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卵巢正常反应人群拮抗剂方案单用高纯度尿促性素促排卵的临床效果

徐千花 曹云霞 曾娟

安徽医科大学学报2024,Vol.59Issue(6):966-970,5.
安徽医科大学学报2024,Vol.59Issue(6):966-970,5.DOI:10.19405/j.cnki.issn1000-1492.2024.06.008

卵巢正常反应人群拮抗剂方案单用高纯度尿促性素促排卵的临床效果

Effect of highly purified hMG on ovulation induction in normal ovarian responder patients with antagonist protocol

徐千花 1曹云霞 1曾娟1

作者信息

  • 1. 安徽医科大学第一附属医院妇产科,合肥 230032||国家卫生健康委配子及生殖道异常研究重点实验室,合肥 230032||出生人口健康教育部重点实验室,合肥 230032||生殖健康与遗传安徽省重点实验室,合肥 230032||安徽省生命资源保存与人工器官工程技术研究中心,合肥 230032
  • 折叠

摘要

Abstract

Objective To compare the differences in clinical outcomes of ovulation induction with highly purified human menopausal gonadotropin(HP-hMG,Menopur)versus recombinant human follicle stimulating hormone(rFSH,Gonal-F)in normal ovarian responder patients treated with the GnRH-antagonist protocol.Methods Pa-tients treated with the GnRH-antagonist protocol were retrospectively analyzed and divided by gonadotropin(Gn)usage into HP-hMG group and rFSH group.The basic characteristics,ovulation induction method,laboratory inde-xes,and clinical outcomes were compared between the two groups.Results A total of 614 normal ovarian re-sponder patients were enrolled in the study,with 216 in the HP-hMG group and 398 in the rFSH group.There was no significant difference in P levels and LH levels on the hCG trigger day between the two groups.However,the E2 levels on the hCG trigger day were significantly lower in the HP-hMG group(P<0.001).Moreover,the HP-hMG group had a higher biochemical pregnancy rate(69.23%vs 63.51%)and clinical pregnancy rate(66.67%vs 59.46%)compared to the rFSH group.The incidence of OHSS in the HP-hMG group(2.31%vs 3.02%)showed a decreasing trend compared to the rFSH group.Conclusion Compared to rFSH,HP-hMG offers distinct advanta-ges in reducing the incidence of OHSS and improving pregnancy outcomes in normal ovarian responder patients un-dergoing pituitary suppression with the GnRH-antagonist protocol.

关键词

卵巢正常反应人群/高纯度尿促性素/重组人卵泡刺激素/体外受精-胚胎移植/控制性超促排卵

Key words

normal ovarian responder/HP-hMG/rFSH/in vitro fertilization-embryo transfer/controlled ovulation induction

分类

医药卫生

引用本文复制引用

徐千花,曹云霞,曾娟..卵巢正常反应人群拮抗剂方案单用高纯度尿促性素促排卵的临床效果[J].安徽医科大学学报,2024,59(6):966-970,5.

基金项目

国家自然科学基金(编号:82301864) (编号:82301864)

生殖健康与遗传安徽省重点实验室开放课题基金(编号:RHG-2021-1) (编号:RHG-2021-1)

安徽医科大学学报

OA北大核心CSTPCD

1000-1492

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