护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
8期
45-48
,共4页
体外受精-胚胎移植%随访%护理
體外受精-胚胎移植%隨訪%護理
체외수정-배태이식%수방%호리
in vitro fertilization-embryo transfer%follow-up%nursing care
目的:分析体外受精-胚胎移植4062例患者的随访结果,为护理人员加强围生期保健指导提供依据。方法对我院生殖医学中心2006年10月-2012年8月4062例体外受精-胚胎移植后患者分别于移植术后14 d、28 d、45 d以及6个月及1年进行随访,采用医院现场问询和电话沟通方式,跟进受孕结果,同时进行心理辅导和健康教育。结果新鲜周期随访率分别为99.14%(3个月)、96.21%(1年);临床妊娠1741例,共分娩1242例,获1556新生儿。临床妊娠率42.86%,分娩率30.58%,早期流产率14.30%,晚期流产率2.41%,多胎妊娠率24.35%,异位妊娠率3.50%,宫内外妊娠率1.15%,早产率20.37%,低体质量儿占21.50%,畸形率1.48%,男女性别比例1.11∶1。结论体外受精-胚胎移植不增加新生儿畸形率和孕妇的自然流产率,多胎妊娠率、早产率、低体质量儿率以及异位妊娠率、宫内外妊娠率有所增加;年龄是决定体外受精-胚胎移植成功的一项重要因素,不孕妇女早期就诊和治疗非常重要;随访工作是一件重要、严肃和持续性的工作,对于早期发现胚胎的异常、保障胚胎的正常发育、促进孕期的健康和完善提高体外受精-胚胎移植技术有着重要意义。
目的:分析體外受精-胚胎移植4062例患者的隨訪結果,為護理人員加彊圍生期保健指導提供依據。方法對我院生殖醫學中心2006年10月-2012年8月4062例體外受精-胚胎移植後患者分彆于移植術後14 d、28 d、45 d以及6箇月及1年進行隨訪,採用醫院現場問詢和電話溝通方式,跟進受孕結果,同時進行心理輔導和健康教育。結果新鮮週期隨訪率分彆為99.14%(3箇月)、96.21%(1年);臨床妊娠1741例,共分娩1242例,穫1556新生兒。臨床妊娠率42.86%,分娩率30.58%,早期流產率14.30%,晚期流產率2.41%,多胎妊娠率24.35%,異位妊娠率3.50%,宮內外妊娠率1.15%,早產率20.37%,低體質量兒佔21.50%,畸形率1.48%,男女性彆比例1.11∶1。結論體外受精-胚胎移植不增加新生兒畸形率和孕婦的自然流產率,多胎妊娠率、早產率、低體質量兒率以及異位妊娠率、宮內外妊娠率有所增加;年齡是決定體外受精-胚胎移植成功的一項重要因素,不孕婦女早期就診和治療非常重要;隨訪工作是一件重要、嚴肅和持續性的工作,對于早期髮現胚胎的異常、保障胚胎的正常髮育、促進孕期的健康和完善提高體外受精-胚胎移植技術有著重要意義。
목적:분석체외수정-배태이식4062례환자적수방결과,위호리인원가강위생기보건지도제공의거。방법대아원생식의학중심2006년10월-2012년8월4062례체외수정-배태이식후환자분별우이식술후14 d、28 d、45 d이급6개월급1년진행수방,채용의원현장문순화전화구통방식,근진수잉결과,동시진행심리보도화건강교육。결과신선주기수방솔분별위99.14%(3개월)、96.21%(1년);림상임신1741례,공분면1242례,획1556신생인。림상임신솔42.86%,분면솔30.58%,조기유산솔14.30%,만기유산솔2.41%,다태임신솔24.35%,이위임신솔3.50%,궁내외임신솔1.15%,조산솔20.37%,저체질량인점21.50%,기형솔1.48%,남녀성별비례1.11∶1。결론체외수정-배태이식불증가신생인기형솔화잉부적자연유산솔,다태임신솔、조산솔、저체질량인솔이급이위임신솔、궁내외임신솔유소증가;년령시결정체외수정-배태이식성공적일항중요인소,불잉부녀조기취진화치료비상중요;수방공작시일건중요、엄숙화지속성적공작,대우조기발현배태적이상、보장배태적정상발육、촉진잉기적건강화완선제고체외수정-배태이식기술유착중요의의。
Objective To analyze the follow-ups of patients undergoing in vitro fertilization-embryo transfer (IVF-ET) and to provide reference for health guidance in perinatal period. Methods Follow-ups and telephone interview were conducted among 4 062 patients undergoing IVF-ET 14 d, 28 d, 45 d, six month and one year after the transfer. Psychological counseling and health education were provided for the patients as well. Results In fresh cycle, follow-up rate reached 99.14% (three months) and 96.21%(one year) respectively. Among 1 741 cases of clinical pregnancy, 1 242 cases delivered and 1,556 babies were born, with a clinical pregnancy rate of 42.86%, deliver rate 30.58%, first-trimester abortion rate 14.30%, late abortion rate 2.41%, multiplets pregnancy rate 24.35%, ectopic pregnancy rate 3.50%, preterm birth rate 20.37%, low weight infant rate 21.50%, birth defect rate 1.48% and gender ratio was 1.11 to 1. Conclusion With IVF-ET, multiplets pregnancy rate, preterm birth rate; low weight infant rate and ectopic pregnancy rate will increase but birth defect rate and spontaneous abortion rate will not. Age is an important factor for patients undergoing IVF-ET and follow-up in IVF-ET cycle plays a critical role, which would contributes to finding embryo abnormality, promoting patients’ health during pregnancy and improving IVF-ET technology.