风疹病毒感染对妊娠结局的影响  

Rubella virus infection on pregnancy outcomes

作　　者：林建华[1] 蒋萌[1] 

机构地区：[1]上海交通大学医学院附属仁济医院妇产科,上海200001

出　　处：《中国实用妇科与产科杂志》2011年第8期567-569,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：风疹是一种自限性疾病。很多发达国家将风疹列在计划免疫方案中,疫苗覆盖率较高。我国只有部分人接种,一些地区仍有流行。近年来风疹发病年龄上升。感染风疹病毒临床症状较轻微,但孕妇感染可导致先天性风疹综合征或流产、死胎等。一旦明确感染,需根据孕妇个人免疫状态和感染时间决定是否继续妊娠,加强妊娠期检查。妊娠期感染一般采取对症治疗,为了降低先天性风疹综合征的发病率,孕前筛查和接种疫苗更为重要。Rubella infection is self-limited. Many de- veloped countries have specific vaccination programs with high vaccination coverage. However, it＇ s still epidemic in some regions of China and just a small portion of people receive vaccine. In recent years, the mean age at onset has been ascending. Rubella infection is clinically mildo But infection in pregnant women can cause congenital rubella syndrome （CRS） , miscarriage and stillbirth. It＇s based on individual immune status and infection time whether to continue pregnancy if diagnosed, and appropriate counselling should be provided. The treatment of rubella infection is supportive. The prognosis and vaccination are generally excellent for pregnant women with rubella infection to decline the cases of CRS.

关 键 词：妊娠 风疹 致畸 免疫策略 

分 类 号：R714.25[医药卫生—妇产科学]