孕前优生健康检查TORCH检测结果的分析  

Analysis of TORCH Test Results in Prenatal Health Check Ups for Eugenics

作　　者：杨峻 YANG Jun(Department of Clinical Laboratory,Wuhan Hongshan District Maternal and Child Health Hospital clinical laboratory,Wuhan,Hubei 430070,China)

机构地区：[1]武汉市洪山区妇幼保健院检验科,湖北武汉430070

出　　处：《中国医药指南》2025年第2期97-100,共4页Guide of China Medicine

摘　　要：目的探讨TORCH检查在临床孕前优生健康检查工作中的应用与效果。方法选取市洪山区妇幼保健院于2023年1月—12月收治的2115例行孕优生健康TORCH检查的患者的临床资料,分析总结其一般资料与TORCH检查结果。结果2115例受检者,CMV-IgG、CMV-IgM、RV-IgG与TOX-IgG、TOX-IgM阳性检出率分别为86.57%、0.38%、80.04%、5.82%、0.57%,且随着年龄的增长,CMV-IgG、RV-IgG与TOX-IgG阳性检出率不断增加,且不同年龄段阳性检出率比较(P<0.05),而不同年龄段受检者的TORCH-IgM阳性检出率比较,差异无统计学意义(P>0.05)。同时,城镇受检者CMV-IgG、CMV-IgM与RV-IgG阳性率均显著高于农村受检者(P<0.05),而TOX-IgG与TOX-IgM阳性率则低于农村受检者(P<0.05),且有异常妊娠史受检者各项TORCH阳性检出率均显著高于无异常妊娠史受检者,且两组受检者比较(P<0.05)。结论对育龄女性实施TORCH检查,能及时发现育龄女性的健康问题,且TORCH阳性检出率同受检者年龄、有无异常妊娠史与居住环境等因素相关,需引起重视。Objective To explore the application and effect of TORCH examination in clinical pre pregnancy eugenics health examination.Methods A total of 2115 clinical data from patients who underwent prenatal health TORCH examinations at our hospital from January 2023 to December 2023 were selected for analysis and summary of their general information and TORCH test results.Results Among the 2115 tested individuals,the positive detection rates of CMV IgG,CMV IgM,RV IgG,TOX IgG,and TOX IgM were 86.57%,0.38%,80.04%,5.82%,and 0.57%,respectively.The positive detection rates of CMV-IgG,RV-IgG and TOX-IgG increased with the increase of age,and the positive detection rates of different age groups were statistically significant(P<0.05).While there was no statistically significant difference in TORCH IgM positive detection rates among subjects of different age groups(P>0.05).At the same time,the positive rates of CMV-IgG,CMV-IgM,and RV IgG in urban patients were significantly higher than those in rural patients(P<0.05),while the positive rates of TOX-IgG and TOX-IgM were significantly lower than those in rural patients(P<0.05).In addition,the positive detection rates of TORCH in patients with abnormal pregnancy history were significantly higher than those without abnormal pregnancy history,and the difference between the two groups of patients was statistically significant(P<0.05).Conclusions The implementation of TORCH examination for women of childbearing age can timely detect their health problems,and the positive detection rate of TORCH is related to factors such as the age of the tested person,history of abnormal pregnancy,and living environment,which should be taken seriously.

关 键 词：TORCH 育龄女性 弓形虫 风疹 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]