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Live births from in vitro fertilization-embryo transfer following the administration of gonadotropin-releasing hormone agonist without gonadotropins:Two case reports
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作者 Mai Li Ping Su Li-Ming Zhou 《World Journal of Clinical Cases》 SCIE 2023年第9期2067-2073,共7页
BACKGROUND The prevalence of female infertility between the ages of 25 and 44 is 3.5%to 16.7%in developed countries and 6.9%to 9.3%in developing countries.This means that infertility affects one in six couples and is ... BACKGROUND The prevalence of female infertility between the ages of 25 and 44 is 3.5%to 16.7%in developed countries and 6.9%to 9.3%in developing countries.This means that infertility affects one in six couples and is recognized by the World Health Organization as the fifth most serious global disability.The International Committee for Monitoring Assisted Reproductive Technology reported that the global total of babies born as a result of assisted reproductive technology procedures and other advanced fertility treatments is more than 8 million.Advancements in controlled ovarian hyperstimulation procedures led to crucial accomplishments in human fertility treatments.The European Society for Human Reproduction and Embryology guideline on ovarian stimulation gave us valuable evidence-based recommendations to optimize ovarian stimulation in assisted reproductive technology.Conventional ovarian stimulation protocols for in vitro fertilization(IVF)–embryo transfer are based upon the administration of gonadotropins combined with gonadotropin-releasing hormone(GnRH)analogues,either GnRH agonists(GnRHa)or antagonists.The development of ovarian cysts requires the combination of GnRHa and gonadotropins for controlled ovarian hyperstimulation.However,in rare cases patients may develop an ovarian hyper response after administration of GnRHa alone.CASE SUMMARY Here,two case studies were conducted.In the first case,a 33-year-old female diagnosed with polycystic ovary syndrome presented for her first IVF cycle at our reproductive center.Fourteen days after triptorelin acetate was administrated(day 18 of her menstrual cycle),bilateral ovaries presented polycystic manifestations.The patient was given 5000 IU of human chorionic gonadotropin.Twenty-two oocytes were obtained,and eight embryos formed.Two blastospheres were transferred in the frozen-thawed embryo transfer cycle,and the patient was impregnated.In the second case,a 37-year-old woman presented to the reproductive center for her first donor IVF cycle.Fourteen days after GnRHa administration,the transvaginal ultrasound revealed six follicles measuring 17-26 mm in the bilateral ovaries.The patient was given 10000 IU of human chorionic gonadotropin.Three oocytes were obtained,and three embryos formed.Two high-grade embryos were transferred in the frozen-thawed embryo transfer cycle,and the patient was impregnated.CONCLUSION These two special cases provide valuable knowledge through our experience.We hypothesize that oocyte retrieval can be an alternative to cycle cancellation in these conditions.Considering the high progesterone level in most cases of this situation,we advocate freezing embryos after oocyte retrieval rather than fresh embryo transfer. 展开更多
关键词 gonadotropin-releasing hormone agonist Ovarian hyperstimulation In vitro fertilization Live birth INFERTILITY Frozen-thawed embryo transfer Human chorionic gonadotropin Case report
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Artificial Cycle with or without a Depot Gonadotropin-releasing Hormone Agonist for Frozen-thawed Embryo Transfer: An Assessment of Infertility Type that Is Most Suitable 被引量:4
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作者 Di XIE Fan CHEN +4 位作者 Shou-zhen XIE Zhi-lan CHEN Ping TUO Rong ZHOU Juan ZHANG 《Current Medical Science》 SCIE CAS 2018年第4期626-631,共6页
关键词 不孕症 卵裂期 治疗方法 患者
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Effect of Dual Trigger In Vitro Fertilization and Intracytoplasmic Sperm Injection During the Gonadotropin-releasing Hormone-Antagonist Cycle on Final Oocyte Maturation and Cumulative Live Birth Rate in Women with Diminished Ovarian Reserve
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作者 Yu-meng REN Yan-bin WANG +4 位作者 Min FU Qiu-xiang ZHANG Huan SHEN Hong-jing HAN Fu-mei GAO 《Current Medical Science》 SCIE CAS 2022年第5期1066-1070,共5页
Objective It is well known that a dual trigger treatment can improve clinical outcomes of in vitro fertilization(IVF)in high or normal ovarian responders.However,it is not clear whether dual triggering also benefits p... Objective It is well known that a dual trigger treatment can improve clinical outcomes of in vitro fertilization(IVF)in high or normal ovarian responders.However,it is not clear whether dual triggering also benefits patients with diminished ovarian reserve(DOR).The aim of this study was to investigate whether a dual trigger treatment of gonadotropin-releasing hormone(GnRH)agonist combined with human chorionic gonadotropin(hCG)for final follicular maturation improves the cumulative live birth rate(CLBR)during the GnRH-antagonist cycle in patients with DOR.Methods This retrospective study included patients with DOR who received a GnRH-antagonist protocol during IVF and intracytoplasmic sperm injection(IVF-ICSI)cycles at Peking University People’s Hospital from January 1,2017 through December 31,2017.Oocyte maturation was triggered by GnRH combined with hCG(n=110)or hCG alone(n=71).Embryos were transferred on the third day after oocyte retrieval or during a subsequent freeze-thaw cycle.Patients were followed up for 3 years.Results The dual trigger treatment did not affect CLBR,which is an overall determinant of the success rate of assisted reproductive technology(ART).Women in the dual trigger group had significantly higher rates of fertilization than those in the hCG group(90.1%vs.83.9%,P=0.040).Conclusion Dual trigger with GnRH agonist and hCG did not improve CLBR in patients with DOR,but did slightly improve fertilization rate,oocyte count,and embryo quality. 展开更多
关键词 dual trigger gonadotropin releasing hormone antagonist protocols diminished ovarian reserve cumulative live birth rate
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Identification and distribution of gonadotropin-releasing hormone-like peptides in the brain of horseshoe crab Tachypleus tridentatus 被引量:3
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作者 黄辉洋 李林明 +2 位作者 叶海辉 冯碧云 李少菁 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2013年第2期384-390,共7页
Gonadotropin-releasing hormone(GnRH) is a crucial peptide for the regulation of reproduction.Using immunological techniques,we investigated the presence of GnRH in horseshoe crab Tachypleus tridentatus.Octopus GnRH-li... Gonadotropin-releasing hormone(GnRH) is a crucial peptide for the regulation of reproduction.Using immunological techniques,we investigated the presence of GnRH in horseshoe crab Tachypleus tridentatus.Octopus GnRH-like immunoreactivity,tunicate GnRH-like immunoreactivity,and lamprey GnRH-like immunoreactivity were detected in the neurons and fibers of the protocerebrum.However,no mammal GnRH-like immunoreactivity or lamprey GnRH-Ш-like immunoreactivity was observed.Our results suggest that a GnRH-like factor,an ancient peptide,existed in the brain of T.tridentatus and may be involved in the reproductive endocrine system. 展开更多
关键词 促性腺激素释放激素 马蹄 大脑 免疫反应 分配 识别
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Associations of Gonadotropin-Releasing Hormone Receptor (GnRHR) and Neuropeptide Y(NPY) Genes’Polymorphisms with Egg-Laying Traits in Wenchang Chicken 被引量:11
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作者 WU Xu LI Hui-fang +7 位作者 YAN Mei-jiao TANG Qing-ping CHEN Kuan-wei WANG Jin-yu GAO Yu- shi TU Yun-jie YU Ya-bo ZHU Wen-qi 《Agricultural Sciences in China》 CAS CSCD 2007年第4期499-504,共6页
Single nucleotide polymorphisms(SNP)of chicken gonadotropin-releasing hormone receptor(GnRHR)and neuropeptide Y(NPY)were selected to identify the genotypes of Wenchang(Chinese indigenous breed)chicken with restricton ... Single nucleotide polymorphisms(SNP)of chicken gonadotropin-releasing hormone receptor(GnRHR)and neuropeptide Y(NPY)were selected to identify the genotypes of Wenchang(Chinese indigenous breed)chicken with restricton fragment length polymorphisms.The associations of the SNPs with the total egg production(NE),average days of continual laying(ADCL),and number of double-yolked eggs(DYE)traits were analyzed.The frequency of restriction enzyme A/a alleles in the population was for GnRHR 0.69(Bpu1102ⅠA)and 0.31(Bpu1102Ⅰa)and for NPY 0.46(Dra ⅠB)and 0.54(DraⅠb).Trait data from a total of 120 hens,which were purebredintroduced from Hainan Province,China from one generation were recorded.Two significant effects of genes'marker were found:for GnRHR and number of eggs (dominant;t=2.67,df=116)and NPY and number of eggs(additive;t=1.97,df=116).The current research supports the effects of GnRHR and NPY genes on egg-laying traits of chickens. 展开更多
关键词 文昌鸡 产蛋性状 促性腺激素释放激素 GnRHR 神经肽NPY基因多态性
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Long-term effectiveness of luteinizing hormone-releasing hormone agonist or antiandrogen monotherapy in elderly men with localizect prostate cancer (T1-2) : a retrospective study 被引量:1
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作者 Rupesh Raina Geetu Pahalajani +1 位作者 Ashok Agarwal Craig Zippe 《Asian Journal of Andrology》 SCIE CAS CSCD 2007年第2期253-258,共6页
瞄准:为了评估长期的有效性,副作用和二的依从率,药打字(luteinizing 释放荷尔蒙的荷尔蒙[LHRH ] 收缩筋和反雄激素) 那个别地被使用在我们的机构与局部性的前列腺癌症(T1-2 ) 对待病人。方法:作为有临床上局部性的前列腺癌症(T1-2... 瞄准:为了评估长期的有效性,副作用和二的依从率,药打字(luteinizing 释放荷尔蒙的荷尔蒙[LHRH ] 收缩筋和反雄激素) 那个别地被使用在我们的机构与局部性的前列腺癌症(T1-2 ) 对待病人。方法:作为有临床上局部性的前列腺癌症(T1-2 ) 从 1997 年 4 月在经期被诊断到 2000 年 1 月的 97 个病人收到了任何一个 LHRH 收缩筋(leuprolide 醋酸盐 7.5 mg/month ) 单音的治疗(组 1, n = 62 ) 或反雄激素单音的治疗(group2, n = 35;18 收到的 bicalutamide 50 mg q.d, 13 收到的 nilutamide 150 mg t.i.d 和 4 receivedflutamide 250 mg t.i.d ) 。在两个组的吝啬的年龄是 76 年。结果:吝啬的后续时间是(50.8 ± 8.5 ) 在组 1 的月并且(43.1 ± 2.2 ) 在组 2 的月。前列腺特定的抗原(PSA ) 层次升起了在仅仅在组 1,并且在在组 2 的 35 个病人(57.1%) 中的 20 个的 62 个病人(1.6%) 中的 1 个。在组 2,有增加 PSA 层次的 20 个病人(50%) 中的 10 个与 LHRH 抢救治疗被对待,并且(80%) 八反应了。热闪光(54.8%) 和冷淡(41.9%) 是在组 1 的最普通的副作用。相反,乳头温柔(40%) 和 light-darkadaptation (17.1%) 更经常在组 2 被看见。仅仅在到另一药的组 1switched 的 62 个病人(1.6%) 中的 1 个因为不利副作用;而在组 2 的 35 个病人(22.9%) 中的 8 个那么做了。结论:不同的反雄激素单音的治疗, LHRH 收缩筋单音的治疗 providedlong 术语局部性的前列腺癌症(T1-2 ) 的持久的控制。它能也是为其疾病没能回答单音的治疗到反雄激素的病人的一种有效治疗选择。我们的学习的限制是健康结果分析和一种小样品尺寸的缺乏。 展开更多
关键词 前列腺癌 黄体素释放激素拮抗剂 雄激素单一治疗 长期疗效 老年人
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Immunohistochemical Localization and Receptor Expression of Gonadotropin-Releasing Hormone in Pituitary of Guangxi Swamp Buffaloes
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作者 LI Rui-ming LING Ze-ji +3 位作者 SONG Xiao-bai QIN Jin XIE Ying-xue SHI Yu-jing 《Animal Husbandry and Feed Science》 CAS 2010年第5期9-11,共3页
[Objective] To locate gonadotropin-releasing hormone (GnRH) in pituitary of Guangxi swamp buffaloes and to provide a theoretical basis for cloning and sequence analysis of GnRH receptor gene. [Method] GnRH in pituitar... [Objective] To locate gonadotropin-releasing hormone (GnRH) in pituitary of Guangxi swamp buffaloes and to provide a theoretical basis for cloning and sequence analysis of GnRH receptor gene. [Method] GnRH in pituitary were immunohistochemically stained by avidin biotin complex method. The GnRH expression was analyzed with image system. The GnRH receptor gene was amplified by real-time PCR. [Result] Many GnRH positive cells were detected in pars distalis of adenohypophysis. GnRH were distributed in cytoplasm but not in nuclei. No positive signal was observed in neurohypophysis. In addition, the GnRH receptor gene, 920 bp in size, was amplified. [Conclusion] A large number of GnRH and GnRH receptor were found in pars distalis of adenohypophysis, which indicates that anterior pituitary is an important tissue for functions of hypothalamus-pituitary-gonadal axis and other endocrine axes. 展开更多
关键词 促性腺激素释放激素受体基因 免疫组化定位 腺垂体 受体表达 水牛 沼泽 广西 GNRH
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Arg-Phe-amide-related peptides influence gonadotropin-releasing hormone neurons
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作者 Haluk Kelestimur Emine Kacar +2 位作者 Aysegul Uzun Mete Ozcan Selim Kutlu 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第18期1714-1720,共7页
The hypothalamic Arg-Phe-amide-related peptides, gonadotropin-inhibitory hormone and orthologous mammalian peptides of Arg-Phe-amide, may be important regulators of the hypothalamus-pituitary-gonadal reproductive axis... The hypothalamic Arg-Phe-amide-related peptides, gonadotropin-inhibitory hormone and orthologous mammalian peptides of Arg-Phe-amide, may be important regulators of the hypothalamus-pituitary-gonadal reproductive axis. These peptides may modulate the effects of kisspeptins because they are presently recognized as the most potent activators of the hypothalamus-pituitary-gonadal axis. However, their effects on gonadotropin-releasing hormone neurons have not been investigated. In the current study, the GT1-7 cell line-expressing gonadotropin-releasing hormone was used as a model to explore the effects of Arg-Phe- amide-related peptides on kisspeptin activation. Intracellular calcium concentration was quantified using the calcium-sensitive dye, fura-2 acetoxymethyl ester. Gonadotropin-releasing hormone released into the medium was detected via enzyme-linked immunosorbent assay. Results showed that 100 nmol/L kisspeptin-10 significantly increased gonadotropin-releasing hormone levels (at 120 minutes of exposure) and intracellular calcium concentrations. Co-treatment of kisspeptin with 1 μmol/L gonadotropin-inhibitory hormone or 1 μmol/L Arg-Phe-amide-related peptide-1 significantly attenuated levels of kisspeptin-induced gonadotropin-releasing hormone but did not affect kisspeptin-induced elevations of intracellular calcium concentration. Overall, the results suggest that gonadotropin-inhibitory hormone and Arg-Phe-amide-related peptide-1 may have inhibitory effects on kisspeptin-activated gonadotropin-releasing hormone neurons independent of the calcium signaling pathway. 展开更多
关键词 促性腺激素释放激素 苯丙氨酸 相关肽 酸酰胺 精氨酸 神经元 酶联免疫吸附测定法 细胞内钙离子
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Morphological changes of gonadotropin-releasing hormone neurons in the rat preoptic area across puberty
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作者 Haogang Xue Xiaodong Gai +2 位作者 Weiqi Sun Chun Li Quan Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第13期1303-1312,共10页
Gonadotropin-releasing hormone(GnRH) neurons in the preoptic area may undergo morphological changes during the pubertal period when their activities are upregulated. To clarify the regulatory mechanism of puberty onse... Gonadotropin-releasing hormone(GnRH) neurons in the preoptic area may undergo morphological changes during the pubertal period when their activities are upregulated. To clarify the regulatory mechanism of puberty onset, this study aimed to investigate the morphological changes of GnRH neurons in the preoptic area of GnRH-enhanced green fluorescent protein transgenic rats. Under confocal laser microscopy, pubertal GnRH neurons exhibited an inverted Y distribution pattern. Prepubertal GnRH neurons were generally unipolar and bipolar, and were distinguished as smooth type cells with few small processes or irregular type cells with many spine-like processes in the proximal dendrites. The number of GnRH neurons in the preoptic area and spine-like processes were increased during the course of reproductive maturation. There was no significant difference between male and female rats. Immunofluorescence staining revealed synaptophysin punctae close to the distal end of GnRH neurons, indicating that some presynaptic terminals may form a synaptic linkage with these neurons. 展开更多
关键词 促性腺激素释放激素 形态变化 神经元 青春期 视前区 大鼠 增强型绿色荧光蛋白 激光共聚焦显微镜
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Kisspeptin regulates gonadotropin-releasing hormone secretion in gonadotropin-releasing hormone/enhanced green fluorescent protein transgenic rats
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作者 Haogang Xue Chunying Yang +3 位作者 Xiaodong Ge Weiqi Sun Chun Li Mingyu Qi 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第2期162-168,共7页
Kisspeptin is essential for activation of the hypothalamo-pituitary-gonadal axis. In this study, we established gonadotropin-releasing hormone/enhanced green fluorescent protein transgenic rats. Rats were injected wit... Kisspeptin is essential for activation of the hypothalamo-pituitary-gonadal axis. In this study, we established gonadotropin-releasing hormone/enhanced green fluorescent protein transgenic rats. Rats were injected with 1, 10, or 100 pM kisspeptin-10, a peptide derived from full-length kisspeptin, into the arcuate nucleus and medial preoptic area, and with the kisspeptin antagonist peptide 234 into the lateral cerebral ventricle. The results of immunohistochemical staining revealed that pulsatile luteinizing hormone secretion was suppressed after injection of antagonist peptide 234 into the lateral cerebral ventricle, and a significant increase in luteinizing hormone level was observed after kisspeptin-10 injection into the arcuate nucleus and medial preoptic area. The results of an enzyme-linked immunosorbent assay showed that luteinizing hormone levels during the first hour of kisspeptin-10 infusion into the arcuate nucleus were significantly greater in the 100 pM kisspeptin-10 group than in the 10 pM kisspeptin-10 group. These findings indicate that kisspeptin directly promotes gonadotropin-releasing hormone secretion and luteinizing hormone release in gonadotropin-releasing hormone/enhanced green fluorescent protein transgenic rats. The arcuate nucleus is a key component of the kisspeptin-G protein-coupled receptor 54 signaling pathway underlying regulating luteinizing hormone pulse secretion. 展开更多
关键词 促性腺激素释放激素 增强型绿色荧光蛋白 激素分泌 黄体生成激素 免疫组织化学染色 酶联免疫吸附试验 G蛋白偶联受体 促黄体激素
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Interactions of Sex Steroids with Gonadotropin-Releasing Hormone in the Regulation of Gonadotropin (GtH) and Growth Hormone (GH) Release in the Common Carp (Cyprinus Carpio)
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作者 H.R.Lin M.Lu +2 位作者 W.M.Zhang X.W.Lin L.X.Chen 《中山大学学报论丛》 1995年第3期220-222,共3页
关键词 GtH GH Interactions of Sex Steroids with gonadotropin-releasing hormone in the Regulation of gonadotropin Cyprinus Carpio Release in the Common Carp and Growth hormone
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Regulation of Gonadotropin Releasing Hormone in Fish Brain and Changes of Intracellular Calcium in the Pituitary Cell
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作者 S.H.Shih K.L.Yu 《中山大学学报论丛》 1995年第3期194-196,共3页
关键词 GNRH Regulation of gonadotropin releasing hormone in Fish Brain and Changes of Intracellular Calcium in the Pituitary Cell
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GnRH拮抗剂和激动剂方案中扳机日子宫内膜厚度对新鲜移植周期妊娠结局的影响
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作者 窦倩 马丽影 +4 位作者 李朋粉 张丹 许晓婷 项云改 谭丽 《郑州大学学报(医学版)》 CAS 北大核心 2024年第2期186-191,共6页
目的:研究促性腺激素释放激素拮抗剂(GnRH-ant)和激动剂(GnRH-a)方案中扳机日子宫内膜厚度(EMT)对新鲜移植周期妊娠结局的影响。方法:选择2015年1月至2021年12月在郑州大学第二附属医院生殖中心接受体外受精/卵胞浆内单精子显微注射(IVF... 目的:研究促性腺激素释放激素拮抗剂(GnRH-ant)和激动剂(GnRH-a)方案中扳机日子宫内膜厚度(EMT)对新鲜移植周期妊娠结局的影响。方法:选择2015年1月至2021年12月在郑州大学第二附属医院生殖中心接受体外受精/卵胞浆内单精子显微注射(IVF/ICSI)助孕的患者,共纳入新鲜移植2 559周期,其中GnRH-ant方案298周期,GnRH-a方案2 261周期。根据扳机日EMT分为7~9 mm、>9~12 mm和>12 mm组。比较两种方案中3组的临床特征和妊娠结局。结果:GnRH-ant方案中EMT 7~9 mm组的临床妊娠率、持续妊娠率和活产率均低于其他两组(P<0.017);GnRH-a方案中扳机日EMT 7~9 mm组的临床妊娠率、持续妊娠率和活产率低于>9~12 mm组,>9~12 mm组低于>12 mm组(P<0.017)。Logistic回归分析结果显示扳机日EMT较高的患者临床妊娠、持续妊娠和活产增加[GnRH-ant方案:>9~12 mm组的OR(95%CI)分别为2.243(1.173~4.288)、3.995(1.891~8.438)、3.814(1.810~8.036),>12 mm组的OR(95%CI)分别为3.298(1.490~7.299)、6.637(2.742~16.065)、5.249(2.184~12.616);GnRH-a方案:>9~12 mm组的OR(95%CI)分别为1.561(1.266~1.925)、1.378(1.112~1.707)、1.448(1.166~1.798),>12 mm组的OR(95%CI)分别为2.266(1.747~2.940)、2.257(1.736~2.933)、2.254(1.732~2.933)]。结论:扳机日EMT增加可改善妊娠结局;无论是GnRH-ant方案,还是GnRH-a方案,随着扳机日EMT增加,妊娠成功率升高。 展开更多
关键词 控制性卵巢刺激 促性腺激素释放激素拮抗剂 促性腺激素释放激素激动剂 子宫内膜厚度 妊娠结局 辅助生殖
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青春期矮身材儿童身高改善的药物治疗
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作者 朱建芳 王春林 《中国当代儿科杂志》 CAS CSCD 北大核心 2024年第2期118-123,共6页
青春期矮身材可严重影响青少年的身心健康。青春期由于性激素导致的骨龄持续加速进展,限制了生长所需的时间,是矮身材治疗的巨大挑战,至今仍无标准化的治疗方案。青春期也是改善成年终身高的最后机会。目前临床常用治疗药物主要有重组... 青春期矮身材可严重影响青少年的身心健康。青春期由于性激素导致的骨龄持续加速进展,限制了生长所需的时间,是矮身材治疗的巨大挑战,至今仍无标准化的治疗方案。青春期也是改善成年终身高的最后机会。目前临床常用治疗药物主要有重组人生长激素、促性腺激素释放激素类似物和第三代芳香化酶抑制剂。近年来,以改善成年终身高为目的的个体化治疗成为临床关注的重点。该文对青春期矮身材儿童身高改善的药物治疗相关研究进行梳理总结,为临床医生提供参考. 展开更多
关键词 矮身材 重组人生长激素 促性腺激素释放激素类似物 芳香化酶抑制剂 青春期
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GnRHa联合腹腔镜手术治疗子宫内膜异位症患者的效果
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作者 张璐 刘爱珍 《中国民康医学》 2024年第7期75-77,共3页
目的:观察促性腺激素释放激素激动剂(GnRHa)联合腹腔镜手术治疗子宫内膜异位症(EMT)患者的效果。方法:选取2021年1月至2022年5月该院妇产科收治的106例EMT患者进行前瞻性研究,按随机数字表法将其分为对照组(n=53)和观察组(n=53)。对照... 目的:观察促性腺激素释放激素激动剂(GnRHa)联合腹腔镜手术治疗子宫内膜异位症(EMT)患者的效果。方法:选取2021年1月至2022年5月该院妇产科收治的106例EMT患者进行前瞻性研究,按随机数字表法将其分为对照组(n=53)和观察组(n=53)。对照组采用腹腔镜手术治疗,观察组在对照组基础上联合GnRHa治疗,比较两组临床疗效、治疗前后卵巢功能指标[雌二醇(E2)、促黄体生成素(LH)、卵泡刺激素(FSH)]水平、治疗期间不良反应发生率,以及术后随访12个月的痛经率和妊娠率。结果:观察组治疗总有效率为90.57%(48/53),高于对照组的75.47%(40/53),差异有统计学意义(P<0.05);治疗后,两组E2、LH和FSH水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05);随访12个月,观察组痛经率低于对照组,妊娠率高于对照组,差异均有统计学意义(P<0.05)。结论:GnRHa联合腹腔镜手术治疗EMT患者可提高治疗总有效率和妊娠率,降低卵巢功能指标水平和痛经率,效果优于单纯腹腔镜手术治疗。 展开更多
关键词 促性腺激素释放激素激动剂 腹腔镜手术 子宫内膜异位症 卵巢功能 不良反应 妊娠 痛经
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关于改善中枢性性早熟患儿身高获益的思考
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作者 梁立阳 《中国当代儿科杂志》 CSCD 北大核心 2024年第1期19-24,共6页
随着遗传和环境等多种因素的改变,儿童性早熟的发病率逐渐增加,以改善身高为目的的性早熟治疗是临床关注的重点问题之一。目前,促性腺激素释放激素类似物(gonadotropin-releasing hormone analogs,GnRHa)仍是首选治疗药物,但其对身高的... 随着遗传和环境等多种因素的改变,儿童性早熟的发病率逐渐增加,以改善身高为目的的性早熟治疗是临床关注的重点问题之一。目前,促性腺激素释放激素类似物(gonadotropin-releasing hormone analogs,GnRHa)仍是首选治疗药物,但其对身高的改善作用受多种因素影响,可能导致身高获益低于预期。联合重组人生长激素(recombinant human growth hormone,rhGH)治疗是提高GnRHa疗效的可选治疗策略,然而联用时机等尚无明确推荐。基于性早熟治疗现状,重新审视单用GnRHa及联合rhGH治疗对身高的改善作用至关重要。该文探索了联合治疗适应证等策略,以期指导临床用药,帮助性早熟患儿实现更理想的身高获益。 展开更多
关键词 性早熟 身高获益 促性腺激素释放激素类似物 生长激素 儿童
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中西医诊治儿童性早熟研究进展
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作者 章淼滢 孙艳艳 +1 位作者 孙雯 俞建 《河南中医》 2024年第4期621-627,共7页
目前,越来越多的无创诊断技术正在运用到儿童性早熟的诊断中,基因检测技术促进了该病遗传病因诊断的发展。对于该病的治疗,西医主要通过病因治疗继发性性早熟,对于特发性外周性性早熟没有特殊治疗方案,目前,中枢性性早熟治疗首选促性腺... 目前,越来越多的无创诊断技术正在运用到儿童性早熟的诊断中,基因检测技术促进了该病遗传病因诊断的发展。对于该病的治疗,西医主要通过病因治疗继发性性早熟,对于特发性外周性性早熟没有特殊治疗方案,目前,中枢性性早熟治疗首选促性腺激素释放激素类似物(gonadotropin-releasing hormone agonist, GnRHa)。中医认为,性早熟病机为阴虚火旺,肝郁化火,痰湿壅滞,治以滋阴降火、疏肝解郁或燥湿化痰,可改善症状,抑制骨龄快速增长。但目前中医药治疗性早熟的临床研究证据等级不高,缺少样本量大、严格且全面的临床研究,未来可通过开展多中心的随机对照、大样本研究以验证中医药治疗性早熟的疗效。网络药理学和中药成分动物实验研究证明了中药治疗性早熟的部分机制,但中药方剂成分复杂,多通过胃肠道吸收后起效,是否可以调节肠道菌群、产生特异性菌群,该菌群是否改变了机体中某些代谢产物水平从而发挥治疗作用尚无相关研究,今后可开展更多的相关机制研究。 展开更多
关键词 儿童性早熟 基因检测技术 促性腺激素释放激素类似物 阴虚火旺证 肝郁化火证 痰湿壅滞证
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比较hCG联合GnRH-a双扳机和hCG单扳机方案对卵巢高反应人群的影响
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作者 覃慧斯 周红 +5 位作者 舒金辉 蔡君英 邓曦和 甘贤优 林若芸 汪彩珠 《中国性科学》 2024年第2期57-61,共5页
目的分析对比在拮抗剂方案中应用促性腺激素释放激素激动剂(GnRH-a)联合人绒毛膜促性腺激素(hCG)双扳机和hCG单扳机对卵巢高反应人群体外受精助孕周期的影响。方法回顾性收集2019年1月至2022年6月期间在广西壮族自治区妇幼保健院采用体... 目的分析对比在拮抗剂方案中应用促性腺激素释放激素激动剂(GnRH-a)联合人绒毛膜促性腺激素(hCG)双扳机和hCG单扳机对卵巢高反应人群体外受精助孕周期的影响。方法回顾性收集2019年1月至2022年6月期间在广西壮族自治区妇幼保健院采用体外受精/卵胞质内单精子注射(IVF/ICSI)助孕、因卵巢高反应行全胚冷冻的260例患者的临床资料,其中使用双扳机为A组(n=131),使用hCG单扳机为B组(n=129)。比较分析两组新鲜周期内的2PN率、优质胚胎率等临床指标的差异,同时比较两组首次移植周期内的妊娠结局差异。结果两组新鲜周期的2PN率、卵裂率、D3可利用胚胎数、D3优胚数、D5优胚数、总囊胚数、囊胚形成率、卵巢过度刺激综合征(OHSS)发生率比较,差异无统计学意义(P>0.05);但A组冻存胚胎数高于B组,差异具有统计学意义(P=0.023)。A、B两组中重度OHSS发生率分别为1.52%和2.32%,差异无统计学意义(P=0.986),但A组为2例中度OHSS(住院治疗1例),B组为3例重度OHSS(住院治疗3例)。两组首次冻融周期的生化妊娠率、临床妊娠率、胚胎种植率、持续妊娠率、活产率等比较,差异无统计学意义(P>0.05)。结论在GnRH拮抗剂方案中,对卵巢高反应人群使用GnRH-a联合hCG双扳机,可与hCG单扳机同样诱发卵泡成熟及获卵,不影响其助孕结局,同时有利于降低中重度OHSS的发生。 展开更多
关键词 卵巢高反应 促性腺激素释放激素拮抗剂方案 双扳机 体外受精
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非肽类促性腺激素释放激素拮抗剂在子宫肌瘤治疗中的应用研究进展
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作者 郑韵熹 易晓芳 徐丛剑 《中国临床药理学与治疗学》 CAS CSCD 北大核心 2024年第5期482-487,共6页
非肽类促性腺激素释放激素拮抗剂(gonadotropin-releasing hormone antagonist,GnRH-antagonist)作为GnRH受体的一种高效、选择性拮抗剂,其口服制剂(Elagolix,Relugolix及Linzagolix)已在国外获批上市,在用于子宫肌瘤缩小肌瘤体积、控... 非肽类促性腺激素释放激素拮抗剂(gonadotropin-releasing hormone antagonist,GnRH-antagonist)作为GnRH受体的一种高效、选择性拮抗剂,其口服制剂(Elagolix,Relugolix及Linzagolix)已在国外获批上市,在用于子宫肌瘤缩小肌瘤体积、控制月经过多等方面展示了一定疗效,适当配伍反加治疗可以提高药物安全性与患者依从性,相比其他激素类制剂,口服GnRH拮抗剂在子宫肌瘤治疗中展示了良好的应用前景。 展开更多
关键词 促性腺激素释放激素拮抗剂 子宫肌瘤 治疗 有效性 安全性
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宫腔镜检查在GnRHa-HRT内膜准备方案冻融胚胎移植中的应用价值研究
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作者 莫莉菁 朱梦霞 +2 位作者 沈春娟 姚秋萍 付伟平 《浙江医学》 CAS 2024年第5期485-489,495,共6页
目的 探讨宫腔镜检查(HS)在促性腺激素释放激素激动剂-激素替代治疗(GnRHa-HRT)内膜准备方案冻融胚胎移植(FET)中的应用价值。方法 选取2022年1至10月在嘉兴市妇幼保健院生殖医学中心既往有1~2次胚胎移植失败史的不孕妇女112例,采用随... 目的 探讨宫腔镜检查(HS)在促性腺激素释放激素激动剂-激素替代治疗(GnRHa-HRT)内膜准备方案冻融胚胎移植(FET)中的应用价值。方法 选取2022年1至10月在嘉兴市妇幼保健院生殖医学中心既往有1~2次胚胎移植失败史的不孕妇女112例,采用随机数字表法分为GnRHa-HRT联合HS组和GnRHa-HRT组,每组各56例。比较两组患者的一般情况以及FET妊娠结局。结果 两组患者年龄、不孕年限、BMI、既往移植失败次数、转化日内膜厚度、移植胚胎数、优质胚胎移植数、优质囊胚移植数、不孕类型、不孕因素比较差异均无统计学意义(均P>0.05)。两组患者生化妊娠率、临床妊娠率、早期流产率、异位妊娠率及活产率比较差异均无统计学意义(均P>0.05),但GnRHa-HRT联合HS组的胚胎着床率高于GnRHa-HRT组(40.20%比26.47%,χ2=4.324,P=0.038),56例GnRH-HS-HRT组患者行HS,HS正常患者26例(46.43%),异常患者30例(53.57%)。GnRH-HS-HRT组HS正常患者与异常患者生化妊娠率、临床妊娠率、胚胎着床率、早期流产率、异位妊娠率及活产率比较差异均无统计学意义(均P>0.05)。结论 既往有胚胎移植失败史的患者,宫腔异常的发生率较高,HS联合子宫内膜搔刮术有助于发现子宫腔细微病变,改善子宫内膜的容受性。在同一个月经周期内进行HS和FET,可以缩短治疗周期,改善妊娠结局。 展开更多
关键词 宫腔镜检查 促性腺激素释放激素激动剂 冻融胚胎移植 子宫内膜容受性 胚胎着床率
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