中孕孕妇血清中戊型肝炎血清标志物的分析
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江苏省实验诊断学重点实验室资助(XK200731)


Analysis of hepatitis E virus makers in the serum of second trimester women
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    摘要:

    目的:调查南京地区中孕孕妇戊型肝炎病毒(hepatitis E virus,HEV)的感染状况-方法:收集临床妊娠监测的中孕孕妇的血清,用酶联免疫吸附试验(ELISA)试剂检测戊型肝炎病毒的抗原-IgG抗体和IgM抗体-结果:在155例中孕孕妇血样中,HEV抗原均呈阴性,1例HEV-IgM抗体阳性,3例HEV-IgG抗体阳性同时其HEV-IgM抗体滴度处于可疑区间,36例为单纯HEV-IgG抗体阳性,115例抗体均阴性-HEV-IgG抗体总的阳性率为25.16%(39/155),与对照组22.22%(20/90)相比,不存在统计学上的差异(P > 0.05)-各年龄组之间,随着年龄增长,HEV-IgG抗体阳性率有升高的趋势,无统计学差异(P > 0.05)-结论:孕妇戊型肝炎病毒感染现状不容忽视,为保证孕妇和新生儿的安全,建议在妊娠常规监测中增加戊型肝炎血清标志物的检测-

    Abstract:

    Objective:To investigate the incidence of Hepatitis E Virus(HEV)among the second trimester women in Nanjing. Methods:The serum of second trimester women was collected,and the HEV-Ag,anti-HEV IgG,anti-HEV IgM were detected by the corresponding ELISA kit. Results:Among the 155 second trimester women,none was HEV-Ag positive,one was anti-HEV IgM positive,36 were anti-HEV IgG positive,and 3 were anti-HEV IgG positive together with anti-HEV IgMdoubted positive. The total positive rate of anti-HEV IgG in second trimester women was 25.16%(39/155),and the positive rate of control group was 22.22%(20/90),and there was no significant difference in positive rate(P﹥0.05). With the advance of age,the positive rate of anti-HEV IgG had an increasing trend,without significant difference among groups (P < 0.05). Conclusion:We have to pay attention to the infection of HEV of pregnant women in Nanjing. Avoiding the danger to pregnant women,we suggest that serum hepatitis E virus makers should be a routine test in the each trimester of pregnant women.

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蒋〓理,谢而付,杨瑞霞,万〓茹,陈文玮,潘世扬.中孕孕妇血清中戊型肝炎血清标志物的分析[J].南京医科大学学报(自然科学版),2009,29(12):1721-1723

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  • 收稿日期:2009-08-13
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