{"id":686,"date":"2016-06-29T12:12:57","date_gmt":"2016-06-29T03:12:57","guid":{"rendered":"https:\/\/tokyohart.smg.sg\/?p=686"},"modified":"2017-04-09T07:10:18","modified_gmt":"2017-04-08T22:10:18","slug":"trigger-2","status":"publish","type":"post","link":"https:\/\/tokyohart.smg.sg\/?p=686","title":{"rendered":"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u306b\u95a2\u3059\u308b\u8ad6\u6587\u2461"},"content":{"rendered":"<p>\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e\u4e21\u65b9\u3092\u4f7f\u3046\u3053\u3068\u306b\u3088\u308a\u5375\u5b50\u306e\u6210\u719f\u7387\u304c\u6539\u5584\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002<\/p>\n<p>Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates<\/p>\n<p>Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C.<br \/>\nFertil Steril. 2014 Aug; 102(2):405-9<\/p>\n<p>\u300cGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e2\u91cd\u306e\u30c8\u30ea\u30ac\u30fc\u306f\u5375\u5b50\u306e\u6210\u719f\u7387\u3092\u6539\u5584\u3059\u308b\u300d<\/p>\n<h3>\u8981\u7d04<\/h3>\n<h4>\u76ee\u7684<\/h4>\n<p>\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u306b\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3001\u305d\u306e\u5f8c\u306e\u5468\u671f\u3067dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f<\/p>\n<h4>\u5bfe\u8c61<\/h4>\n<p>2008\u5e741\u6708\u304b\u30892012\u5e742\u6708\u306e\u6cbb\u7642\u60a3\u8005\u306e\u3046\u3061\u3001\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u3067\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u3067trigger\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u304a\u3088\u3073HCG5000\u5358\u4f4d\u3082\u3057\u304f\u306fHCG10000\u5358\u4f4d\u3092\u6295\u4e0e\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f<\/p>\n<h4>\u76ee\u6a19<\/h4>\n<p>\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u3068\u305d\u306e\u5f8c\u306e\u53d7\u7cbe\u7387\u306e\u8a55\u4fa1<\/p>\n<h4>\u7d50\u679c<\/h4>\n<p>dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u524d\u5468\u671f\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u305f\uff0875%vs. 38.5%\uff09\u3002dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u7740\u5e8a\u7387\u3001\u81e8\u5e8a\u7684\u598a\u5a20\u7387\u3001\u7d99\u7d9a\u598a\u5a20\u7387\u306f\u5404\u3005\u300111.8\uff05\u300126.1\uff05\u300117.4\uff05\u3067\u3042\u3063\u305f\u3002<\/p>\n<h4>\u7d50\u8ad6<\/h4>\n<p>\u904e\u53bb\u306e\u63a1\u5375\u306b\u304a\u3044\u3066\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u4f4e\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u6b21\u5468\u671f\u306bdual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u6539\u5584\u3057\u305f\uff0875%vs.38.5%\uff09\u3002\u3057\u304b\u3057\u3001\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u306b\u306f\u53cd\u6620\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u5375\u5b50\u6a5f\u80fd\u4e0d\u5168\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002<\/p>\n<h3>\u8003\u5bdf<\/h3>\n<p>\u63a1\u5375\u6642\u306b\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u5b58\u5728\u3059\u308b\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002\u5375\u5b50\u6210\u719f\u969c\u5bb3\u306e\u75c5\u56e0\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u4eca\u65e5\u306b\u81f3\u308b\u307e\u3067\u52b9\u679c\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3002<br \/>\n\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u306e\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001IVM\uff08\u672a\u719f\u5375\u4f53\u5916\u6210\u719f\uff09\u3084\u3001HCG trigger\u304b\u3089\u63a1\u5375\u306b\u3044\u305f\u308b\u307e\u3067\u306e\u6642\u9593\u3092\u9577\u304f\u3059\u308b\u8a66\u307f\u3084\u3001trigger\u81ea\u4f53\u3092GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u306b\u5909\u66f4\u3059\u308b\u8a66\u307f\u304c\u3042\u308b\u3002<\/p>\n<h4>\u2460IVM\u306b\u3064\u3044\u3066<\/h4>\n<p>IVM\u306f\u3053\u3046\u3044\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6f5c\u5728\u7684\u306a\u6cbb\u7642\u6cd5\u3068\u306a\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b\u304c\u3001\u3044\u307e\u3060\u767a\u5c55\u6bb5\u968e\u3067\u3042\u308a\u3001\u81e8\u5e8a\u5fdc\u7528\u306b\u306f\u53ca\u3093\u3067\u3044\u306a\u3044\u3002(\u73fe\u5728\u307e\u3067\u306e\u3068\u3053\u308dIVM\u306e\u6709\u52b9\u6027\u306f\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093)<\/p>\n<h4>\u2461Trigger\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/h4>\n<p>Trigger\u3068\u3057\u3066\u306eHCG\u6295\u4e0e\u3068\u63a1\u5375\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u95a2\u3057\u3066\u306f\u3001\u6392\u5375\u524d\u306b\u6210\u719f\u5375\u5b50\u3092\u6700\u5927\u9650\u63a1\u53d6\u3059\u308b\u305f\u3081\u306b\u4eca\u307e\u3067\u306b\u3082\u7814\u7a76\u304c\u306a\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u3044\u307e\u3060\u78ba\u7acb\u3055\u308c\u3066\u306f\u3044\u306a\u3044\u3002Nargund\u3089\u306fHCG\u6295\u4e0e\u5f8c33-41\u6642\u9593\u306e\u9593\u3067\u3042\u308c\u3070\u3001\u4f53\u5916\u53d7\u7cbe\u3067\u306e\u598a\u5a20\u6210\u7e3e\u306b\u5dee\u306f\u306a\u3044\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u308b\u3002\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u306f\u3001HCG\u6295\u4e0e\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u9593\u9694\u3092\u9577\u304f\u3059\u308b\u3053\u3068\u3067\u306e\u53d7\u7cbe\u7387\u3001\u7740\u5e8a\u7387\u3001\u598a\u5a20\u7387\u306b\u5dee\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u305d\u3046\u3044\u3063\u305f\u89b3\u70b9\u304b\u3089\u3001trigger\u3068\u3057\u3066\u306eHCG\u6295\u4e0e\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u6642\u9593\u306e\u8abf\u6574\u306f\u3001\u5375\u5b50\u6210\u719f\u3092\u4fc3\u3059\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3044\u3048\u308b\u304c\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u3092\u5411\u4e0a\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n<h4>\u2462Trigger\u3068\u3057\u3066\u5358\u72ec\u3067GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3092\u7528\u3044\u308b\u9577\u6240\u3068\u77ed\u6240\u306b\u3064\u3044\u3066<\/h4>\n<p>GnRH\u30a2\u30b4\u30cb\u30b9\u30c8trigger\u306f\u5375\u5b50\u6210\u719f\u3092\u4fc3\u3059\u305f\u3081\u3001\u81e8\u5e8a\u306b\u304a\u3044\u3066\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3002\u5185\u56e0\u6027\u306eFSH\u3084LH surge\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u306b\u52a0\u3048\u3066\u3001GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u306f\u5375\u5de3\u9846\u7c92\u819c\u7d30\u80de\u4e0a\u306b\u53d7\u5bb9\u4f53\u304c\u3042\u308a\u3001\u305d\u308c\u304c\u6392\u5375\u3092\u5236\u5fa1\u3059\u308b\u4e0a\u3067\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u304d\u305f\u3002\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001FSH\u3084LH\u306e\u307f\u3067\u306a\u304f\u3001\u3053\u306eGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u81ea\u4f53\u3082\u542b\u3081\u3066\u305d\u306e\u30b3\u30f3\u30d3\u30cd\u30fc\u30b7\u30e7\u30f3\u304c\u5375\u5b50\u6210\u719f\u306e\u6539\u5584\u306b\u5bc4\u4e0e\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u4f46\u3057GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u306ftrigger\u3068\u3057\u3066\u5358\u72ec\u3067\u6295\u4e0e\u3059\u308b\u3068\u3001\u9ec4\u4f53\u6a5f\u80fd\u304c\u65e9\u671f\u306b\u8870\u3048\u308b\u305f\u3081\u3001\u305d\u306e\u5f8c\u306e\u598a\u5a20\u7387\u306e\u4f4e\u4e0b\u3068\u6d41\u7523\u7387\u306e\u5897\u52a0\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u308b\u3002(HCG\u6295\u4e0e\u3068\u306e\u4f75\u7528\u304c\u826f\u3044)<\/p>\n<h4>\u2463dual trigger\u306e\u9577\u6240\u306b\u3064\u3044\u3066<\/h4>\n<p>dual trigger\u306e\u4f7f\u7528\u306f\u3001HCG\u3092\u540c\u6642\u6295\u4e0e\u3059\u308b\u3053\u3068\u306b\u3088\u308aGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u306b\u3088\u308b\u9ec4\u4f53\u6a5f\u80fd\u306b\u5bfe\u3059\u308b\u8ca0\u306e\u5f71\u97ff\u3092\u3046\u3061\u6d88\u3057\u3001\u598a\u5a20\u7387\u3092\u5411\u4e0a\u3059\u308b\u3068\u8003\u3048\u308b\u3002GnRH\u30a2\u30b4\u30cb\u30b9\u30c8trigger\u306fempty\u75c7\u4faf\u7fa4\u306e\u6cbb\u7642\u306b\u3082\u52b9\u679c\u7684\u3067\u3042\u3063\u305f\u3068\u3059\u308b\u5831\u544a\u3082\u3042\u308a\u3001\u6700\u8fd1\u3067\u306f\u3001\u5375\u5b50\u6210\u719f\u5316\u969c\u5bb3\u3092\u4f34\u3046empty\u75c7\u4faf\u7fa4\u306e\u60a3\u8005\u306bdual trigger\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001\u598a\u5a20\u306b\u81f3\u3063\u305f\u3068\u3059\u308b\u75c7\u4f8b\u30822013\u5e74\u306bCastillo\u304c\u5831\u544a\u3057\u3066\u3044\u308b\u3002<\/p>\n<h4>\u2464\u672c\u7814\u7a76\u306elimitation\u306b\u3064\u3044\u3066<\/h4>\n<p>\u672c\u7814\u7a76\u306elimitation\u306f\u3001\u672c\u7814\u7a76\u304c\u5f8c\u65b9\u8996\u7684\u7814\u7a76\u3067\u3042\u308b\u3053\u3068\u3068\u3001dual trigger\u5468\u671f\u306b\u304a\u3044\u3066\u524d\u5468\u671f\u3068\u306e\u5909\u66f4\u304ctrigger\u306e\u9055\u3044\u306e\u307f\u3067\u306f\u306a\u304b\u3063\u305f\u70b9\u3067\u3042\u308b\u3002\u5375\u5de3\u523a\u6fc0\u6cd5\u304c\u7570\u306a\u3063\u3066\u3044\u305f\u60a3\u8005\u304c\u3044\u308b\u3053\u3068\u3084\u3001trigger\u3068\u3057\u3066\u306ehCG\u6295\u4e0e\u3068\u63a1\u5375\u307e\u3067\u306e\u6642\u9593\u304cdual trigger\u5468\u671f\u3067\u9577\u304b\u3063\u305f\u60a3\u8005\u304c\u3044\u308b\u3053\u3068\u3084\u3001trigger\u3068\u3057\u3066\u306ehCG\u6295\u4e0e\u91cf\u304cdual trigger\u5468\u671f\u3067\u591a\u304b\u3063\u305f\u60a3\u8005\u304c\u3044\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u3053\u3046\u3044\u3063\u305f\u4ea4\u7d61\u56e0\u5b50\u3092\u8abf\u6574\u3057\u305f\u5f8c\u3082\u3001\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304cdual trigger\u5468\u671f\u306b\u304a\u3044\u3066\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\u306e\u306fdual trigger\u306b\u3088\u308b\u5f71\u97ff\u3068\u8003\u3048\u308b\u3002\u305f\u3060\u3001\u63a1\u5375\u6570\u3084\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u306e\u5897\u52a0\u306b\u3082\u62d8\u3089\u305a\u3001\u4f53\u5916\u53d7\u7cbe\u5f8c\u306e\u751f\u7523\u7387\u306e\u5411\u4e0a\u306f\u8a8d\u3081\u3089\u308c\u3066\u304a\u3089\u305a\u3001\u3053\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u672c\u6cd5\u3092\u7528\u3044\u3066\u3082\u6539\u5584\u51fa\u6765\u306a\u3044\u3001\u5375\u5b50\u81ea\u4f53\u306e\u306a\u3093\u3089\u304b\u306e\u6a5f\u80fd\u969c\u5bb3\u304c\u5185\u5728\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u308b\u3002<\/p>\n<h3>\u9662\u9577\u306e\u79c1\u898b<\/h3>\n<p>\u30c8\u30ea\u30ac\u30fc\u306e\u52b9\u679c\u304c\u4e0d\u5341\u5206\u3060\u3068\u3001\u672a\u719f\u5375\u304c\u591a\u304b\u3063\u305f\u308a\u3001\u5375\u5b50\u304c\u5375\u80de\u58c1\u304b\u3089\u96e2\u308c\u306a\u3044\u305f\u3081\u7a7a\u80de\u5375\u80de\u304c\u591a\u304b\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u3055\u3089\u306b\u7a7a\u80de\u5375\u80de\u75c7\u5019\u7fa4\u306e\u8ad6\u6587\u306b\u3042\u308b\u3088\u3046\u306b\u3001\u5206\u5272\u304c\u9045\u304f\u80da\u76e4\u80de\u306b\u81f3\u308a\u307e\u305b\u3093\u3002HCG\u3092\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066\u63a1\u5375\u3057\u3066\u7a7a\u80de\u304c\u591a\u304f\u3001\u672a\u719f\u5375\u304c\u591a\u304f\u3001\u53d7\u7cbe\u5375\u306e\u767a\u9054\u304c\u9045\u304f\u3001\u80da\u76e4\u80de\u5230\u9054\u7387\u304c\u4f4e\u3051\u308c\u3070\u3001\u30c8\u30ea\u30ac\u30fc\u304c\u52b9\u679c\u7684\u3067\u306a\u3044\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3067\u3059\u3002HCG\u30ec\u30bb\u30d7\u30bf\u30fc\u306e\u6a5f\u80fd\u304c\u60aa\u3044\u306e\u3060\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\n\u305d\u306e\u5834\u5408\u3001GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3092\u30c8\u30ea\u30ac\u30fc\u306b\u3059\u308b\u3001\u3059\u306a\u308f\u3061LH\u30b5\u30fc\u30b8\u3092\u30c8\u30ea\u30ac\u30fc\u306b\u3059\u308b\u3068\u3001\u5927\u3044\u306b\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u9006\u306bGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3092\u30c8\u30ea\u30ac\u30fc\u306b\u3057\u3066\u7a7a\u80de\u3001\u672a\u719f\u5375\u304c\u591a\u3044\u5834\u5408\u3001HCG\u3092\u30c8\u30ea\u30ac\u30fc\u306b\u3059\u308b\u3068\u826f\u597d\u80da\u304c\u5f97\u3089\u308c\u308b\u75c7\u4f8b\u304c\u3042\u308a\u307e\u3059\u3002\u8133\u4e0b\u5782\u4f53\u306e\u53cd\u5fdc\u304c\u4e0d\u826f\u3067\u3001\u5341\u5206\u306aLH\u30b5\u30fc\u30b8\u3092\u8a98\u8d77\u3067\u304d\u306a\u3044\u306e\u3060\u3068\u601d\u3044\u307e\u3059(PCO\u306e\u4e00\u90e8\u306a\u3069)\u3002<br \/>\n\u7a7a\u80de\u5375\u80de\u75c7\u5019\u7fa4\u306e\u983b\u5ea6\u306f\u8af8\u5bb6\u306e\u5831\u544a\u304b\u30893\uff05\u7a0b\u5ea6\u3067\u305d\u306e\u983b\u5ea6\u306f\u4f4e\u3044\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u3088\u3063\u3066\u3001\u60a3\u8005\u3055\u3093\u500b\u3005\u306b\u306f\u30c8\u30ea\u30ac\u30fc\u3092\u5909\u66f4\u3059\u308b\u3053\u3068\u304c\u6709\u52b9\u3067\u3042\u308b\u75c7\u4f8b\u3082\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u8ad6\u6587\u306e\u3088\u3046\u306b\u672a\u719f\u5375\u304c\u591a\u304b\u3063\u305f\u3060\u3051\u3067dual trigger\u306b\u3057\u3066\u3082\u3001\u591a\u304f\u306e\u4eba\u6570\u3092\u96c6\u3081\u305f\u5834\u5408\u3001\u598a\u5a20\u7387\u306f\u5909\u308f\u3089\u306a\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e\u4e21\u65b9\u3092\u4f7f\u3046\u3053\u3068\u306b\u3088\u308a\u5375\u5b50\u306e\u6210\u719f\u7387\u304c\u6539\u5584\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002 Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C. Fertil Steril. 2014 Aug; 102(2):405-9 \u300cGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e2\u91cd\u306e\u30c8\u30ea\u30ac\u30fc\u306f\u5375\u5b50\u306e\u6210\u719f\u7387\u3092\u6539\u5584\u3059\u308b\u300d \u8981\u7d04 \u76ee\u7684 \u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u306b\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3001\u305d\u306e\u5f8c\u306e\u5468\u671f\u3067dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f \u5bfe\u8c61 2008\u5e741\u6708\u304b\u30892012\u5e742\u6708\u306e\u6cbb\u7642\u60a3\u8005\u306e\u3046\u3061\u3001\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u3067\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u3067trigger\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u304a\u3088\u3073HCG5000\u5358\u4f4d\u3082\u3057\u304f\u306fHCG10000\u5358\u4f4d\u3092\u6295\u4e0e\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f \u76ee\u6a19 \u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u3068\u305d\u306e\u5f8c\u306e\u53d7\u7cbe\u7387\u306e\u8a55\u4fa1 \u7d50\u679c dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u524d\u5468\u671f\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u305f\uff0875%vs. 38.5%\uff09\u3002dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u7740\u5e8a\u7387\u3001\u81e8\u5e8a\u7684\u598a\u5a20\u7387\u3001\u7d99\u7d9a\u598a\u5a20\u7387\u306f\u5404\u3005\u300111.8\uff05\u300126.1\uff05\u300117.4\uff05\u3067\u3042\u3063\u305f\u3002 \u7d50\u8ad6 \u904e\u53bb\u306e\u63a1\u5375\u306b\u304a\u3044\u3066\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u4f4e\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u6b21\u5468\u671f\u306bdual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u6539\u5584\u3057\u305f\uff0875%vs.38.5%\uff09\u3002\u3057\u304b\u3057\u3001\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u306b\u306f\u53cd\u6620\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u5375\u5b50\u6a5f\u80fd\u4e0d\u5168\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002 \u8003\u5bdf \u63a1\u5375\u6642\u306b\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u5b58\u5728\u3059\u308b\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002\u5375\u5b50\u6210\u719f\u969c\u5bb3\u306e\u75c5\u56e0\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u4eca\u65e5\u306b\u81f3\u308b\u307e\u3067\u52b9\u679c\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3002 \u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u306e\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001IVM\uff08\u672a\u719f\u5375\u4f53\u5916\u6210\u719f\uff09\u3084\u3001HCG trigger\u304b\u3089\u63a1\u5375\u306b\u3044\u305f\u308b\u307e\u3067\u306e\u6642\u9593\u3092\u9577\u304f\u3059\u308b\u8a66\u307f\u3084\u3001trigger\u81ea\u4f53\u3092GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u306b\u5909\u66f4\u3059\u308b\u8a66\u307f\u304c\u3042\u308b\u3002 \u2460IVM\u306b\u3064\u3044\u3066 IVM\u306f\u3053\u3046\u3044\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6f5c\u5728\u7684\u306a\u6cbb\u7642\u6cd5\u3068\u306a\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b\u304c\u3001\u3044\u307e\u3060\u767a\u5c55\u6bb5\u968e\u3067\u3042\u308a\u3001\u81e8\u5e8a\u5fdc\u7528\u306b\u306f\u53ca\u3093\u3067\u3044\u306a\u3044\u3002(\u73fe\u5728\u307e\u3067\u306e\u3068\u3053\u308dIVM\u306e\u6709\u52b9\u6027\u306f\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093) \u2461Trigger\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u30bf\u30a4\u30df\u30f3\u30b0 Trigger\u3068\u3057\u3066\u306eHCG\u6295\u4e0e\u3068\u63a1\u5375\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u95a2\u3057\u3066\u306f\u3001\u6392\u5375\u524d\u306b\u6210\u719f\u5375\u5b50\u3092\u6700\u5927\u9650\u63a1\u53d6\u3059\u308b\u305f\u3081\u306b\u4eca\u307e\u3067\u306b\u3082\u7814\u7a76\u304c\u306a\u3055\u308c\u3066\u304d\u305f\u304c\u3001\u3044\u307e\u3060\u78ba\u7acb\u3055\u308c\u3066\u306f\u3044\u306a\u3044\u3002Nargund\u3089\u306fHCG\u6295\u4e0e\u5f8c33-41\u6642\u9593\u306e\u9593\u3067\u3042\u308c\u3070\u3001\u4f53\u5916\u53d7\u7cbe\u3067\u306e\u598a\u5a20\u6210\u7e3e\u306b\u5dee\u306f\u306a\u3044\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u308b\u3002\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u306f\u3001HCG\u6295\u4e0e\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u9593\u9694\u3092\u9577\u304f\u3059\u308b\u3053\u3068\u3067\u306e\u53d7\u7cbe\u7387\u3001\u7740\u5e8a\u7387\u3001\u598a\u5a20\u7387\u306b\u5dee\u306f\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002\u305d\u3046\u3044\u3063\u305f\u89b3\u70b9\u304b\u3089\u3001trigger\u3068\u3057\u3066\u306eHCG\u6295\u4e0e\u304b\u3089\u63a1\u5375\u307e\u3067\u306e\u6642\u9593\u306e\u8abf\u6574\u306f\u3001\u5375\u5b50\u6210\u719f\u3092\u4fc3\u3059\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3044\u3048\u308b\u304c\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u3092\u5411\u4e0a\u3059\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002 \u2462Trigger\u3068\u3057\u3066\u5358\u72ec\u3067GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3092\u7528\u3044\u308b\u9577\u6240\u3068\u77ed\u6240\u306b\u3064\u3044\u3066 GnRH\u30a2\u30b4\u30cb\u30b9\u30c8trigger\u306f\u5375\u5b50\u6210\u719f\u3092\u4fc3\u3059\u305f\u3081\u3001\u81e8\u5e8a\u306b\u304a\u3044\u3066\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3002\u5185\u56e0\u6027\u306eFSH\u3084LH 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Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C. Fertil Steril. 2014 Aug; 102(2):405-9 \u300cGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e2\u91cd\u306e\u30c8\u30ea\u30ac\u30fc\u306f\u5375\u5b50\u306e\u6210\u719f\u7387\u3092\u6539\u5584\u3059\u308b\u300d \u8981\u7d04 \u76ee\u7684 \u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u306b\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3001\u305d\u306e\u5f8c\u306e\u5468\u671f\u3067dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f \u5bfe\u8c61 2008\u5e741\u6708\u304b\u30892012\u5e742\u6708\u306e\u6cbb\u7642\u60a3\u8005\u306e\u3046\u3061\u3001\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u3067\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u3067trigger\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u304a\u3088\u3073HCG5000\u5358\u4f4d\u3082\u3057\u304f\u306fHCG10000\u5358\u4f4d\u3092\u6295\u4e0e\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f \u76ee\u6a19 \u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u3068\u305d\u306e\u5f8c\u306e\u53d7\u7cbe\u7387\u306e\u8a55\u4fa1 \u7d50\u679c dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u524d\u5468\u671f\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u305f\uff0875%vs. 38.5%\uff09\u3002dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u7740\u5e8a\u7387\u3001\u81e8\u5e8a\u7684\u598a\u5a20\u7387\u3001\u7d99\u7d9a\u598a\u5a20\u7387\u306f\u5404\u3005\u300111.8\uff05\u300126.1\uff05\u300117.4\uff05\u3067\u3042\u3063\u305f\u3002 \u7d50\u8ad6 \u904e\u53bb\u306e\u63a1\u5375\u306b\u304a\u3044\u3066\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u4f4e\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u6b21\u5468\u671f\u306bdual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u6539\u5584\u3057\u305f\uff0875%vs.38.5%\uff09\u3002\u3057\u304b\u3057\u3001\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u306b\u306f\u53cd\u6620\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u5375\u5b50\u6a5f\u80fd\u4e0d\u5168\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002 \u8003\u5bdf \u63a1\u5375\u6642\u306b\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u5b58\u5728\u3059\u308b\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002\u5375\u5b50\u6210\u719f\u969c\u5bb3\u306e\u75c5\u56e0\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u4eca\u65e5\u306b\u81f3\u308b\u307e\u3067\u52b9\u679c\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3002 \u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u306e\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001IVM\uff08\u672a\u719f\u5375\u4f53\u5916\u6210\u719f\uff09\u3084\u3001HCG\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"tokyo@hartc2\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/tokyohart.smg.sg\/?p=686\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.1.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"en_US\" \/>\n\t\t<meta property=\"og:site_name\" content=\"\u6771\u4eacHART\u30af\u30ea\u30cb\u30c3\u30af - \u6771\u4eacHART\u30af\u30ea\u30cb\u30c3\u30af\u306f\u3001\u6771\u4eac\u30e1\u30c8\u30ed\uff3b\u8868\u53c2\u9053\u99c5\uff3d\u4e0b\u8eca\u3001A5\u51fa\u53e3\u3092\u51fa\u3066\u5f92\u6b69\u7d046\u5206\u306b\u3042\u308b\u4e0d\u598a\u6cbb\u7642\u5c02\u9580\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3059\u3002\u4f53\u5916\u53d7\u7cbe\u3001\u4e00\u822c\u4e0d\u598a\u6cbb\u7642\u3001\u96e3\u6cbb\u6027\u4e0d\u598a\u75c7\u306a\u3069\u69d8\u3005\u306a\u4e0d\u598a\u6cbb\u7642\u3092\u4e16\u754c\u6700\u5148\u7aef\u306e\u6280\u8853\u3067\u3001\u3054\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u306b\u95a2\u3059\u308b\u8ad6\u6587\u2461 - \u6771\u4eacHART\u30af\u30ea\u30cb\u30c3\u30af\" \/>\n\t\t<meta property=\"og:description\" content=\"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e\u4e21\u65b9\u3092\u4f7f\u3046\u3053\u3068\u306b\u3088\u308a\u5375\u5b50\u306e\u6210\u719f\u7387\u304c\u6539\u5584\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002 Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C. Fertil Steril. 2014 Aug; 102(2):405-9 \u300cGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e2\u91cd\u306e\u30c8\u30ea\u30ac\u30fc\u306f\u5375\u5b50\u306e\u6210\u719f\u7387\u3092\u6539\u5584\u3059\u308b\u300d \u8981\u7d04 \u76ee\u7684 \u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u306b\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3001\u305d\u306e\u5f8c\u306e\u5468\u671f\u3067dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f \u5bfe\u8c61 2008\u5e741\u6708\u304b\u30892012\u5e742\u6708\u306e\u6cbb\u7642\u60a3\u8005\u306e\u3046\u3061\u3001\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u3067\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u3067trigger\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u304a\u3088\u3073HCG5000\u5358\u4f4d\u3082\u3057\u304f\u306fHCG10000\u5358\u4f4d\u3092\u6295\u4e0e\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f \u76ee\u6a19 \u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u3068\u305d\u306e\u5f8c\u306e\u53d7\u7cbe\u7387\u306e\u8a55\u4fa1 \u7d50\u679c dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u524d\u5468\u671f\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u305f\uff0875%vs. 38.5%\uff09\u3002dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u7740\u5e8a\u7387\u3001\u81e8\u5e8a\u7684\u598a\u5a20\u7387\u3001\u7d99\u7d9a\u598a\u5a20\u7387\u306f\u5404\u3005\u300111.8\uff05\u300126.1\uff05\u300117.4\uff05\u3067\u3042\u3063\u305f\u3002 \u7d50\u8ad6 \u904e\u53bb\u306e\u63a1\u5375\u306b\u304a\u3044\u3066\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u4f4e\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u6b21\u5468\u671f\u306bdual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u6539\u5584\u3057\u305f\uff0875%vs.38.5%\uff09\u3002\u3057\u304b\u3057\u3001\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u306b\u306f\u53cd\u6620\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u5375\u5b50\u6a5f\u80fd\u4e0d\u5168\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002 \u8003\u5bdf \u63a1\u5375\u6642\u306b\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u5b58\u5728\u3059\u308b\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002\u5375\u5b50\u6210\u719f\u969c\u5bb3\u306e\u75c5\u56e0\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u4eca\u65e5\u306b\u81f3\u308b\u307e\u3067\u52b9\u679c\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3002 \u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u306e\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001IVM\uff08\u672a\u719f\u5375\u4f53\u5916\u6210\u719f\uff09\u3084\u3001HCG\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/tokyohart.smg.sg\/?p=686\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2016-06-29T03:12:57+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2017-04-08T22:10:18+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u306b\u95a2\u3059\u308b\u8ad6\u6587\u2461 - \u6771\u4eacHART\u30af\u30ea\u30cb\u30c3\u30af\" \/>\n\t\t<meta name=\"twitter:description\" content=\"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e\u4e21\u65b9\u3092\u4f7f\u3046\u3053\u3068\u306b\u3088\u308a\u5375\u5b50\u306e\u6210\u719f\u7387\u304c\u6539\u5584\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002 Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C. 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Fertil Steril. 2014 Aug; 102(2):405-9 \u300cGnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e2\u91cd\u306e\u30c8\u30ea\u30ac\u30fc\u306f\u5375\u5b50\u306e\u6210\u719f\u7387\u3092\u6539\u5584\u3059\u308b\u300d \u8981\u7d04 \u76ee\u7684 \u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u306b\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3001\u305d\u306e\u5f8c\u306e\u5468\u671f\u3067dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u6539\u5584\u3059\u308b\u304b\u3069\u3046\u304b\u3092\u691c\u8a0e\u3057\u305f \u5bfe\u8c61 2008\u5e741\u6708\u304b\u30892012\u5e742\u6708\u306e\u6cbb\u7642\u60a3\u8005\u306e\u3046\u3061\u3001\u904e\u53bb\u306e\u63a1\u5375\u5468\u671f\u3067\u672a\u719f\u5375\u5b50\u304c25\uff05\u3088\u308a\u591a\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u305d\u306e\u5f8c\u306e\u4f53\u5916\u53d7\u7cbe\u5468\u671f\u3067trigger\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u304a\u3088\u3073HCG5000\u5358\u4f4d\u3082\u3057\u304f\u306fHCG10000\u5358\u4f4d\u3092\u6295\u4e0e\u3057\u305f\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f \u76ee\u6a19 \u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u3068\u305d\u306e\u5f8c\u306e\u53d7\u7cbe\u7387\u306e\u8a55\u4fa1 \u7d50\u679c dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306b\u6210\u719f\u5375\u5b50\u6570\u306f\u524d\u5468\u671f\u306b\u6bd4\u3079\u3066\u3001\u6709\u610f\u306b\u5897\u52a0\u3057\u305f\uff0875%vs. 38.5%\uff09\u3002dual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u7740\u5e8a\u7387\u3001\u81e8\u5e8a\u7684\u598a\u5a20\u7387\u3001\u7d99\u7d9a\u598a\u5a20\u7387\u306f\u5404\u3005\u300111.8\uff05\u300126.1\uff05\u300117.4\uff05\u3067\u3042\u3063\u305f\u3002 \u7d50\u8ad6 \u904e\u53bb\u306e\u63a1\u5375\u306b\u304a\u3044\u3066\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u4f4e\u304b\u3063\u305f\u60a3\u8005\u3067\u3001\u6b21\u5468\u671f\u306bdual trigger\u3092\u7528\u3044\u305f\u5834\u5408\u306e\u6210\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u6539\u5584\u3057\u305f\uff0875%vs.38.5%\uff09\u3002\u3057\u304b\u3057\u3001\u4f53\u5916\u53d7\u7cbe\u306b\u3088\u308b\u598a\u5a20\u6210\u7e3e\u306b\u306f\u53cd\u6620\u3055\u308c\u3066\u304a\u3089\u305a\u3001\u305d\u3046\u3044\u3063\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001\u5375\u5b50\u6a5f\u80fd\u4e0d\u5168\u304c\u95a2\u4e0e\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u305f\u3002 \u8003\u5bdf \u63a1\u5375\u6642\u306b\u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u304c\u3069\u306e\u7a0b\u5ea6\u5b58\u5728\u3059\u308b\u306e\u304b\u306f\u4e0d\u660e\u3067\u3042\u308b\u3002\u5375\u5b50\u6210\u719f\u969c\u5bb3\u306e\u75c5\u56e0\u306f\u8907\u96d1\u3067\u3042\u308a\u3001\u4eca\u65e5\u306b\u81f3\u308b\u307e\u3067\u52b9\u679c\u7684\u306a\u6cbb\u7642\u6cd5\u306f\u5831\u544a\u3055\u308c\u3066\u3044\u306a\u3044\u3002 \u672a\u719f\u5375\u5b50\u306e\u5272\u5408\u304c\u591a\u3044\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5\u306e\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u3001IVM\uff08\u672a\u719f\u5375\u4f53\u5916\u6210\u719f\uff09\u3084\u3001HCG","og:url":"https:\/\/tokyohart.smg.sg\/?p=686","article:published_time":"2016-06-29T03:12:57+00:00","article:modified_time":"2017-04-08T22:10:18+00:00","twitter:card":"summary_large_image","twitter:title":"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u306b\u95a2\u3059\u308b\u8ad6\u6587\u2461 - \u6771\u4eacHART\u30af\u30ea\u30cb\u30c3\u30af","twitter:description":"\u63a1\u5375\u524d\u306e\u30c8\u30ea\u30ac\u30fc\u3068\u3057\u3066GnRH\u30a2\u30b4\u30cb\u30b9\u30c8\u3068HCG\u6295\u4e0e\u306e\u4e21\u65b9\u3092\u4f7f\u3046\u3053\u3068\u306b\u3088\u308a\u5375\u5b50\u306e\u6210\u719f\u7387\u304c\u6539\u5584\u3059\u308b\u3001\u3068\u3044\u3046\u5831\u544a\u3067\u3059\u3002 Dual trigger with gonadotropin-releasing hormone agonist and standard dose human chorionic gonadotropin to improve oocyte maturity rates Griffin D, Feinn R, Engmann L, Nulsen J, Budinetz T, Benadiva C. 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