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九江地区2000对孕妇与胎儿巨细胞病毒、弓形虫感染的研究

A STUDY ON CYTOMEGAIOVIRUS AND TOXOPLASMA INFECTION AMONG 2000 PAIRS OF PREGNANT WOME AND THEIR FETUSES

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【作者】 王洪通; 陈华芳; 周惠珍; 王清; 陈丽华; 李莉莉; 伍美荣;

【Author】 WANG Hongtong,et al(Jiangxi Jiujiang Materinty and Child Hlealth Hospital,Jiujiang 332000)

【机构】 江西省九江市妇幼保健院!332000;

【摘要】 探讨孕妇巨细胞病毒、弓形虫感染率和胎儿传播率以及与胎儿畸形的关系。方法:随机选择2000例不同职业孕妇,采用PCR技术对其外周血及配对胎儿脐血进行CMV、弓形虫检测。结果:孕妇CMV阳性率4.05%(81/2000),弓形虫阳性率2.15%(43/2000),配对脐血CMV阳性率1%(20/2000),弓形虫阳性率0.7%.母婴传播率分别为20/81,14/43。具有异常妊娠史孕妇CMV感染率12.3%(35/283).弓形虫感染率7.07%(20/283),与无异常妊娠史孕妇(2.68%,46/1717);(1.34%,23/1717)比较,差异显著(P<0.01)。124例CMV、弓形虫感染孕妇发生胎儿畸形7例(5.64%),无感染1876例孕妇发生胎儿畸形48例(2.56%),两组比较差异显著(P<0.05)。结论:孕妇CMV、弓形虫感染危害较为严重,易导致流产、致畸等。开展对孕妇CMV、弓形虫感染检测,进行早期诊断.有利于优生优育工作。

【Abstract】 Objectives: To study of CMV/TOX infection among pregnant women and their fetuses, and to determine the relationship between CMV/TOX infection and congenital malformation. Methods: Polymerase chain rection (PCR) techniqul was emptoyea to detect CMV/TOX DNA in 2000 cases pregnant women with different occupations on pripheral venous blood of gravida, umbilical blood of fetuses. Results: The active infection rate of CMV/TOX on pripheral venous blood of gravida was 4. 05% (81/2000) and 2. 15 % (43/2000) and that of umbilical blood of fetuses were 1 % (20/2000) and 0. 7% (14/2000) respectively.The rate of matermal-fetal trannmission was 20/81 and 14/43 respectively. The infection rate of women with history of abmormal pregnancy was 12. 3% (35/283) and 7. 07% (20/283). In the mormal group was 2. 68% (46/1717) and 1. 34% (23/1717),there was significant difference between the 2 groups (P<0. 01 ). The 7 fetuses were of malformation among 124 pregnant women with infection of CMV/TOX. Conclusion: The hazard of CMV/TOX infection in pregnant women was serious, such as abortion、deformity and so on. The screening program of CMV/TOX infection during pregnancy will be of benefit to eugenics.

【关键词】 孕妇; 胎儿; 巨细胞病毒; 弓形虫; 聚合酶链技术;
【Key words】 Pregnant women; Fetus; CMV; Toxoplasma; PCR;
  • 【文献出处】 现代预防医学 ,MODERN PREVENTIVE MEDICINE , 编辑部邮箱 ,1999年02期
  • 【分类号】R714.25
  • 【被引频次】1
  • 【下载频次】46
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