「不妊症・子宝治療」カテゴリーアーカイブ

不妊症・子宝治療, 治療日記

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不妊症・子宝治療, 講演活動, 鍼灸のエビデンス

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不妊症・子宝治療

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不妊症・子宝治療, 鍼灸のエビデンス

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不妊症・子宝治療, 講演活動

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https://tohoku.jsam.jp/schedule.html

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不妊症・子宝治療, 鍼灸のエビデンス

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10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ??? ????????18???ޤǤˤ?Ϣ?????????

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?ҵ?¦?λ?????ȿ???徲?㳲??RIF??Repeated Implantation Failure)?Ȥ??????֤???????ˤϡ?

  • ALICE?ƥ??ȡ??ҵܤ??????ҵ?????????????Ƥ??ʤ??????θ??????????ҵ?????????????Ƥ????ȡ??ޤ?ǥ?????ʤ??徲???ʤ??ȸ??????Ƥ??ޤ???
  • ERA?ƥ??ȡ??ҵܤ?????˦???徲???????ΤϿ????????٤?û?????ܿ??Υ????ߥ???????Ƥ??ʤ???Ĵ?٤??ƥ??ȤǤ???
  • ?ۤ?EMMA?ƥ??ȡ??̾??λҵܶ??ˤ????ҵ??⸡???ʤɹԤ??褦?Ǥ???

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?????ޤ?????????PuMed??

https://pubmed.ncbi.nlm.nih.gov/33613685/

The Effects of Acupuncture on Pregnancy Outcomes of Recurrent Implantation Failure: A Systematic Review and Meta-Analysis

Menglin Li?1,?Yunyun Liu?1,?Haoran Wang?1,?Shuzhen Zheng?2,?Yinhe Deng?1,?Yuemei Li?3

???ܸ????????ȥ??ֺ?ȯ???徲??????ǥ??ž?????Ф???謁??Ťαƶ?:????Ū???ӥ塼?ȥ᥿ʬ?ϡ?

2021ǯ?Ρ??Ƕ??θ????Ǥ???

??Ū????γ??????????ܿ???IVF-ET?ˤ?????????ȯ???徲??????RIF?˴??Ԥ??Ф???謁??Ť?ͭ?????Ȱ???????????Ū??ɾ???????׾????ȴ??Ԥ˿????Ǥ??륬???????????뤳?Ȥ??ܻؤ???

????ˡ??????⳰?ΰ??ػ??????????IVF-ET???????Ƥ???RIF???Ф???謁??ŤΥ??????ಽ???ӻ(RCT)??ʸ??????????????

?᥿ʬ?Ϥˤ? RevMan 5.3 ???եȥ??????????Ѥ??졢?ޤޤ줿???????ʼ???ɾ?????뤿???˥????????ΥХ??????ꥹ??ɾ???ġ??뤬???Ѥ????ޤ?????

????:??ǽ?Ū?˴??????????? 7 ?Ĥ?ʸ??ޤޤ??ޤ????? ???η??̡??׾?Ūǥ??Ψ??RR = 1.90??95% CI (1.51, 2.40)?? P?< 0.05?ˡ???????Ūǥ??Ψ??RR = 1.59??95% CI (1.27, 1.99)?ʤɤ?ž???ˤ????Ʋ???????蝹䷲?ˤ???????????Ϳ???Ƥ??뤳?Ȥ????????ޤ???????P?< 0.05?ˡ?

?????徲Ψ??RR = 1.89??95% CI (1.47??2.45)??P?< 0.05?ˡ??ҵ??????θ?????MD = 1.11??95% CI (0.59??1.63)??P?< 0.05?ˤξ????оȷ??????Ӥ????ȡ????κ???????Ū??ͭ?դǤ???

???ܿ??ο??Ȼҵ??????μ????˴ؤ??ơ?謁??ť??롼?פ??оȥ??롼?פδ֤κ???????Ū??ͭ?դǤϤ????ޤ????Ǥ?????

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蝹????Ԥ??ȡ??γ??????Ǥ??徲Ψ??ǥ??Ψ???????????褦?Ǥ????????夵???˥????ץ?????¿?????????????Ԥ?ɬ?פ????롢?Ȥ??????ȤǤ???

???ư????????˽Ф????θ????Ǥ????????ԤΤʤ????????????Ž?????¼?????????θ????Ǥϡ????˾Ҳ??????˦????Ψ?ˤĤ???蝹??????????Ǥθ??????????Ҳ?ޤ????? https://sanpei89in.com/blog/?p=3658

??¼?????θ?????蝹????Ԥä??????徲Ψ?ˤĤ??Ƹ??椷?????Τ??????ޤ???

??¦???????Τʤ????Ȥ?PGS?????????ܿ????뤳?Ȥǥ??ꥢ???Ƥ??ꡢ?????˻ҵ?¦???鸫???徲?Τ߻????????줿?????ˤʤ??ޤ???

  • PGS???徲???????꡼?˥?ˤ??????Τ??????Τʤ????Ǥ????ȳ?ǧ???????硢?徲Ψ??60?ѡ????????档
  • 蝹伣?Ť???ʬ?Ԥä?PGS??ǧ?????????ܿ???????80?ѡ????????????徲Ψ?˸??夹?롣

?᤯??ʸ?????ޤ??礦???ʤ??Ǥ????????ײ??Ϥȳ????ؤ???ʸ???ƤΤ????????˲??Ű??ť???????Ҳ?ޤ??????äƸ??äƤ??ꡢ?ܿͤ⤽?ε??ˤʤäƤ??Ƥ????ΤǡʾСˡ????????????????˽Ф븦???ˤʤ??Ȼפ??ޤ???

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?徲?????ˡ?蝹???ͭ???Ǥ??롣????????ERA??EMMA??ALICE?ƥ??Ȥʤ??????ξ??硢???????????Ťˤ??뼣?Ť?ɬ?פʤΤϸ????ޤǤ⤢???ޤ?????

不妊症・子宝治療, 鍼灸のエビデンス

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10??2???ʷ??ˤ??ꡢ???????ʳ???ʿ???ʷ?С??塦???ˤκǽ????դ?19??30ʬ?ޤDZ?Ĺ???ޤ????????????18???ޤǤˤ?Ϣ?????????

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?????ء?22+1?Ĥ??????Τ????ä????Ҥ????????ơ?????22+1??????22+1???????Τ????蘆?ꡢ44+2=46???????Τ????ä?1?Ĥκ?˦?μ?????????夬???ޤ???

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?????ϸ??ڤ??뤳?ȤϤǤ??ޤ????蝹???????ٹԤ???????˦?γ???Ψ?????夷???ꡢ???????????????ꤹ?뤳?Ȥ????ꡢ???줬?????ǤϤʤ???Ψ?Ǥ??ä??ꤷ?ޤ???????????蝹??θ??̤??????Ǥ??ޤ???

PubMed?Ǥϡ????????????ޤ?????

https://pubmed.ncbi.nlm.nih.gov/25854012/
?յ?????ǥ?ɴ??Ԥˤ?????蝹伣?Ťˤ??????Ҥμ??β???

Fang Lian,?Chen Chen,?Shan Xiang
  • PMID:?25854012
  • 2015ǯ??PubMed????

??ˡ: ???????ʿյ??ˤȤ??ƶ??̤??졢?γ??????????ܿ???IVF-ET?ˤ???????ǯ??35?Ф???42?Ф?66?㤬???????????˴ѻ??????оȷ??ʳ?33???ˤ˳????դ????줿??

???ʥɥȥ??ԥ????Хۥ???????ư?????Ѥ???Ĺ???ץ??ȥ???????IVF-ET??ˡ??2?ĤΥ??롼?פ˺??Ѥ??줿???ѻ????롼?פˤơ?

?γ??????????????η??? 5 ???ܤˡ??????? (SP 6) ?? EA ??Ŭ?Ѥ??ޤ?????Zigong (EX CA 1)??Zhongji (CV 3)??Guanyuan (CV 4)??

?оȷ??Ǥϡ?Ʊ???з??˵?謁??Ť?Ŭ?Ѥ??ޤ?????

???֤Ϻ??????ޤǣ????ˣ???Ϳ?????졢?ˤ??????ʬ???ݻ????줿??

???????ɸ????Υ????????ɼ?????Ψ???Ѳ???2 ?ĤΥ??롼?פǹ??ʼ?????ȯ??Ψ???׾?Ūǥ??Ψ???ѻ??????ޤ?????

??????????˦?????Υ??????????Ĺ????-i??IGF-1?ˤ?IGF-2???????ӷ????¥????ɥ??ե?????-EP?ˤΥ??٥??ȡ???????˦???ʼ??Ȥ????شط???2?ĤΥ??롼?״֤????Ӥ??ޤ???

??????

1) ?ѻ????Ǥϡ????????????Ӥ??Ƽ??Ÿ??ο??????ɸ????????ΰ???Ū?ʿ??????ǤϤʤ????յ??Τ??ȡ˥??????????餫?˸??????ޤ???(P<0.05)??

?ѻ????μ??Ÿ??Υ????????оȷ??????Ӥ??????餫???????˸??????ޤ????? (P<0.05)??

2) ?ѻ??????ɼ?????Ψ???ɼ???Ψ?Ϥ????????оȷ??????⤫?ä?[81.3% (161/198) vs 57.6% (98/170)??59.8% (58/198) 97) vs 37.7% (26/69)??ξ???Ȥ? P<0.05]??

3) ?оȷ??Ȥ????ӡ???????????˦?դ????ӷ?????-EP????IGF-1??????IGF-2?Υ??٥??Ϥ??٤ƴѻ????????餫?????ä???(???٤?P<0.05)??

????:?EA????˦?դ????ӷ?????-EP????IGF??ȯ????????Ū?˲??????????ʼ?????Ψ?ȹ??ʼ???Ψ?????ä????????????ʱ????Τ????????????ΰ??ؤΡؿյ??٤??Ȼפ????????ξɾ????ڸ????ޤ???

 

?⤦???Ĥϡ??????????Τμ????ȸ??????Ƥ??ޤ????ޤ????Ҥˤ???????????ǯ???ˤ???????DNA?η?»????Ŧ?????Ƥ??ޤ???

?????ΤǤ?蝹??ν??֤Ϥʤ??Ȼפ??줬???Ǥ??????????????Τΰ۾??ϡؼ????κݤζ????ΰ۾??٤Ȥ??ƽФ䤹?????????ˤ?蝹??ϸ??̤????ꤽ???Ǥ???

??ǥ蝹??ͥåȥ????JISRAM???????????ߤ??????֤ˡ????Ԥ???¼???????????ʤ????????????Ž??ˤ????ޤ???

?????????θ????ˡ?Ʊ???????ɷ?ˡ???ԤäƤ???Ʊ???δ??Ԥ????ǡ?蝹??????????Ǻ??????Ӥ?????˦????????ã??Ψ??Ĵ?٤?????Ū?ˤ??????????椬?????ޤ???

55?ͤδ??Ԥ?????
蝹䳫??????223?????????ʲ????ˡ???????838??
蝹伣?Ÿ塡180?????????ʲ????ˡ???????807??

40??̤???ϡ?????˦?γ???Ψ????3?ܤ????????ʸ??椬???ꡢ??ʸ????????????ȯ?Ф??Ƥ????????????Ȼפ??ޤ???

 

?ۤ??????Τ褦?ʸ????⤢???ޤ???

https://pubmed.ncbi.nlm.nih.gov/19873910/
????ȿ?????ɴ??Ԥ??γ??????????ܿ???IVF-ET?ˤ??Ф????ŵ?謁??Ťθ???

Jun Chen?1,?Li-li Liu,?Wei Cui,?Wei Sun
  • PMID:?19873910
  • 2009ǯ

??ˡ:?IVF-ET?????????줿60????̵???٤˴ѻ??????оȷ???ʬ?????Ʒ?30???Ȥ?????

2?ĤΥ??롼?פ?ξ???Ȥ?????Ͷȯ?Τ????Υ?????˥??ȥ????????Ǽ??Ť??졢?ѻ????롼?פˤ??ŵ?謁??Ų??????ɲä??졢Guanyuan??CV 4?ˡ?Taixi??KI 3?ˡ?Sanyinjiao??SP 6?ˤʤɤ???????ޤ????????Ÿ??? 2 ?ĤΥ??롼?פμ??Ÿ??̤????Ӥ??ޤ?????

???̡?????????ˤ? 2 ?ĤΥ??롼?״֤?ͭ?պ??Ϥ????ޤ????Ǥ?????

?ѻ?????謁??ť??롼?סˤο??????ʿյ??ˤξɾ??ϼ??Ÿ????????˲??????졢?????????ȥ饸????????E2???͡?????Ψ??????????Ψ???ɼ???Ψ???徲Ψ?ϴѻ?????????????????ͥ???Ƥ??ޤ?????

?ҥ??????????ʥɥȥ??ԥ???hCG???????????оȷ??ʤ??٤? P<0.05?ˡ?

?ѻ???????˦?դ????ӷ??????δ???˦???ҡ?SCF?ˤΥ??٥??ϡ??оȷ???????ͭ?դ˹⤫?ä???ξ???Ȥ?P<0.05?ˡ?

?ѻ?????ǥ??Ψ???оȷ????????⤯???ѻ?????????Ψ???оȷ????????㤫?ä???

????:??ŵ?????ˡ?ϡ?????ͽ???Ϥ?˳?????γ????????Ԥ??Ф????ɹ????׾????̤????ꡢ???Ҥμ???ǥ?????̤????????뤳?Ȥ??Ǥ??ޤ???

 

?????η??????????β????????????Ӥθ????ˡ?蝹??ϸ??̤??????ޤ???