21445例就诊者血清TORCH筛查结果分析  

Analysis of serum TORCH screening results in 21445 patients

作　　者：胡丽庆[1] 褚金国[1] 董晓燕 徐鑫宇 葛玉梅[4] HU Li-qing;CHU Jin-guo;DONG Xiao-yan;XU Xin-yu;GE Yu-mei(First Hospital of Ningbo,Ningbo,Zhejiang 315010,China)

机构地区：[1]宁波市第一医院,浙江宁波315010 [2]浙江中医药大学第二临床医学院,浙江杭州310053 [3]新疆医科大学克拉玛依学院,新疆克拉玛依834000 [4]浙江省人民医院临床医学检验中心杭州医学院附属人民医院,浙江杭州310014

出　　处：《中国卫生检验杂志》2021年第7期862-865,共4页Chinese Journal of Health Laboratory Technology

基　　金：浙江省医药卫生科技项目(2019KY164);浙江省医药卫生科技项目(2019KY013);优秀青年人员科研启动基金(ZRY2018B004)。

摘　　要：目的了解并分析浙江省杭州市某三甲医院21445例就诊者血清TORCH筛查结果,为安全妊娠及提高人口素质提供理论依据及临床指导。方法收集2017年-2019年本院进行TORCH筛查的21445例就诊者检验结果,并进行统计分析。结果21445例就诊者中,男性3118例,女性18327例。巨细胞病毒(CMV)IgG阳性21037例,IgM阳性517例;单纯疱疹病毒Ⅰ型(HSV1)IgG阳性19232例,IgM阳性159例;单纯疱疹病毒Ⅱ型(HSV2)IgG阳性2640例,IgM阳性198例;风疹病毒(RV)IgG阳性17643例,IgM阳性215例;血清弓形虫(TOX)IgG阳性1107例,IgM阳性98例。结论TORCH感染以育龄期妇女为主,TORCH作为优生优育的重要筛查项目,近年来在浙江地区越来越受到重视。因TORCH感染可预防难治疗,提倡孕前及孕早期妇女进行筛查,并根据筛查结果做好防护措施,降低不良妊娠和新生儿出生缺陷的发生率。Objective To analyze the TORCH screening results of 21445 patients in Zhejiang Provincial People’s Hospital,so as to provide theoretical basis and clinical guidance for safe pregnancy and improving population quality.Methods Information of 21445 patients with TORCH screening in Zhejiang People’s Hospital from 2017 to 2019 were collected and analyzed statistically.Results Among the 21445 cases(3118 male patients and 18327 female patients)of TORCH screening,21037 cases were positive for CMV-IgG and 517 cases were positive for CMV-IgM.19232 cases were positive for HSV-Ⅰ-IgG and 159 cases were positive for HSV-Ⅰ-IgM.2640 cases were positive for HSV-Ⅱ-IgG,and 198 cases were positive for HSV-Ⅱ-IgM.17643 cases were positive for RV-IgG,and 215 cases were positive for RV-IgM.1107 cases were positive for TOX-IgG,and 98 cases were positive for TOX-IgM.Conclusion The results of TORCH screening in Zhejiang showed that the majority of torch screening and infection were women of childbearing age and TORCH,as an important screening project for eugenics,had been paid more and more attention in Zhejiang in recent years.Since TORCH infection can be prevented but difficult to treat,we advocate pre-pregnancy and early pregnancy screening for women,and take protective measures according to the screening results,so as to reduce the incidence of adverse pregnancy and newborn birth defects.

关 键 词：巨细胞病毒 单纯疱疹病毒 风疹病毒 弓形虫 

分 类 号：R446.6[医药卫生—诊断学]