基于“养肾和血”构建体外受精-胚胎移植针灸分期辅治方案的临床应用探析  

Analysis of clinical application of in vitro fertilization-embryo transfer acupuncture stage adjuvant treatment based on“nourishing kidney and blood”

作　　者：吴家满 马飞 李艺彤 谭利亚 林彦廷 宁艳 WU Jiaman;MA Fei;LI Yitong;TAN Liya;LIN Yanting;NING Yan(Shenzhen Maternity and Child Healthcare Hospital Affiliated to Southern Medical University,Guangdong Province,Shenzhen518028,China;Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou510405,China)

机构地区：[1]南方医科大学附属深圳妇幼保健院,广东深圳518028 [2]广州中医药大学,广东广州510405

出　　处：《中国医药导报》2023年第19期130-134,138,共6页China Medical Herald

基　　金：国家自然科学基金青年科学基金资助项目(82104576);广东省深圳市“医疗卫生三名工程”项目(SZSM201612046);广东省深圳市科技计划项目基础研究项目(JCYJ20210324130001004)。

摘　　要：辅助生殖技术是治疗不孕症的现代主流诊疗手段之一,但其成功率较低,在取卵、移植过程中也伴随有多种并发症。多学科整合是现今医学发展的趋势,本文从针灸辅助治疗方案的角度着手,根据体外受精-胚胎移植在不同时间节点的生殖生理特点,将其分为体外受精术前调理期、垂体降调节期、控制性超排卵期、取卵期、胚胎移植前期、移植后期6个阶段。本文采用中西医分期辨证治疗,从针灸辅助治疗方案的角度着手,构建了一套独特的“养肾和血”针灸辅治方案,以期提供一种较为安全、有效的治疗方法来提高临床体外受精-胚胎移植患者的受精率、胚胎种植率、妊娠率,同时减少药物的用量及毒副作用。Assisted reproductive technology is one of the modern mainstream diagnosis and treatment methods for the infertility.However,its success rate is low and there are also many complications in the process of follicle extraction and transplantation.Multidisciplinary integration is the trend of current medical development.In this paper,starting from the perspective of acupuncture and moxibustion assisted treatment,according to the reproductive physiological characteristics of in vitro fertilization-embryo transfer at different time nodes,it is divided into six stages:pre-in vitro fertilization conditioning period,pituitary down-regulation period,controlled superovulation period,ovulation period,pre-embryo transfer period,and post-transplantation period.In this paper,staging and syndrome differentiation treatment of traditional Chinese and western medicine is adopted,and a unique set of acupuncture and moxibustion auxiliary treatment program of“nourishing kidney and blood”is constructed from the perspective of acupuncture and moxibustion auxiliary treatment program,in order to provide a relatively safe and effective treatment method to improve the rate of fertilization,embryo implantation rate and pregnancy rate of clinical in vitro fertilization-embryo transfer patients,while reducing the amount of drugs and toxic side effects.

关 键 词：不孕症 体外受精-胚胎移植 针灸分期 养肾和血 成功率 

分 类 号：R271.9[医药卫生—中西医结合]