杭州市某区2013年——2020年婚检人员艾滋病、梅毒、沙眼衣原体、淋球菌、HBV、TORCH、TSH以及肝肾功能检测结果研究  

Study on the detection results of HIV,syphilis,Chlamydia trachomatis,Neisseria gonorrhoeae,HBV,TORCH,TSH and liver and kidney functions among premarital examiners in a district of Hangzhou from 2013 to 2020

作　　者：徐洁颖 章福姣 杨爱平 顾柳芬 刘军[1] 何琛晔 XU Jie-ying;ZHANG Fu-jiao;YANG Ai-ping;GU Liu-fen;LIU Jun;HE Chen-ye(Xiaoshan Hospital,Hangzhou,Zhejiang 311202,China;不详)

机构地区：[1]浙江萧山医院,浙江杭州311202 [2]上海市松江区九亭医院,上海201615

出　　处：《中国卫生检验杂志》2021年第22期2786-2788,2792,共4页Chinese Journal of Health Laboratory Technology

基　　金：杭州市科技计划引导项目(20181228Y86);杭州市卫生健康委员会(B20200124)。

摘　　要：目的回顾性分析本区婚检及孕前优生检查中艾滋病(HIV)、乙型肝炎、梅毒、TORCH、沙眼衣原体(CT)、谷丙转氨酶(ALT)、血糖(Glu)、肌酐、淋病奈瑟菌(NG)检出情况。方法按仪器操作指南及配套试剂检测上述指标,同时应用卡方检验对比分析乙型肝炎、淋病、ALT、Glu阳性率在不同性别之间的差异。结果2013年—2020年CT阳性率分别为6.56%、6.21%、5.58%、5.82%、4.35%、4.31%、4.02%、4.34%;HBsAg阳性率分别为6.89%、5.72%、4.41%、4.83%、4.22%、3.87%、2.39%、2.02%;梅毒阳性率分别为3.35‰、4.09‰、2.89‰、3.77‰、3.31‰、4.00‰、3.75‰、3.08‰;男性乙肝表面抗原(HBsAg)、ALT、Glu阳性率高于女性(P<0.05);女性梅毒阳性率高于男性(P<0.05);甲状腺功能亢进(TSH<0.3 uIU/ml)发生率明显高于甲状腺功能减退(TSH>5 uIU/ml)(P<0.05);男性HIV阳性率明显高于女性(P<0.05)。结论免费婚检不仅可以检测出性传播疾病,还可以筛查出甲状腺及肝肾功能异常情况,有效阻断夫妻及母婴之间传染病传播、降低出生缺陷。Objective Retrospective analysis was carried out on the detection rates of HIV,hepatitis B,syphilis,TORCH,Eplasma trachomatis(CT),ALT,Glu,creatinine and Neisseria gonorrhoeae(NG)in premarital and pre-pregnancy prenatal examinations.Methods The above indexes were detected according to the instrument operation guidelines and supporting reagents,and the differences of positive rates of hepatitis B,gonorrhea,ALT and Glu between different genders were compared and analyzed by chi square test.Results The positive rates of CT in 2013-2020 were 6.56%,6.21%,5.58%,5.82%,4.35%,4.31%,4.02%,4.34%,respectively.The positive rates of HBsAg were 6.89%,5.72%,4.41%,4.83%,4.22%,3.87%,2.39%,2.02%,respectively.The positive rates of syphilis were 3.35‰,4.09‰,2.89‰,3.77‰,3.31‰,4.00‰,3.75‰,3.08‰,respectively.The positive rates of HBsAg(+),ALT and Glu in male were higher than those in female(P<0.05).The positive rate of syphilis in female was higher than that in male(P<0.05);the incidence of hyperthyroidism(TSH<0.3 uIU/ml)was significantly higher than that of hypothyroidism(TSH>5 uIU/ml)(P<0.05).Conclusion Free premarital examination can not only detect sexually transmitted diseases,but also screen thyroid,liver and kidney dysfunctions,effectively block the transmission of infectious diseases between husband and wife,mother and child,and reduce birth defects.

关 键 词：婚检 TORCH 艾滋病 梅毒 乙型肝炎 沙眼衣原体 淋病 

分 类 号：R446[医药卫生—诊断学]