西藏地区孕妇的TORCH感染情况分析

Analysis of TORCH infection in pregnant women in Tibet

目的了解西藏地区孕妇TORCH病原体感染情况现状。方法对2018年10月至2019年5月西藏自治区妇幼保健院收集的626例孕妇TORCH检测相应的IgM和IgG抗体结果进行分析。结果626例孕妇中,TOXO-IgM和TOXO-IgG阳性率分别0.64%和8.60%,RUB-IgM和RUB-IgG阳性率分别为1.1%和87.7%。HSV-1/2 IgM和HSV-1/2 IgG阳性率分别为18.6%和97.1%;CMV-IgM和CMV-IgG阳性率分别0.48%和97.9%。结论该地区孕妇TORCH感染呈较高水平,其中CMV和HSV-1/2的感染率相对高。对筛查TORCH特异性抗体阳性的孕妇进行全面系统地评价,及时采取有效的措施,在改善不良妊娠和新生儿结局、提高西藏地区出生人口的素质有重要的临床意义。

Objective To understand the current situation of pathogen infection of TORCH in pregnant women in Tibet.Methods A total of 626 women of child-bearing age treated at maternal and child health care hospital of Tibet autonomous region from October 2018 to May 2019 were selected.Results Among the 626 pregnant women,the positive rates of TOXO-IgM and TOXO-IgG were 0.64%and 8.60%respectively,and the positive rates of RUB-IgM and RUB-IgG were 1.1%and 87.7%respectively.The positive rates of HSV-1/2 IgM and HSV-1/2 IgG were 18.6%and 97.1%,respectively;the positive rates of CMV-IgM and CMV-IgG were 0.48%and 97.9%,respectively.Conclusion TORCH infection rate is high in pregnant women in the region,with rates of CMV and HSV-1/2 are relatively higher.Comprehensive and systematic evaluation of screening TORCH specific antibody positive pregnant women and timely and effective measures have important clinical significance in improving adverse pregnancy and newborn outcome and improving the quality of birth population in Tibet.