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短效长方案中GnRH-a使用时长对体外受精-胚胎移植结局的影响 被引量:8
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作者 牟珍妮 孙振高 +3 位作者 宋景艳 刘红根 乔岩 夏庆昌 《中国性科学》 2019年第7期51-55,共5页
目的探讨在短效长方案超促排卵(controlled ovarian hyperstimulation,COH)周期中,促性腺激素释放激素激动剂(gonadrotropinreleasing hormone agonist,GnRH-a)使用时长对体外受精-胚胎移植(in vitrofertilization and embryo transfer,... 目的探讨在短效长方案超促排卵(controlled ovarian hyperstimulation,COH)周期中,促性腺激素释放激素激动剂(gonadrotropinreleasing hormone agonist,GnRH-a)使用时长对体外受精-胚胎移植(in vitrofertilization and embryo transfer, IVF-ET)助孕结局的影响。方法选取2015年1月至2018年1月山东中医药大学附属医院中西医结合生殖与遗传中心采用短效长方案行IVF/ICSI-ET助孕的776例患者作为研究对象。回顾性分析776例患者接受短效长方案降调节后超促排卵患者的临床资料,根据GnRH-a的使用时长为分组依据,分为三组:A组:GnRH-a的使用天数为14d;B组:GnRH-a的使用天数为15d^17d;C组:GnRH-a的使用天数≥18d。比较各组之间临床资料、治疗情况及临床结局。结果三组患者平均年龄、体质量指数(BMI)、基础内分泌、原发性不孕比例、助孕方式、促性腺激素(Gonadotropin, Gn)使用总量、Gn使用时间、添加尿促性素(HMG,珠海丽珠制药)总量组间比较差异无统计学意义(P>0.05);三组患者降调节天数、Gn启动日及HCG日内分泌、HMG使用时间、降调节费用、总费用、获卵数、优质胚胎数组间比较差异有统计学意义(P<0.05);三组患者2PN受精率、新鲜胚胎移植率、移植胚胎数、胚胎种植率、临床妊娠率、流产率、卵巢过度刺激综合征(ovarian hyperstimulation syndrome, OHSS)发生率比较差异均无统计学意义。结论短效长方案降调节中,在达到降调节标准的前提下,GnRH-a使用14天,即可获得满意的IVF-ET妊娠结局,GnRH-a使用时间过长反而会影响获卵数及胚胎质量,增加医疗费用。 展开更多
关键词 短效长方案 垂体降调节 促性腺激素释放激素激动剂 临床妊娠率
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Studies of GnRH-A Active Immunization Effects on LH and FSH Secretion and Histostructure of the Ovary and Uterus in Rabbits 被引量:3
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作者 WEI Suo-cheng GONG Zhuan-di WEI Min 《Agricultural Sciences in China》 CAS CSCD 2011年第10期1630-1637,共8页
The objective of the study is to investigate the effects of active immunization against gonadotropin releasing hormone agonist (GnRH-A) on secretion of luteinizing hormone (LH) and follicle-stimulating hormone (... The objective of the study is to investigate the effects of active immunization against gonadotropin releasing hormone agonist (GnRH-A) on secretion of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) in the pituitary, and to observe the histological structures and development about ovaries and uteri in female rabbits. 24 female rabbits (Oryctolagus cuniculus) were divided randomly into 4 groups (n=6), namely, experimental group I (EG-I), experimental II (EG-II), experimental III (EG-III), and control group (CG). Rabbits were subcutaneously injected with 1.0 mL GnRH-A (alarelin) antigen respectively at concentrations of 100, 100 and 50 μg mL-1 respectively, in EG-I, EG-II and EG-III. Alarelin antigen was re-injected in EG-II and EG-III with the same dosage on 20 d. CG was a blank. The ovarian and uterine samples were collected aseptically at the end of the experiment of 70 d. The tissue slices were observed under light and electron microscopes. Serum concentrations of LH and FSH were measured with ELISA. The results showed that serum LH concentrations in EG-II and EG-III reached the peak levels on 50 and 40 d respectively, and LH level in EG-II exceeded other 3 groups on 50 d (P0.05). FSH level in EG-II was higher than those in EG-I, CG (P0.01) and EG-III (P0.05) on 40 d. GnRH-A could increase the number of primary follicles, enlarge the primary follicle vertical diameter (PFV) and primary follicle transverse diameter (PFT), and promote growth and maturation of follicles. The endometrial epithelium thickness (EET) and uterine wall thickness (UWT) in three EGs were less than that in CG (P0.05). GnRH-A can increase the quantities of mitochondrial cristaes, cortex granules in cytoplasm, broaden and lengthen zona pellucidas and microvilli of oocytes. It also enlarged nuclei of ooxytes and mitochondria, thereby it promoted the development of oocytes. Re-injection of 100 μg alarelin antigen enhanced the secretion of LH and FSH. GnRH-A promoted the growth and maturation of ovaries and follicles, suppressed uterine development, and also influenced histostructure of ovaries and uteri in female rabbits. 展开更多
关键词 gonadotropin releasing hormone agonist gnrh-a luteinizing hormone follicle-stimulating hormone OVARY UTERUS histostructure female rabbit
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