国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 245-250.

• 综述 • 上一篇    下一篇

门诊促排卵监测指导同房及并发症处理

杨一华，欧建平   

  1. 作者单位：541001 桂林医学院附属医院生殖中心（杨一华）；中山大学附属第三医院生殖中心（欧建平）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15

Ovulation Induction and Timed Intercourse for Outpatients and Treatment of Complications

YANG Yi-hua，OU Jian-ping   

  1. Center for Reproductive Medicine，The Affiliated Hospital of Guilin Medical College，Guilin 541001，China（YANG Yi-hua）；Center for Reproductive Medicine，The Third Affiliated Hospital of Sun Yat-sen University，Guangzhou 510630，China（OU Jian-ping）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15

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摘要： 门诊促排卵监测指导同房是最简单、常用且有效的助孕手段。在参考国内外相关文献基础上，结合临床实践经验，从门诊促排卵前的检查、评估及准备，门诊促排卵的适应证和禁忌证，常用促排卵药物的作用机制和用法，评估卵泡发育情况和指导同房时机，以及促排卵并发症的预防和处理等5个方面进行简要阐述，并特别强调促排卵监测前要排除妊娠禁忌证和促排卵禁忌证，熟练掌握各种促排卵药物的作用机制和用法，灵活运用多种手段评估卵泡发育情况及预测排卵时间，及时预防和诊治各种并发症。

关键词: 排卵诱导, 排卵预测, 生殖技术, 辅助, 氯米芬, 绒毛膜促性腺激素

Abstract: The ovulation induction(OI) and timed intercourse was the most simple and common assisted reproductive procedure for those infertile outpatients. Recent publications on this topic, combined with our clinical experiences, were reviewed, which is benefit to improve clinical practice for doctors of reproductive medicine. The following fileds were focused in this review: examination，valuation and preparation before OI, indication and contraindication of OI, the mechanisms and usage of common OI drugs, guidance of timed intercourse, as well as treatments of complications. Some important aspects were emphasized: to rule out the contraindications of pregnancy and OI before OI, to know well the mechanisms of common OI drugs and their dosages and administrations, to evaluate follicular growth and to predict ovulation time by means of various methods, and to prevent and treat timely OI complications.

Key words: Ovulation induction, Ovulation prediction, Reproductive techniques, assisted, Clomiphene, Chorionic gonadotropin