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新生儿弓形虫(T)、衣原体(CT)、解脲支原体(UU)母婴传播问题.至今仍是一项重要优生措施。本文应用阿奇霉素(azithromycin)600mg.给孕妇T-DNA、CT-DNA及UU-DNA.PCR检测阳性孕母.每日1次,口服连服3天,获得了满意效果,320例孕妇经检测,阳性率分别为T-DNA、21.67%±2.31%.CT-DNA为19.33%、2.83%,UU-DNA为17.33%±2.13%。孕妇T-DNA阳性者母婴传播率为48.49%,阴性者235例,传播率为1.28%.P<0.01。孕妇CT-DNA阳性者,母婴传播率为65.52%.阴性者242例,母婴传播率为0.82%,P<0.01。孕妇UU-DNA阳性者26例.母婴传播率为57.69%.阴性248例,母婴传播率为1.61%,P<0.01。孕母T-DNA阳性32例,CT-DNA阳性率29例及UU-DNA阳性26例,母婴传播率便为9.38%、3.45%及11.53%,孕妇阳性与阴性传播率间P<0.01,新生儿DNA阳性者经治疗后.T-DNA、CT-DNA、及UU-DNA阴转率为100%,95%及94.5%。建议于孕期发现T-DNA、CT-DNA及UU-DNA阳性者应以阿奇霉素防治.以减少胎儿宫内发育不良及畸形儿。
Neonatal Toxoplasma gondii (T), Chlamydia (CT), UU maternal and infant transmission problems. It is still an important preferential measure. This article uses azithromycin (azithromycin) 600mg. To pregnant women T-DNA, CT-DNA and UU-DNA. PCR detection of positive pregnant mother. Once a day, oral and even served for 3 days, obtained satisfactory results, 320 pregnant women after testing, the positive rates were T-DNA, 21.67% ± 2.31%. CT-DNA was 19.33%, 2.83%, UU-DNA was 17.33% ± 2.13%. T-DNA positive pregnant women, maternal and child transmission rate was 48.49%, 235 were negative, the transmission rate was 1.28%. P <0.01. Pregnant women with positive CT-DNA, mother-to-child transmission rate was 65.52%. 242 cases were negative, the mother-infant transmission rate was 0.82%, P <0.01. Pregnant women with UU-DNA were 26 cases. Mother-to-child transmission rate was 57.69%. Negative 248 cases, mother and child transmission rate was 1.61%, P <0.01. T-DNA positive in pregnant women in 32 cases, CT-DNA positive rate in 29 cases and UU-DNA positive in 26 cases, the mother-to-child transmission rate was 9.38%, 3.45% and 11.53%, pregnant women, positive and negative transmission Inter-P <0.01, neonatal DNA positive after treatment. The negative conversion rates of T-DNA, CT-DNA and UU-DNA were 100%, 95% and 94.5%. It is recommended that during pregnancy found T-DNA, CT-DNA and UU-DNA positive should azithromycin control. To reduce intrauterine dysplasia and deformed children.