通讯作者: 耿玲, gl@sduivf.com

DOI：10.12201/bmr.202206.00017

Research on the trend of clinical diagnosis and treatment between infertile people under the three-child policy

• 摘要：目的 通过研究“全面二孩政策”实施后前来辅助生殖门诊就诊人群的临床特征变化，为“三孩生育政策”辅助生殖行业医疗和护理策略的调整提供参考。 方法 回顾性分析 2015 年1月1日－2018年12月31日在山东大学附属生殖医院门诊就诊的患者共73588例，以 2016年1月1日为界，分为政策前组 (17974例) 和政策后组 (55614例) ，比较政策实施前后就诊患者临床特征的变化，预测“三孩生育政策”后生殖科就诊患者人群特征变化和需求变化。 结果 生育政策放开后，辅助生殖就诊人群的年龄明显增加，超重患者占比增大，卵巢储备下降，既往孕产次数增加，采用PGT技术助孕的患者占比明显增加。 结论 生育政策放开后辅助生殖门诊就诊患者的临床特点发生了明显改变，在“三孩生育政策”实施后这些特征变化和问题将会更加明显和突出。相关从业人员需要掌握这些变化，调整采取合理的医疗措施，使生殖医学适应时代需求，更加健康有序的发展。

  关键词： 三孩生育政策; 辅助生殖技术; 生育力下降

   

  Abstract: Objective Providing reference for the adjustment of medical and medical care strategies in the assisted reproduction industry under "Three-child policy" by studying the changes in characteristics of patients who visited assisted reproduction clinics for "The universal two-child policy". [Methods] A total of 73,588 patients who visited the outpatient clinic of the Reproductive Hospital Affiliated to Shandong University from January 1, 2015 to December 31, 2018 were retrospectively analyzed. Taking January 1, 2016 as the boundary, they were divided into the pre-policy group (17974 cases) and the post-policy group (55614 cases). The changes in clinical characteristics of patients who visited the clinic before and after the implementation of the fertility policy were compared, and the changes in characteristics and demand of patients in reproductive departments after "Three-child policy" were predicted. [Results] After the fertility policy, the age of patients on outpatient has increased significantly, the proportion of overweight patients has increased, the ovarian reserve has decreased, the number of pregnancies has increased, and the proportion of patients using PGT technology has increased significantly. [Conclusions] After the implementation of the fertility policy, the clinical characteristics of patients in assisted reproduction clinics have changed significantly. These changes and problems will be more obvious for "Three-child policy". Relevant practitioners should grasp these changes to take and adjust medical measures in order to make reproductive medicine meet the needs of the times and develop in a more healthy and orderly manner

  Key words: Three-child policy; Assisted Reproductive Technology; Decreased fecundity

  提交时间：2022-09-27

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• 序号	提交日期	编号	操作
  1	2022-06-20	bmr.202206.00017V1	下载

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