成都地区40 986例育龄妇女TORCH感染调查分析

TORCH screen in 40 986 childbearing women in Chengdu

  • 摘要: 目的 分析近两年成都市育龄妇女TORCH感染情况,为本地区妇女保健提供参考。 方法 收集2015年7月-2017年7月在成都市妇女儿童中心医院进行TORCH检查的育龄妇女40 986例,通过化学发光免疫分析法定量检测血清中TORCH-IgG和TORCH-IgM抗体含量。 结果 TORCH-IgM检测中弓形虫(toxoplasma,TOX)、风疹病毒(rubella virus,RV)、巨细胞病毒(cytomegalo virus,CMV)、单纯疱疹病毒Ⅰ/Ⅱ型(herpes simplex virusⅠ/Ⅱ,HSVⅠ/Ⅱ)阳性率分别为1.02%、1.10%、0.40%、9.50%,其中HSVⅠ/Ⅱ-IgM阳性率最高(9.50%),CMV-IgM阳性率最低(0.40%)。TORCH-IgG检测中TOX、RV、CMV、HSVⅠ/Ⅱ阳性率分别为5.28%、79.03%、96.00%、83.96%,其中CMV-IgG阳性率最高(96.00%),TOX-IgG阳性率最低(5.28%)。不同年龄组中,HSVⅠ/Ⅱ-IgM低龄组(18 ~ 35岁)阳性率高于高龄组(> 35岁)(9.58% vs 8.43%,P< 0.05);低龄组RV-IgG阳性率高于高龄组(80.16% vs 66.95%,P< 0.05),而高龄组HSVⅠ/Ⅱ-IgG阳性率和CMV-IgG阳性率均高于低龄组(91.82% vs 83.23%,96.99% vs 95.91%,P均< 0.05)。 结论 成都地区育龄妇女TORCH-IgM检测中,HSVⅠ/Ⅱ-IgM阳性率最高,且以低龄人群为主。应加强孕前检测宣传教育,降低感染率。总体上,TORCHIgM和TORCH-IgG检测中,CMV-IgM阳性率最低,CMV-IgG阳性率最高,可能与我国提倡母乳喂养,成人后已产生CMV-IgG抗体有关。

     

    Abstract: Objective To screen childbearing women for TORCH infection in Chengdu over the past two years so as to provide evidence for the healthcare of childbearing women. Methods Serum TORCH-IgG and TORCH-IgM were detected by chemiluminescence immunoassay in 40 986 childbearing women in Chengdu Women and Children's Hospital from July 2015 to July 2017. Results The positive rates of TOX, RV, CMV and HSVⅠ/Ⅱ were 1.02%, 1.10%, 0.40% and 9.50% respectively in TORCH-IgM detection. The highest seropositive rate was 9.50% of HSVⅠ/Ⅱ-IgM while CMV-IgM had the lowest seropositive rate of 0.40%. Meanwhile, the positive rates of TOX, RV, CMV and HSVⅠ/Ⅱwere 5.28%, 79.03%, 96.00% and 83.96%respectively in TORCH-IgG detection. The highest seropositive rate was 96% of CMV-IgG, while TOX-IgG had the lowest seropositive rate of 5.28%. The seropositive rate of HSVⅠ/Ⅱ-IgM in the young age group (18-35 years) was significantly higher than that in the elderly age group (≥ 35 years) (9.58% vs 8.43%, P< 0.05). The seropositive rate of RV-IgG in the young age group was higher than that in the elderly age group (80.16% vs 66.95%, P< 0.05), while the HSV Ⅰ/Ⅱ-IgG and CMVIgG positive rates in the young age group were lower than those in the elderly age group (83.23% vs 91.82%; 95.91% vs 96.99%, P< 0.05, respectively). Conclusion HSVⅠ/Ⅱ-IgM shows the highest seropositive rate in TORCH-IgM screen in Chengdu childbearing women, especially in the young age group, so the publicity of pre-pregnancy testing should be strengthened. In addition, the seropositive rate of CMV-IgM is the lowest, while the positive rate of CMV-IgG is the highest in this investigation. It may be due to the advocation of breastfeeding in China. CMV-IgG antibody has been produced in adults, and can be transferred to fetus from mother, so the primary infection is rare.

     

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