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Objective: by observing the chelating cycle in patients with ovarian hyperstimulation syndrome (OHSS) incidence different, to explore the occurrence of OHSS associated clinical factors to guide clinical early preventive treatment. 2. Evaluation of blood circulation combined acupuncture treatment in patients with polycystic ovary syndrome chelating cycle early intervention effect induced ovarian hyperstimulation. Method: 1. 224 patients met the inclusion criteria required line ovulation induction assisted reproductive cycle as the research object, observed OHSS patients with non-OHSS patients two groups in general (age, BMI, physical status, duration of infertility), underlying disease state (PCOS, EMS, etc.), the the chelating treatment cycle basis of endocrine status (E2, LH / FSH, etc.), the basis of the B-(bilateral ovarian size and AFC, etc.) and the chelating cycle of drug selection and dose (CC / LE, Gn dosage, etc.), differences in screening out meaningful indicators, clinical treatment, early prevention of the occurrence of OHSS. 2 of 60 patients with previously suffering from PCOS parallel ovulation induction cycle as the object of study, were randomly divided into 3 groups, 20 patients in each cycle; divided into the experimental group and the treatment of group A (early intervention group: that is, when the diameter of up to 14mm-16mm number of follicles ≥ 3, to interventions) and 20 cases, the treatment group B (late intervention group: that is, when the diameter of 16mm-18mm number of follicles ≥ 3, to interventions) of 20 cases and the control group 20 cases observed treatment A group compared with the control group, the treatment of B group compared with the control group, the treatment of group A and treatment group B compared Gn dosage, ovulation rate, clinical pregnancy rate, OHSS incidence, cycle cancellation rate other differences. Results: 1. Compared with the non-OHSS patients, OHSS patients in allergies, PCOS medical history, the AFC, the day of HCG serum E2 level, the choice of oral ovulation induction drugs, Gn dosage showed significant differences (P lt; 0.05) . 2. Compared with the control group and the late intervention group, the early intervention group significantly reduce the incidence of mild OHSS and cycle cancellation rate increases ovulation rate (P lt; 0.05); late intervention group and the the OHSS group in ovulation rate the OHSS incidence of cycle cancellation rate, clinical pregnancy rate, no significant differences. In clinical pregnancy rate of the three groups had no significant difference (P gt; 0.05). Meaning: 1. Screening of risk factors for this disease, can guide clinical, and close monitoring for patients with a high risk of early intervention to prevent their progress and occurrence of OHSS. 2 for early induced OHSS in PCOS patients COS cycle occurs, to the blood circulation combined with acupuncture interventions, not only can reduce the incidence of OHSS increases ovulation rate, reduce cycle abandonment rate and can use velvet gonadotropin , instead of HCG (HCG) treatment of higher risk in order to achieve and promote the role of the dominant follicle discharged, without affecting the clinical pregnancy rate.
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