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应用风疹病毒-聚合酶性反应(RV-PCR)技术对503例孕10-20周无风疹症状的妊娠妇女及460例非孕妇女血液标本进行风疹病毒RV-RNA测定,对孕妇RV-RNA阳性者进而检测其羊水中的RV-RNA,对胎儿风疹病毒先天性感染作出产前诊断。结果:503例孕妇血液标本中RV-RNA阳性者26例,检出率为5.17%,460例对照组非孕妇女血液标本中RV-RNA阳性者5例,检出率为1.09%,两者差异具有极显著意义(P<0.001)。揭示孕妇是风疹病毒的易感人群。对26例外周血RV-RNA阳性的孕妇,其中20例羊术检出RV-RNA占76.92%。另外6例羊水中未检出RV-RNA。对这20例孕妇引产后追踪检测的结果与产前诊断符合。该方法能预防RV母婴垂传播和由此引起的先天畸形。
RV-PCR was used to detect RV-RNA of 503 rubella pregnant women and 460 non-pregnant women with rubella-free symptoms for 10-20 weeks. RV-RNA was positive for pregnant women Then further detection of their RV-RNA in amniotic fluid, prenatal diagnosis of fetal rubella congenital infection. Results: The positive rate of RV-RNA in blood samples of 503 pregnant women was 26 cases (5.17%). The positive rate of RV-RNA in blood samples from 460 pregnant women was 5 %, There is a significant difference between the two (P <0.001). Reveal that pregnant women are susceptible to rubella virus. Among 26 pregnant women with positive RV-RNA in peripheral blood, RV-RNA was detected in 20 of them (76.92%). RV-RNA was not detected in the other 6 cases of amniotic fluid. The results of follow-up testing of these 20 pregnant women after induction of labor were consistent with prenatal diagnosis. This method can prevent RV maternal and child transmission and the resulting congenital malformations.