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Open Access Article

International Journal of Clinical Research. 2024; 8: (10) ; 168-170 ; DOI: 10.12208/j.ijcr.20240439.

Research on the Association between Peripheral Blood Inflammatory Parameters and Pregnancy Outcome in Patients with IVF-ET
体外受精-胚胎移植患者外周血炎性指标对妊娠结局的影响

作者: 李娟 *, 盛佳佳, 张影, 唐志霞, 洪名云

合肥市妇幼保健院生殖中心 安徽合肥

*通讯作者: 李娟,单位:合肥市妇幼保健院生殖中心 安徽合肥;

发布时间: 2024-10-29 总浏览量: 58

摘要

目的 探讨正常卵巢储备功能的不孕症患者在拮抗剂方案超促排卵周期中移植前外周血炎性指标水平对体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)妊娠结局的预测价值。方法 回顾性分析2021年1月—2023年12月在我院生殖中心接受拮抗剂方案超促排卵且新鲜周期移植的168个周期的临床资料,分为妊娠组(83个周期)和未妊娠组(85个周期)。比较2组患者外周血炎性指标水平。利用多因素Logistic回归分析研究各指标对妊娠结局的预测价值。结果 妊娠组NLR、PLR和SII均低于未妊娠组。多因素Logistic回归分析发现,高SII为影响妊娠结局的危险因素。结论 对于卵巢储备功能正常且采用拮抗剂方案助孕的患者,SII对不良妊娠结局可能具有一定的预测价值。

关键词: 体外受精;胚胎移植;外周血炎性指标;妊娠结局

Abstract

Objective To explore the predictive value of inflammatory parameters in the peripheral blood before transplantation for IVF outcome in patients with normal ovarian reserve undergoing GnRH antagonist cycles.
Methods A retrospective analysis the clinical data including 168 women with normal ovarian reserve undergoing the GnRH antagonist cycles. They were divided into pregnancy group (n=83) and non-pregnancy group (n=85) . The inflammatory parameters in the peripheral blood were compared between the two groups. Logistic regression analysis was used to study the predictive value of each parameters on pregnancy outcome.
Results The NLR, PLR and SII of the non-pregnancy group were higher than that of the pregnancy group, (P<0.05). Logistic regression analysis was found that SII was independent factors for pregnancy outcome in patients with IVF undergoing GnRH antagonist cycles.
Conclusion  s For the patients with normal ovarian reserve undergoing GnRH antagonist cycles, SII has poor predictive value for adverse pregnancy outcome.

Key words: Fertilization in vitro; Embryo transfer; Peripheral blood inflammatory parameter; Pregnancy outcome

参考文献 References

[1] 张孝东,邓成艳,黄学锋,等. 中华医学会生殖医学分会:2019年辅助生殖技术数据报告[J]. 生殖医学杂志,2022,31(8):1015-1021. doi: 10.3969/j.issn.1004-3845.2022.08.001.

[2] Ozkan ZS,Deveci D,Kumbak B,et al. What is the impact of Th1/Th2 ratio, SOCS3, IL17, and IL35 levels in unexplained infertility?[J]. J Reprod Immunol,2014,103:53-58. doi: 10.1016/j.jri.2013.11.002.

[3] 阮汉江,李新武,武鹏,等. 系统免疫炎症指数在强直性脊柱炎中的预测价值研究[J]. 中国免疫学杂志,2022,38(4):457-461. doi: 10.3969/j.issn.1000-484X.2022.04.014.

[4] 李翔宇,毛昕,张庆松,等. 术前外周血炎症指标对转移性肾癌的预后价值[J]. 青岛大学学报(医学版),2023,59(6):821-825. doi: 10.11712/jms.2096-5532.2023.59.176.

[5] Huang Y,Chen Y,Zhu Y,et al. Postoperative Systemic Immune-Inflammation Index (SII): A Superior Prognostic Factor of Endometrial Cancer[J]. Front Surg,2021,8:704235. doi: 10.3389/fsurg.2021.704235.

[6] 黄小玲,彭宁,陈小宁. 血液学参数在稽留流产早期识别中的临床应用价值[J]. 福建医药杂志,2023,45(4):67-70. doi: 10.3969/j.issn.1002-2600.2023.04.025.

[7] Chavan AR,Griffith OW, Wagner GP. The inflammation paradox in the evolution of mammalian pregnancy: turning a foe into a friend[J]. Curr Opin Genet Dev,2017,47:24-32. doi: 10.1016/j.gde.2017.08.004.

[8] Can B,Tutuncu Y,Can B,et al. Inflammatory markers are associated with the progression of gestational diabetes to metabolic syndrome[J]. J Obstet Gynaecol,2022,42(6):1857-1861. doi: 10.1080/01443615.2022.2048363.

[9] 郭孝君,张雪芹,何远敏,等. 基于ROC曲线评价血常规指标中系统性炎症参数识别硬膜外镇痛相关产时发热与组织型绒毛膜羊膜炎的临床价值[J]. 中国实用妇科与产科杂志,2021,37(7):753-756. doi: 10.19538/j.fk2021070115.

[10] 郑丹丹,方芳,鲍琳燕. 血凝及血常规指标对妊娠晚期子痫发生及妊娠结局的影响[J]. 中国计划生育学杂志,2022,30(2):402-405,410. doi: 10.3969/j.issn.1004-8189.2022.02.036.

[11] Nam KW,Kwon HM,Jeong HY,et al. Systemic immune-inflammation index is associated with white matter hyperintensity volume[J]. Sci Rep,2022,12(1):7379. doi: 10.1038/s41598-022-11575-0.

[12] Jing X,Li C,Sun J,et al. Systemic Inflammatory Response Markers Associated with Infertility and Endometrioma or Uterine Leiomyoma in Endometriosis[J]. Ther Clin Risk Manag,2020,16:403-412. doi: 10.2147/TCRM.S232849.

[13] Pekcan MK,Ozgu-Erdinc AS,Yilmaz N,et al. Inflammatory Markers in Peripheral Blood Cells Cannot Predict Intrauterine Insemination Outcome: A Retrospective Cohort Study[J]. J Hum Reprod Sci,2021,14(1):11-15. doi: 10.4103/jhrs.jhrs_216_20.

[14] 李娟,申颖,戴姝艳. 血细胞及其衍生参数在子宫内膜异位症中的意义研究[J]. 国际检验医学杂志,2021,42(5):598-603. doi: 10.3969/j.issn.1673-4130.2021.05.019.

引用本文

李娟, 盛佳佳, 张影, 唐志霞, 洪名云, 体外受精-胚胎移植患者外周血炎性指标对妊娠结局的影响[J]. 国际临床研究杂志, 2024; 8: (10) : 168-170.