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长方案中长效与短效达菲林的垂体降调节效果比较

李东娅 孟昱时 马兰 杨晓玲 镡颖 杨洁

昆明医科大学学报Issue(2):63-66,4.
昆明医科大学学报Issue(2):63-66,4.

长方案中长效与短效达菲林的垂体降调节效果比较

Comparative Study of Long-and Short-acting Triptorelin on Pituitary Down-regulation in Long Protocol

李东娅 1孟昱时 1马兰 1杨晓玲 1镡颖 1杨洁1

作者信息

  • 1. 昆明医科大学第二附属医院生殖医学科,云南昆明 650101
  • 折叠

摘要

Abstract

Objective To explore the efficacy of long- and short-acting triptorelin on pituitary down-regulation in long protocol and the pregnancy outcome in vitro fertilization and embryo transfer (IVF-ET) . Methods Three hundred and seventeen patients for IVF-ET were enrolled as study and randomized them into two groups. In group A (n=145), patients received single dose subcutaneous injection of 1.25 mg long-acting diphereline in mid-luteal phase. In group B (n=172), patients received 0.1 mg/d subcutaneous injection of short-acting diphereline in mid-luteal phase for 14-18 days until pituitary suppression were got,and then reduced to 0.05 mg/d until the injection of HCG. Results The dose and the days of gonadotropin administration in group A were bigger and longer than those in group B ( <0.05) . There were no significant differences in the number of retrieved oocytes, fertilization rate,high quality embryos,implantation rate and clinical pregnancy rate between the two groups (all > 0.05) . But clinical pregnancy rate of group B had increasing trend. Conclusion Administration of short-acting diphereline has the similar effect with that of long-acting diphereline on pituitary down-regulation in long protocol. Short-acting diphereline requires lower amount of gonadotropin and is more flexible,so it should be recommended.

关键词

达菲林/垂体降调节/体外受精

Key words

Diphereline/Pituitary down-regulation/In vitro fertilization

分类

医药卫生

引用本文复制引用

李东娅,孟昱时,马兰,杨晓玲,镡颖,杨洁..长方案中长效与短效达菲林的垂体降调节效果比较[J].昆明医科大学学报,2014,(2):63-66,4.

基金项目

云南省卫生厅内设机构研究基金资助项目 ()

昆明医科大学学报

OACSTPCD

1003-4706

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