医疗辅助生殖患者使用辅助疗法:中医药及相关疗法的地位。

O. Serri, A. Meunier, P. E. Bouet, H. El Hachem, B. Liu, P. May-Panloup
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摘要

目的:不孕不育与不同的因素有关,这些因素错综复杂,但有时并不明确。尽管最近在技术和治疗方面取得了重大进展,但辅助生殖技术(ART)的成功率仍然相对较低。在这种情况下,一些妇女求助于辅助方法(CP),希望提高成功率并减轻相关压力。这些方法种类繁多,尚未在文献中进行全面分析。我们的研究目的是评估在我们不孕不育中心就诊的妇女目前对这些辅助治疗方法的兴趣,更具体地说,是对传统中医(TCM)和相关的身心干预(MBI)的作用的兴趣。研究方法2022年1月至5月期间在昂热大学医院不孕不育中心进行的前瞻性单中心调查研究。结果:分析了150份问卷:对150份问卷进行了分析。约50%的妇女求助于CP,希望提高抗逆转录病毒疗法的成功率,并减轻相关的压力和疲劳。使用的主要 CP 是基于体操、中医和 MBI 的 CP。不使用的主要原因是对这些方法缺乏了解,绝大多数妇女希望从中心的医生那里获得更多有关 CP 的信息。结论我们的研究表明,人们对生殖医学中的 CP 非常感兴趣。鉴于其中一些方法的益处,至少是对患者生活质量的益处,应向所有接受人工生殖技术的夫妇提供有关这些方法价值的信息。
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THE USE OF COMPLEMENTARY PRACTICES BY PATIENTS UNDERGOING MEDICALLY ASSISTED REPRODUCTION: The place of Chinese medicine and related practices.
Purpose: Infertility is associated with different factors, highly intricated but sometimes ill-defined. Despite the significant recent technological and therapeutic advancements, the success rates of assisted reproductive technologies (ART) remain relatively low. In this context several women have recourse to complementary practices (CP), in the hope of improving success rates and lowering the associated strain. These methods, are quite heterogenous, and are yet to be comprehensively analyzed in the literature. The objective of our study was to evaluate, in women consulting at our fertility center, the current interest in these CP and more specifically, the role of Traditional Chinese Medicine (TCM) and associated Mind Body Intervention (MBI). Methods: A prospective monocentric survey study at the fertility center of the Angers University Hospital between January and May 2022. Results: 150 questionnaires were analyzed. Approximately 50% of women have recourse to CP, in the hope of improving the success rates of ART and reducing the associated stress and fatigue. The main CP used were the ones based on body manipulation, TCM and MBI. The lack of use was mainly linked to a lack of knowledge of these methods, and the vast majority of women would like to receive additional information about CP from the physicians at the center. Conclusion: Our study shows a significant interest in CP in reproductive medicine. In view of the benefits of some of these practices, at least on the quality of life of patients, information on their value should be made available to all couples undergoing ART.
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