针刺对体外受精-胚胎移植妊娠成功率的影响及其作用机理.doc

文档介绍：
针刺对体外受精-胚胎移植妊娠成功率的影
响及其作用机理#
郑翠红,许啸虎,黄冬梅,黄光英*
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(华中科技大学同济医学院附属同济医院中西医结合研究所,武汉,430030)
摘要:[目的] 探讨针刺对体外受精-胚胎移植(in vitro fertilization and embryo transfer,
IVF-ET)妊娠成功率的影响及其作用机理。[方法] 通过综合分析国内外相关文献。[结果] 针
刺,特别是在卵泡期即开始足量的针刺治疗,的确有助于提高 IVF 的妊娠率;同时提示穴
位表面的刺激可能具有同样的治疗效应。其机制可能与以下因素有关:良性调节下丘脑-垂
体-卵巢轴;抑制子宫收缩,降低子宫动脉局部阻抗,增加子宫和卵巢血流量;增加子宫内
膜的容受性;缓解紧张、焦虑和抑郁等。[结论] 针刺可以在 IVF 中进一步推广,对其机理
的研究有必要进一步深入。
关键词:针刺;体外受精-胚胎移植;妊娠率
中图分类号:
Effect and its mechanism of acupuncture on the ess rate
of in vitro fertilization and embryo transfer
ZHENG Cuihong, XU Xiaohu, HUANG Dongmei, HUANG Guangying
(Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji
Medical College, Huazhong University of Science and Technology,Wuhan,430030)
Abstract: [Objective] To study the effect and its mechanism of acupuncture on the ess rate of
in vitro fertilization and embryo transfer. [Method] Through prehensive analysis of related
literature at home and abroad. [Results] Acupuncture, especially full amount in the follicular phase,
does help improve the pregnancy rate of IVF; at the same time stimulus on the surface of acupoint
may have the same potential effect. The mechanism may be related to the following factors:
benignly adjusting hypothalamus-pituitary-ovarian axis; inhibiting uterine contractions, reducing
local impedance of uter