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促性腺激素释放激素激动剂触发排卵的临床观察
引用本文:徐明彩,张亦文,徐志彦,鲍修华,侯向青,王海燕.促性腺激素释放激素激动剂触发排卵的临床观察[J].生殖与避孕,2010,30(3):204-208.
作者姓名:徐明彩  张亦文  徐志彦  鲍修华  侯向青  王海燕
作者单位:青岛大学医学院附属威海医院,威海,264200
摘    要:目的:探讨促性腺激素释放激素激动剂(GnRH-a)触发排卵的疗效。方法:对应用氯米芬(CC)、来曲唑(LE)和/或人绝经期促性腺激素(hMG)促排卵治疗的不孕患者,卵泡成熟时给与GnRH-a(A组)或人绒毛膜促性腺激素(hCG)(B组)触发排卵,卵巢过度刺激综合征(OHSS)高危周期则给予GnRH-a,观察比较其临床结局。结果:共分析了81例患者132个促排卵周期,A、B组周期数分别为75和57,组间周期排卵率、多胎率、流产率相似(P>0.05)。周期临床妊娠率、OHSS发生率A组高于B组(P<0.05),无重度OHSS发生。结论:GnRH-a触发排卵临床妊娠率高,可有效预防重度OHSS的发生。

关 键 词:促性腺激素释放激素激动剂(GnRH-a)  人绒毛膜促性腺激素(hCG)  触发排卵  卵巢过度刺激综合征(OHSS)

Clinical Observation of Gonadotrophin-releasing Hormone Agonist on Triggering Ovulation
Ming-cai XU,Yi-wen ZHANG,Zhi-yan XU,Xiu-hua BAO,Xiang-qing HOU,Hai-yan WANG.Clinical Observation of Gonadotrophin-releasing Hormone Agonist on Triggering Ovulation[J].Reproduction and Contraception,2010,30(3):204-208.
Authors:Ming-cai XU  Yi-wen ZHANG  Zhi-yan XU  Xiu-hua BAO  Xiang-qing HOU  Hai-yan WANG
Institution:Ming-cai XU,Yi-wen ZHANG,Zhi-yan XU,Xiu-hua BAO,Xiang-qing HOU,Hai-yan WANG(WeiHai Affiliated Hospital Medical College of Qingdao University,Weihai,264200)
Abstract:Objective:To evaluate efficacy of gonadotrophin-releasing hormone analogue in triggering ovulation.Methods:A total of 81 patients with ovulatory dysfunction were administered with clomiphene or letrozol or hMG.Once follicles matured,the patients were treated with GnRHa(group A) or hCG(group B) to trigger ovulation.For patients having a risk of ovarian hyperstimulation syndrome(OHSS) at their periods were treated with GnRH-a only.Results:A total of 132 stimulated ovulation cycles were analyzed,of which the n...
Keywords:gonadotrophin-releasing hormone agonists(GnRH-a)  human chorionic gonadotropin(hCG)  triggering of ovulation  ovarian hyperstimulation syndrome(OHSS)  
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