阳春地区女性免费孕前优生检查TORCH、TSH、GLU结果分析  

The analysis of TORCH,TSH,GLU results of free pre-pregnancy eugenics examinations in females of Yangchun area

作　　者：吴金霞 张展朝 WU Jin-xia;ZHANG Zhan-chao(Yangchun Maternal and Child Health Hospital,Yangjiang 529600,China)

机构地区：[1]阳春市妇幼保健院,529600

出　　处：《中国实用医药》2021年第16期174-176,共3页China Practical Medicine

摘　　要：目的通过研究阳春地区女性免费孕前优生检查优生四项(TORCH)、促甲状腺激素(TSH)、血糖(GLU)结果,了解育龄妇女的健康状况,从而进行更好的孕前干预,为提高优生优育水平提供参考依据。方法2479例参加免费孕前优生检查的女性,均进行尿常规、血常规、肝功检查、GLU、TSH、TORCH等检查,分析受试者的TORCH检测结果,并比较不同年龄组TORCH、GLU及TSH检测结果。结果巨细胞病毒(CMV)-IgG、风疹病毒(RV)-IgG阳性检出率较高,分别为91.45%、91.73%,且两者阳性检出率比较,差异无统计学意义(P>0.05);CMV-IgM、弓形体(TOX)-IgM、TOX-IgG阳性检出率较低,分别为0.36%、0.16%、0.04%,且三者比较,差异无统计学意义(P>0.05)。CMV-IgM、TOX-IgM、TOXIgG阳性检出率均明显低于CMV-IgG、RV-IgG,差异均具有统计学意义(P<0.05)。适龄组CMV-IgG、RV-IgG的阳性检出率分别为99.21%、100.00%均高于低龄组的63.64%、66.36%及高龄组的73.93%、72.28%,差异具有统计学意义(P<0.05)。三组CMV-IgM、TOX-IgM、TOX-IgG阳性检出率比较,差异均无统计学意义(P>0.05)。低龄组、适龄组、高龄组中TSH<0.3μIU/ml占比分别为1.82%、8.17%、4.95%,TSH>4.5μIU/ml占比分别为0、8.39%、5.94%,三组TSH检测结果比较,差异无统计学意义(P>0.05)。低龄组、适龄组、高龄组GLU<3.5 mmol/L占比分别为0、1.93%、2.48%,GLU>6.1 mmol/L占比分别为4.55%、10.04%、13.70%,三组GLU检测结果比较,差异具有统计学意义(P<0.05)。结论孕前保健工作须关注其TORCH病原体感染及其免疫力、GLU水平、甲状腺功能等情况,并采取针对性的干预措施,及早进行孕前保健,提高出生人口素质。Objective To analyze the results of TOX,RUV,CMV,HSV-Ⅰ/Ⅱ(TORCH),thyroid stimulating hormone(TSH)and glucose(GLU)of females who participated in free pre-pregnancy eugenics examinations in Yangchun area to understand the health status of women of childbearing age,so as to carry out better pre-pregnancy interventions and provide a reference for improving the level of eugenics.Methods The 2479 women who participated in the free pre-pregnancy eugenics examination were all performed urine routine,blood routine,liver function test,GLU,TSH,TORCH,to analyze the TORCH test results of the subjects,and compare the test results of TORCH,GLU and TSH of different age groups.Results The detection rates of cytomegalovirus(CMV)-IgG and rubella virus(RV)-IgG were higher,respectively as 91.45%and 91.73%,and the difference was not statistically significant(P>0.05),the detection rates of CMV-IgM,toxoplasm(TOX)-IgM,TOX-IgG were relatively low,respectively as 0.36%,0.16%,0.04%,and the difference was not statistically significant(P>0.05).The positive detection rates of CMV-IgM,TOX-IgM,TOX-IgG were obviously lower than those of CMV-IgG and RV-IgG,and the difference was statistically significant(P<0.05).The positive detection rates of CMV-IgG and RV-IgG in the age-appropriate group were 99.21%and 100.00%,respectively,which were higher than 63.64%and 66.36%in the younger age group,and 73.93%and 72.28%in the older age group.All the difference was statistically significant(P<0.05).There was no statistically significant difference in positive rates of CMV-IgM,TOX-IgM,TOX-IgG among three groups(P>0.05).The proportion of TSH<0.3μIU/ml of younger age group,age-appropriate group,older age group were 1.82%,8.17%,4.95%,and proportion of TSH>4.5μIU/ml were 0,8.39%,5.94%.There was no statistically significant difference in TSH test results among three groups(P>0.05).The proportions of GLU<3.5 mmol/L of younger age group,age-appropriate group,older age group were 0,1.93%,2.48%,and proportions of GLU>6.1 mmol/L were 4.55%,10.04%,13.70%.All the diff

关 键 词：孕前优生检查 优生四项 促甲状腺激素 血糖 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]