首页|2015-2021年新疆阿克苏地区孕妇和新生儿TORCH感染情况分析

2015-2021年新疆阿克苏地区孕妇和新生儿TORCH感染情况分析

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目的 调查2015-2021年新疆阿克苏地区孕妇和新生儿TORCH感染趋势,分析孕妇和新生儿TORCH感染特征.方法 回顾性分析,收集于2015-2021年在新疆阿克苏地区接受TORCH感染筛查的4349名孕妇和配对的4058名新生儿临床资料,采用酶联免疫吸附法检测孕妇和新生儿外周血、孕妇产前脐血的TORCH-IgM抗体、IgG抗体并分析结果;比较不同年龄孕妇的TORCH-IgM抗体、IgG抗体阳性率;并比较正常妊娠、不良妊娠孕妇TORCH-IgM抗体阳性率.结果 2015年-2021年4349名孕妇TORCH感染呈下降趋势;TORCH感染孕妇中,TORCH-IgM总阳性率为2.23%(97/4349),TORCH-IgG总阳性率为3.66%(159/4349).风疹病毒(RV)、巨细胞病毒(CMV)病毒IgG抗体的阳性率高于弓形虫(TOX)、单纯疱疹病毒(HSV)(P<0.05).2015年-2021年4058名新生儿TORCH感染呈下降趋势;TORCH感染新生儿中,TORCH-IgM总阳性率为1.75%(71/4058),TORCH-IgG总阳性率为1.82%(74/4058).各病毒IgM、IgG抗体阳性率比较,差异无统计学意义(P>0.05).4349名孕妇经产前脐血检查,TORCH-IgM抗体总阳性率为0.78%(34/4349),其中CMV阳性率最高,占总阳性例数的76.47%.不良妊娠组产前脐血TORCH-IgM抗体阳性率高于正常妊娠组,差异有统计学意义(P<0.05).≤35岁的孕妇HSV-IgM抗体阳性率、RV-IgG抗体阳性率均高于>35岁孕妇,但CMV-IgG、HSV-IgG抗体阳性率均低于>35岁孕妇,均差异有统计学意义(P<0.05);不同年龄组孕妇TOX-IgM、RV-IgM、CMV-IgM、TOX-IgG抗体阳性率比较,差异无统计学意义(P>0.05).结论 2015-2021年新疆阿克苏地区孕妇和新生儿TORCH感染率逐渐降低,CMV是孕妇及新生儿感染的主要病原体,HSV-IgM阳性率以低龄孕妇为主,应强化孕前TORCH检测,降低感染率.
Analysis of TORCH infection in pregnant women and newborns in Aksu Region of Xinjiang from 2015 to 2021
Objective To investigate the trend of TORCH infection in pregnant women and newborns in Aksu Region of Xinjiang from 2015 to 2021,and to analyze the characteristics of TORCH infection in pregnant women and newborns.Methods The clinical da-ta of 4349 pregnant women and 4058 matched newborns screened for TORCH infection in Aksu of Xinjiang from 2015 to 2021 were an-alyzed retrospectively,The TORCH-IgM antibodies and IgG antibodies were detected and the positive rate of TORCH-IgM antibody and IgG antibodies of pregnant women of different ages were analyzed,and the positive rate of TORCH-IgM antibody in pregnant wom-en with normal pregnancy and adverse pregnancy were compared.Results TORCH infections among 4349 cases decreased from 2015 to 2021.The total positive rate of TORCH-IgM was 2.23%(97/4349)and that of TORCH-IgG was 3.66%(159/4349).The positive rate of rubella virus(RV)and cytomegalovirus(CMV)IgG antibodies was higher than that of toxoplasma toxoplasma(TOX)and herpes sim-plex virus(HSV)(P<0.05).TORCH infection in 4058 newborns showed a decreasing trend from 2015 to 2021.The total positive rate of TORCH-IgM was 1.75%(71/4058)and that of TORCH-IgG was 1.82%(74/4058).There was no significant difference in the posi-tive rates of IgM and IgG antibodies(P>0.05).Among 4349 pregnant women,the total positive rate of TORCH-IgM antibody was 0.78%(34/4349),and the positive rate of CMV was the highest,accounting for 76.47%of the total positive cases.The positive rate of TORCH-IgM antibody in prenatal cord blood in adverse pregnancy group was higher than that in normal pregnancy group,and the dif-ference was statistically significant(P<0.05).The positive rates of HSV-IgM antibody and RV-IgG antibody in pregnant women≤35 years old were higher than those in pregnant women>35 years old,but the positive rates of CMV-IgG and HSV-IgG antibodies were lower than those in pregnant women>35 years old,with statistical significance(P<0.05).There was no significant difference in the positive rates of TOX-IgM,RV-IgM,CMV-IgM and TOX-IgG antibodies among pregnant women in different age groups(P>0.05).Conclusion From 2015 to 2021,the infection rate of TORCH in Aksu region of Xinjiang,gradually decreased.CMV is the main patho-gen of infection in pregnant women and newborns,and the positive rate of HSV-IgM was mainly in young pregnant women,so pre-preg-nancy TORCH test should be strengthened to reduce the infection rate.

Pregnant womennewbornTORCH infectionImmunoglobulin M antibodyImmunoglobulin G antibody

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新疆阿克苏地区维吾尔医医院,新疆阿克苏,843000

孕妇 新生儿 TORCH感染 免疫球蛋白M抗体 免疫球蛋白G抗体

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(5)