezing depth decreased year by year.These results contribute to a better understanding of the freezing and thawing cycle process.

Characterization of frozen soil-cement mixture for berm construction in cold regions

Lagoon berms in western Alaska are difficult to design and build due to limited resources, high cost of construction and materials, and warm permafrost conditions. This paper explores methods to treat locally available frozen materials and use them for berm construction. The goal is to find an optimized mix ratio for cement and additives that can be effective in increasing the strength and decreasing the thaw settlement of an ice-rich frozen silty soil. Soil of similar type and ice content to the permafrost found at a project site in Eek, Alaska is prepared in a cold room. The frozen soil is pulverized and cement, additives and fibers are added to the samples for enhancing shear strength and controlling thaw settlement. Thaw settlement and direct shear tests are performed to assess strength and settlement characteristics. This paper presents a sample preparation method, data from thaw settlement and direct shear tests, and analyses of the test results and preliminary conclusions.

Numerical simulation and experimental validation of moisture-heat coupling for saturated frozen soils

In seasonally frozen regions,freezing-and-thawing action is the main cause responsible for the destruction of canals,which is closely linked to the temperature gradient and water transport.To investigate the behaviour of soils under freezing-and-thawing actions,many numerical models have been established that consider the important coupling of moisture transport and temperature evolution;but they contain excessive parameters,some of which are rather difficult to determine.Based on the well-known Harlan's theory,a simple moisture-heat coupling model was recently proposed to quantify the coupled moisture-heat transport performance of soils in terms of the central temperature and porosity.The mathematical module of COMSOL Multiphysics was further employed to solve the governing equations numerically.To validate our model,a thorough experimental scheme was carried out in our lab.The measured temperature distribution was found to be consistent with the predicted results.

Response Relationship between the Seasonal Freezing-Thawing Process of Soil and Spatial Factor Changes in the Dayekou Basin of the Qilian Mountains

Objective: In this study, the influence and response relationship between the seasonal freezing-thawing process of soil and the spatial factor changes in the management and utilization of water resource processes were explored. Methods: The monitoring equipment in this study was arranged at different altitudes, gradients, and slope directions, such as the typical forest sample area in the Dayekou Basin of the Qilian Mountains. The spatial variation characteristics of the seasonal freezing-thawing process of the soil were analyzed, and a regression model was established. Results: 1) The results of this study determined that the rate of the soil’s freezing increased with the altitude in a trend of volatility. However, the rate of the thawing of the frozen soil was found to have an opposite trend. The variation degree of the freezing-thawing process increased with the altitude in a trend of volatility. The end time of the approximate soil freezing with altitude increased in a volatility trend ahead of schedule. However, the opposite was observed in the thawing rate of the frozen soil;2) The rate of the soil’s freezing under the mosses of the spruce forest at an altitude of 3028 m was found to be the lowest. However, in the sub-alpine scrub forest at an altitude of 3300 m, a maximum in the spatial ordering was observed, with an average of 1.9 cm·d-1. The thawing rate of the frozen soil in scrub-spruce forest at an altitude of 3300 m was found to be minimal. However, in the sunny slope grassland at an altitude of 2946 m, a maximum in the spatial ordering was observed, with an average of 1.5 cm·d-1. In the spatial ordering of the variation degree of the process of freezing-thawing with an average of 1.2, the scrub-grassland at an altitude of 2518 m was found to be the lowest, and the scrub-spruce forest at an altitude of 3195 m was also low;3) The soil freezing began on approximately October 20th, and the rate of soil freezing gradually became reduced. The arrival time of the frozen soil of up to 150 cm in depth in sub-alpine scrub forest was first observed at an altitude of 3028 m. However, the scrub-spruce forest at an altitude of 3100 m did not become frozen until approximately January 12th on average. Then, the thawing rate of the frozen soil increased gradually. The end time of the thawing was earliest observed in the sunny slope grassland at an altitude of 2946 m. However, the scrub-spruce forest at an altitude of 3100 m was found to be the last to thaw, and averaged approximately July 27th. The average durations of the freezing and thawing of the soil were 77 and 121 days, respectively, and the average duration of the entire process of freezing-thawing was 199 days;4) This study’s established regression models of the duration time of frozen soil’s thaw, and the rate of frozen soil’s thaw, all passed the R test of goodness of fit, F test of variance, and t test. Conclusions: The characteristics of the seasonal freezing-thawing process of the soil with the spatial changes were seasonal. However, the characteristics under the different spatial factor influences were not the same.

Experimental study of the dynamic behavior of high-grade highway-subgrade soil in a seasonally frozen area

Regarding the freezing damage of high-grade highway subgrade in seasonally frozen area,the thesis explores the effect on the dynamic behavior of subgrade soil under freeze–thaw cycles and draws the change law of parameters(including dynamic strength,dynamic cohesion,and internal friction angle;and dynamic elastic modulus)of high-grade highway-subgrade soil with the number of freeze–thaw cycles.It aims to provide the reference for operation and maintenance of a high-grade highway.Conclusions:(1)Dynamic strength tends to decline evidently after freeze–thaw cycles,with 60%~70%decline after three cycles,and remains stable after five to seven cycles.(2)With the number of freeze–thaw cycles increasing,the internal friction angle fluctuates within a certain range without an obvious change law,only presenting the tendency of dropping off.The dynamic cohesion declines obviously,about 20%~40%after seven freeze–thaw cycles,and then tends to be stable.(3)With the number of freeze-thaw cycles increasing,the dynamic elastic modulus and maximum dynamic elastic modulus are inclined to decrease distinctly.After five freeze–thaw cycles,the former declines 30%~40%and then remains stable.Meanwhile,the latter falls 20%~40%.

Freezing and thawing effects of sand-silt mixtures on elastic waves

Freezing and thawing during the winter season change soil properties such as density. The density change in the particulate media influences soil stiffness. In addition, freezing of partially or fully saturated soils changes the soil matrix from a particulate media to a continuum. The goal of this study is to investigate the cyclic freezing and thawing effects on elastic waves. Sand-silt mixtures with 10% silt fraction in weight and 40% saturation are prepared. The sand-silt mixtures are placed in a nylon cell, onto which a pair of bender elements and a pair of piezoelectric disk elements are installed for the measurement of shear and compressional waves, respectively. The temperature of the mixtures decreases from 20 ℃ to -10 ℃ to freezing. The frozen sample is gradually thawed at room temperature （20 ℃）, These freezing-thawing processes are repeated three times. The test result shows that the shear and compressional wave velocities significantly increase when the specimen is frozen. When the temperature is greater than 0 ℃, the elastic wave velocities are lower during thawing than during freezing due to soil structure change. This study demonstrates that soil strucre change during the winter season may be effectively estimated from elastic waves.

Effects of Storage Temperature on the Effective Activity of Straw Frozen Semen after Thawing

The aim was to discuss the optimal storage environment and proper insemination time after thawing of 0.25 mL straw frozen semen. Straw frozen semen was thawed at 40 ℃ for 20 s, and then stored at 0 -4 ℃, 14 - 16 ℃, 25 -27 ℃ for 2, 4, 6, 8 and 10 h, respectively. The sperm motility was detected. After thawing, semen was stored at 0 - 4 ℃ and 14 - 16 ℃ for 10 h. Their sperm motilities （0.434 ±0. 016 7 and 0.423 ±0.019 6） had no significant differences （P 〉 0.05） with initial thawing motility （0.441 ± 0.030）. Sperm motility reduced as the storage time prolonged at 25 -27 ℃. Sperm motility after 6 h had signifi- cant differences with that of initial thawing motility （P 〈 O. 05 ）, and sperm motilities after 8 and 10 h showed extremely significant differences （P 〈 0.01 ）. Thus, sperm motility after thawing was still very high after stored at 0 -4 ℃ and 14 - 16 ℃ within 10 h, which met the requirements for insemination. Under this temperature and time ranges, sperm could be carried over long distances, which had small effects on sperm quality and reached the expected insemination effects. However, under the temperature of 25 - 27 ℃, semen should be used for insemination within 6 h after thawing.

Stabilized effects of L-S cement-mixed batter pile composite foundation for existed warm frozen soil subgrade

In permafrost regions with warm frozen soil,subgrade thaw-collapse phenomenon commonly occurs,facing thaw collapse problems of the existed frozen soil subgrade,thus it is difficult to use traditional methods such as active cooling and passive protection technology to stabilize the existed warm frozen soil subgrade.This study derives a novel stabilizer method,a long-short(L-S)cement-mixed batter pile composite foundation to stabilize the existed warm frozen soil subgrade.To solve the thawcollapse problems in warm frozen soil subgrade,high water content and large compressibility characteristics were compared between soft soil and warm frozen soils.Theoretical analysis of heat conduction and numerical simulation of finite element model were used to study the freeze–thaw process and evaluate the stabilized effects of the L-S cement-mixed batter piles on the warm frozen soil foundation of the Qinghai-Tibet Highway.Furthermore,the thaw process and mechanical properties of foundation and piles were analyzed by introducing the hydration heat factor in the thermodynamic control equation.The results indicate that the thawing displacement of the existed warm frozen soil subgrade was reduced owing to the“support”and“grasp”effects of the L-S cement-mixed batter piles on the surrounding soil.The composite ground formed by strengthening the warm frozen ground with batter piles could considerably improve the bearing capacity of the existed warm frozen ground,effectively restrain the deformation of the upper embankment,and improve the strength of the ground.The analysis can provide method for the construction design of cement mixing batter pile foundation in cold regions.

Effect of the frozen layer on the stability of cut soil slopes during seasonal freezing and thawing

Research on the stability of soil slopes in seasonally frozen regions has mainly focused on slope failures during the thawing window.There are few studies on slope stability during the freezing window and its subsequent influence on slope failure in the next thawing window.In this paper,soil strength was tested during freezing and thawing to obtain temperature-dependent strength parameters for the simulation of slope stability.Then,the slope's temperature field over an entire year was accurately simulated so that characteristics of the frozen layer could be determined at any time.Based on the above results,the progressive failure modes of frozen soil slopes are discussed.The results show that:1)during the freezing window,depth of the frozen soil layer increases,as does the slope's safety factor,while a yield zone propagates towards the slope shoulder.(2)During the thawing window,the frozen soil layer shrinks in depth while the yield zone continuously expands,which decreases the safety factor.Comprehensive analysis of these results indicate that the frozen layer provides a“toe-locking effect”that increases the safety factor during the freezing window,while it also provides a“dragging effect”that propagates the yield zone towards the slope shoulder.During the thawing window,the“toe-locking effect”gradually diminishes;a continuous sliding surface is formed,which lead to a landslide.The frozen soil layer of the freezing window accelerates the slope sliding in the thawing window.

宫腔镜检查在GnRHa-HRT内膜准备方案冻融胚胎移植中的应用价值研究

目的 探讨宫腔镜检查(HS)在促性腺激素释放激素激动剂-激素替代治疗(GnRHa-HRT)内膜准备方案冻融胚胎移植(FET)中的应用价值。方法 选取2022年1至10月在嘉兴市妇幼保健院生殖医学中心既往有1~2次胚胎移植失败史的不孕妇女112例,采用随机数字表法分为GnRHa-HRT联合HS组和GnRHa-HRT组,每组各56例。比较两组患者的一般情况以及FET妊娠结局。结果 两组患者年龄、不孕年限、BMI、既往移植失败次数、转化日内膜厚度、移植胚胎数、优质胚胎移植数、优质囊胚移植数、不孕类型、不孕因素比较差异均无统计学意义(均P>0.05)。两组患者生化妊娠率、临床妊娠率、早期流产率、异位妊娠率及活产率比较差异均无统计学意义(均P>0.05),但GnRHa-HRT联合HS组的胚胎着床率高于GnRHa-HRT组(40.20%比26.47%,χ2=4.324,P=0.038),56例GnRH-HS-HRT组患者行HS,HS正常患者26例(46.43%),异常患者30例(53.57%)。GnRH-HS-HRT组HS正常患者与异常患者生化妊娠率、临床妊娠率、胚胎着床率、早期流产率、异位妊娠率及活产率比较差异均无统计学意义(均P>0.05)。结论 既往有胚胎移植失败史的患者,宫腔异常的发生率较高,HS联合子宫内膜搔刮术有助于发现子宫腔细微病变,改善子宫内膜的容受性。在同一个月经周期内进行HS和FET,可以缩短治疗周期,改善妊娠结局。

冻融胚胎移植前IVF-ET助孕患者的血清E_(2)、孕酮表达情况及其与妊娠结局的相关性分析

目的分析冻融胚胎移植前体外受精-胚胎移植(IVF-ET)助孕患者的血清雌二醇(E_(2))、孕酮表达情况及其与妊娠结局的相关性。方法选择2020年3月至2022年3月收治的126例IVF-ET助孕患者,冻融胚胎移植前检测血清E_(2)、孕酮表达情况,完成IVF-ET助孕后统计妊娠结局,比较不同妊娠结局患者冻融胚胎移植前血清E_(2)、孕酮表达,并分析冻融胚胎移植前IVF-ET助孕患者的血清E_(2)、孕酮表达与妊娠结局的相关性。结果126例IVF-ET助孕患者妊娠成功51例,成功率为40.48%。妊娠失败患者冻融胚胎移植前血清E_(2)、孕酮低于妊娠成功患者(P<0.05)。经Logistic回归分析结果显示,血清E_(2)、孕酮表达与妊娠结局有关(P<0.05)。结论IVF-ET助孕患者的妊娠结局与冻融胚胎移植前血清E_(2)、孕酮表达密切相关。

GnRH-a降调节联合雌孕激素替代疗法在多囊卵巢综合征冻融胚胎移植中的应用效果

目的:探讨促性腺激素释放激素激动剂(GnRH-a)降调节联合雌孕激素替代疗法在多囊卵巢综合征(PCOS)冻融胚胎移植(FET)中的应用效果。方法:选取2022年1—12月于徐州市妇幼保健院生殖医学科行FET的64例PCOS患者作为研究对象,随机分为联合组(n=32)与单用组(n=32)。单用组使用雌孕激素替代疗法治疗,联合组使用GnRH-a降调节联合雌孕激素替代疗法。比较两组患者的性激素水平、移植相关参数及临床结局。结果:治疗前,两组血清促黄体生成激素(LH)、促卵泡生成激素(FSH)、雌二醇(E_2)水平比较,无统计学差异(P>0.05);治疗后,两组LH、FSH、E_2水平显著下降,与单用组比较,联合组E_2、LH、FSH水平更低(P<0.05)。与单用组患者比较,联合组患者雌二醇片使用时间更短、使用剂量更少,胚胎植入时子宫内膜更厚(P<0.05);两组移植优质胚胎数比较,无统计学差异(P>0.05)。与单用组比较,联合组患者胚胎种植成功率更高(P<0.05);两组早期流产率、异位妊娠率比较,无统计学差异(P>0.05)。结论:GnRH-a降调节联合雌孕激素替代疗法在PCOS FET中的应用效果显著,可调控性激素水平,减少雌激素使用时间及剂量,增加患者子宫内膜厚度,提高胚胎种植成功率。