【摘要】 目的 探讨妊娠早期妇女TORCH感染状况及其妊娠结局。 方法用酶联免疫吸附试验(ELISA)方法对510例妊娠早期妇女进行TORCH检测。将TORCH检测IgM阳性并且自愿要求继续妊娠的68例孕妇(试验组)与同期TORCH检测IgM阴性的442例孕妇(对照组)进行比较。结果在对510例妊娠早期妇女进行TORCH检测中， TORCH-IgM阳性68例，阳性率为13.33%(68/510)；检出TORCH-IgM总阳性数为88例，总阳性数占17.25%(88/510)。结论孕早期是孕妇TORCH感染和导致宫内感染的主要时期。孕期TORCH感染可导致自然流产、致畸和死胎等。孕早期TORCH感染是引起不良妊娠结局的重要原因之一。预防TORCH感染十分重要尤其是要加强对TORCH感染高危人群的监测。

    【关键词】 妊娠;TORCH感染;宫内感染;妊娠结局

    Analysis on TORCH infection and pregnant outcome in early pregnant women

    DIAO Xiao-di.

    Department of Obstetrics and Gynecology, Shanghai No.7 Hospital,Shanghai 200137, China

    【Abstract】 Objective To investigate the status of TORCH infection and pregnant outcome in early pregnant woman. Methods ELISA method is used to test 510 early pregnant women's TORCH infection. Results Among 510 tested early pregnantwoman, 68 cases show TORCH-IgM positive, and the positive frequency is 13.33%(68/510). The total positive number reach 88 among 68 cases TORCH-IgM positive.Conclusion The early pregnancy is the main period of TORCH infection in pregnant woman and causing intrauterine infection. TORCH infection during pregnancy may cause spontaneous abortion, abnormality and fetal death et al. TORCH infection in early pregnancy is one of important reasons of abnormal pregnant outcome. To prevent TORCH infection is a very important. Especially, monitoring should be made on those who may take high risk in suffering TORCH infection. ......