Comparison of efficacy of long follicular phase regimen and antagonist regimen on pregnancy outcome of fresh cycle or freeze-thawed cycle embryo transfer.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pakistan Journal of Medical Sciences Pub Date : 2024-11-01 DOI:10.12669/pjms.40.10.9050
Pengtao Li, Jiawei Zhai, Ting Liu, Mengyuan Guo, Yuzhen Wang
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Abstract

Objective: To compare the pregnancy outcome of the fresh cycle or freeze-thaw cycle embryo transfer of patients treated with a long follicular phase regimen and antagonist regimen, and explore the clinical therapeutic effect of the two regimens.

Methods: This was a retrospective study. The data of a total of 543 patients who underwent in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET) or frozen-thawed embryo transfer (FET) in Baoding Maternal and Child Health Care Hospital from January 2020 to December 2022 were retrospectively analyzed in this study and were divided into four group to analyze the basic conditions, medication, laboratory indicators and clinical outcomes after embryo transfer of patients in each group.

Results: The pregnancy rate and implantation rate in Groups A, B and C were higher than those in Group-D, and the differences were statistically significant (p<0.05). The difference in multiple pregnancy rate and abortion rate among groups was not statistically significant (p>0.05). The influencing factors of clinical pregnancy rate were identified by binary Logistic regression analysis. Advanced age was found to be a risk factor for improving the pregnancy rate, while the increase in the number of oocytes retrieved is a protective factor for improving the pregnancy rate. The differences were statistically significant (p<0.05).

Conclusion: The antagonist regimen has a low dosage and short medication time and can achieve a high embryo utilization rate and blastula formation rate, saving time and cost for patients.

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比较长卵泡期方案和拮抗剂方案对新鲜周期或冻融周期胚胎移植妊娠结果的影响。
目的比较采用长卵泡期方案和拮抗剂方案治疗的患者在新鲜周期或冻融周期胚胎移植的妊娠结局,并探讨两种方案的临床治疗效果:这是一项回顾性研究。回顾性分析2020年1月至2022年12月在保定市妇幼保健院接受体外受精/卵胞浆内单精子注射及胚胎移植(IVF/ICSI-ET)或冻融胚胎移植(FET)的543例患者资料,将其分为4组,分析各组患者的基本情况、用药情况、实验室指标及胚胎移植后的临床疗效:A组、B组和C组的妊娠率和种植率均高于D组,差异有统计学意义(P0.05)。各组间的多胎妊娠率和流产率差异无统计学意义(P>0.05)。通过二元 Logistic 回归分析确定了临床妊娠率的影响因素。结果发现,高龄是提高妊娠率的风险因素,而取卵数量的增加则是提高妊娠率的保护因素。差异具有统计学意义(P0.05):拮抗剂方案用药量少、用药时间短,可获得较高的胚胎利用率和胚泡形成率,为患者节省时间和费用。
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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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