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婴儿血液尿液母乳巨细胞病毒检测结果的研究

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目的 分析婴儿血液、尿液和产妇母乳巨细胞病毒DNA检测结果,以期提高巨细胞病毒临床检出率.方法 对2022年8月-2023年8月在聊城市东昌府区妇幼保健院就诊的55例接受母乳喂养的疑似感染巨细胞病毒婴儿的血液、尿液和产妇母乳进行巨细胞病毒DNA检测,检测应用全自动荧光定量PCR法.比较婴儿血液、尿液和母乳样本的巨细胞病毒检出率,并比较母乳样本与三者联合的巨细胞病毒检出率.结果 血液样本巨细胞病毒DNA检出率为27.27%,尿液样本检出率为41.82%,母乳样本检出率为43.64%,母乳检出率最高,三种样本间检出率比较,差异无统计学意义(R>0.05).三者联合检出率为63.64%,高于母乳样本的43.64%,差异有统计学意义(x2=4.423,P<0.05).结论 婴儿血液、尿液和母乳巨细胞病毒DNA检测有利于疾病诊断,如果患儿标本不容易获取,优先选择检出率高的母乳或患儿尿液,也可以同时检测血液、尿液和母乳,以提高巨细胞病毒感检出率,从而达到尽早诊断、尽早治疗的目的,促进患儿早日康复.
Study of cytomegalovirus detection results in infant blood,urine and breast milk
Objective To analyze the results of cytomegalovirus DNA testing in infant blood,urine and maternal breast milk,in order to improve the clinical detection rate of cytomegalovirus.Methods From August 2022 to August 2023,the blood,urine and maternal breast milk of 55 infants suspected of being infected with cytomegalovirus who received breastfeeding at Liaocheng City Dongchangfu District Maternal and Child Health Hospital were tested for cytomegalovirus DNA.The detection was performed using fully automated fluorescence quantitative PCR method.The detection rates of cytomegalovirus in infant blood,urine and breast milk samples were compared,and the detection rates of cytomegalovirus in breast milk samples and the combination of the three were compared.Results The detection rate of cytomegalovirus DNA in blood samples was 27.27%,the detection rate in urine samples was 41.82%,and the detection rate in breast milk samples was 43.64%,breast milk had the highest detection rate,and there were no statistically significant differences in detection rates among the three samples(P>0.05).The combined detection rate of the three was 63.64%,which was higher than 43.64%of breast milk samples,and the difference was statistically significant(x2=4.423,P<0.05).Conclusion The detection of cytomegalovirus DNA in infant blood,urine and breast milk was beneficial for disease diagnosis.If the sample of the child was not easily obtainable,priority should be given to selecting breast milk or urine with high detection rates.Blood,urine and breast milk could also be tested simultaneously to improve the detection rate of cytomegalovirus,thereby achieving the goal of early diagnosis and treatment,and promoting the child's early recovery.

InfantBloodUrineCytomegalovirusStudy

郭淑新、舒静

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聊城市东昌府区妇幼保健院检验科,山东 聊城 252000

婴儿 血液 尿液 巨细胞病毒 研究

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(4)
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