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调查本地区妊娠妇女TORCH感染的发生率以及母婴垂直传播发生情况,从而指导优生优育。方法:采用ELISA法,对我院882例孕中期或晚期孕妇外周血血清和相应产妇脐血血清行TORCH系列抗体(IgG、IgM)筛查。结果:TORCH系列特异性抗体阳性195例,阳性率为22.1%;其中单项病毒抗体阳性93例,双项阳性55例,三项阳性37例,四项阳性者10例;TORCH系列IgG阳性107例,IgM阳性128例,IgG、IgM均阳性109例。脐血特异性抗体IgG阳性116例,IgM阳性11例,其垂直传播率CMV50%、RUV24.7%、TOX31.8%、HSV233.3%。感染组与未感染组比较对胎婴儿影响极大,特别是胎儿生长发育、围产儿死亡以及对IgM阳性病例复采用PCR测定法,进一步确诊。对TORCH阳性患者应采取相应措施
To investigate the incidence of TORCH infection in pregnant women in the region and the incidence of vertical transmission of mother and baby to guide prenatal and postnatal care. Methods: TORCH antibodies (IgG, IgM) were detected in 882 pregnant women in the second or third trimester of pregnant women with cord blood serum by ELISA. Results: TORCH series of specific antibodies were positive in 195 cases, the positive rate was 22.1%. Among them, 93 cases were single antibody positive, 55 cases were double positive, 37 cases were positive, 10 cases were positive and 10 cases were positive. TORCH IgG 107 cases, IgM positive in 128 cases, IgG, IgM were 109 cases of positive. 116 cases of umbilical cord blood specific IgG were positive and 11 cases were IgM positive. The vertical transmission rate was 50% of CMV, 24.7% of RUV, 31.8% of TOX and 233.3% of HSV. Compared with uninfected group, the infected group had a great impact on fetus, especially fetus growth, perinatal death and PCR assay for IgM-positive cases, further confirmed. TORCH-positive patients should take appropriate measures