文章摘要
张立,许耀辉,陈道桢,等.无锡地区62 141例育龄期妇女TORCH检测结果与季节性变化的相关性分析[J].安徽医药,2017,21(12):2229-2232.
无锡地区62 141例育龄期妇女TORCH检测结果与季节性变化的相关性分析
A correlation analysis on TORCH screening results of 62 141 women at childbearing age in Wuxi
投稿时间:2016-09-23  
DOI:
中文关键词: 育龄期妇女  TORCH  酶联免疫吸附试验  优生优育
英文关键词: Women of childbearing age  TORCH  ELISA  Eugenics
基金项目:2015年省级重点研发项目(BE2015617)
作者单位E-mail
张立 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
许耀辉 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
陈道桢 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000 chendaozhen@163.com 
张婷 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
臧嘉 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
张勤勤 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
岳奕 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
王晶 南京医科大学附属无锡妇幼保健院检验科,江苏 无锡 214000  
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中文摘要:
      目的 通过化学发光免疫分析法检测无锡地区育龄期妇女血清TORCH抗体,并对结果按季节进行统计分析,了解无锡地区育龄妇女TORCH感染情况及其流行特点,为本地区育龄期妇女保健提供一定的参考依据。方法 选择产前检查的62 141例育龄期妇女为研究对象,对TORCH病毒原体弓形虫(TOX)、风疹病毒(RV)、巨细胞病毒(CMV)、单纯疱疹病毒(HSV)进行检测。结果 TORCH四种病原体TOX、RV、CMV以及HSV的免疫球蛋白M(IgM)抗体阳性率依次为1.25 ‰(77/61 452)、2.66‰(163/61 381)、0.37‰(23/61 387)、129.41‰(7 872/60 829),anti-HSV IgM抗体阳性率远高于其他三种 IgM抗体阳性率;anti-CMV IgM、anti-RV IgM、anti-TOX IgM、anti-HSV IgM抗体阳性率总体呈现逐年上升的趋势;统计结果显示,秋、冬季为巨细胞病毒感染高发期(anti-CMV IgM阳性检出率分别为39%、35%),而TOX、RV、HSV的感染率并无明显的季节性变化。结论 育龄期妇女和医疗人员需提高对TORCH感染的季节性认识,同时有针对性的按季节性对孕妇进行TORCH检测,可及时了解孕妇TORCH感染情况,尽早采取方法和措施,对人口的优生优育具有重要意义。
英文摘要:
      Objective To analyze and detect by season serum TORCH level in women of childbearing age in Wuxi area by chemiluminescence immunoassay,to define the TORCH infection and epidemiological characteristics of women of childbearing age,and to provide reference for maternal health care in Wuxi area.Methods Study was conducted on 62 141 cases of women of childbearing age in Affiliated Wuxi Women & Children Health Care Hospital of Nanjing Medical University.Four pathogens of TORCH were detected:Toxoplasma gondii (TOX),rubella virus (RV),cytomegalovirus (CMV) and human herpes virus (HSV).Results The positive rates of IgM antibody of TOX,RV,CMV and HSV were 1.25‰ (77/61 452),2.66‰ (163/61 381),0.37‰ (23/61 387) and 129.41‰ (7 872/60 829) respectively.The positive rate of anti-HSV IgM antibody was much higher than the other three kinds of IgM antibody.The positive rates of anti-CMV IgM,anti-RV IgM,anti-TOX IgM and anti-HSV IgM antibodies showed a trend of rising.The incidence of CMV was high in spring and winter while the infection rate of RV,HSV and TOX had no significant relationship with the change of seasons.Conclusions Both women of childbearing age and medical workers need to improve the awareness of TORCH seasonal infection.Seasonal TORCH detection can reflect the infection status of women of childbearing age promptly.Early treatment has great significance to eugenics.
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