摘要
目的了解体外受精-胚胎移植(IVF-ET)患者在控制性超促排卵(COH)阶段阴道微生态的变化,提供良好的护理对策。方法对100例IVF-ET周期中控制性超促排卵患者分别在控制性超促排卵前、后进行阴道微生态检查。结果IVF-ET周期中的患者在COH前有13.0%、COH后有42.0%发生阴道微生态失调,COH前后比较,差异有统计学意义(P<0.01)。结论IVF-ET周期中的患者在控制性超促排卵后发生阴道微生态失调的比例较高,要加强相关护理,以减少或避免取卵手术的感染,提高胚胎种植率,降低流产率。
Objective To explore changes of vaginal flora in patients receiving controlled ovarian hyperstimulation （COH） for the fertility procedure of in Vitro Fertilization Embryo Transfer （IVF-ET）, and to put forward nursing strategies for these patients. Methods A total of 100 patients received COH during IVF-ET cycles. The vaginal flora were detected before and after COH in order to observe the changes. Results Flora dysbiosis were found in 13 （13.0%） patients before COH and 42 （42.0%） after COH, with significant difference in rates of flora dysbiosis before and after COH （P〈0.01）. Conclusion The rate of vaginal flora dysbio- sis in patients receiving COH is high. For this reason, relevant nursing needs to be reinforced in an effort to avoid infection as a result of ovum retrieval, to enhance implantation rate, and to reduce abortion rate.
关键词
不孕症
体外受精
胚胎移植
控制性超促排卵
阴道微生态
护理
infertility
in Vitro Fertilization Embryo Transferl embryo implantation
controlled ovarian hyperstimulation vaginal flora
nursing
