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弓形虫病与习惯性流产

Toxoplasmosis and habitual abortion.

作者信息

Qublan H S, Jumaian N, Abu-Salem A, Hamadelil F Y, Mashagbeh M, Abdel-Ghani F

机构信息

Department of Obstetrics and Gynecology, Royal Medical Services, Irbid-Aidun, PO Box 97, Amman, Jordan.

出版信息

J Obstet Gynaecol. 2002 May;22(3):296-8. doi: 10.1080/01443610220130616.

Abstract

We set out to determine the role of toxoplasmosis, detected by serological tests, in habitual abortion. A total of 280 pregnant women aged 15-46 years with parity ranged from 0-9 were studied prospectively between January 2000 and May 2001 at King Hussein Medical Center. Analyses for IgG and IgM anti-toxoplasma were carried out using indirect fluorescent antibody assay (IFAT) and enzyme-linked immunosorbent assay (ELISA). Titres of the order of 1:16-1:2048 were considered positive. According to the results, women were divided into two groups; seropositive (n=132) and seronegative (n=148). One hundred and thirty-two (47.1%) pregnant women showed seropositivity to IgG anti-toxoplasma; of them, two (1.5%) developed IgM anti-toxoplasma during the second trimester. A statistically significant increase in the rate of seropositivity to toxoplasma with increasing age and parity was found (P<0.05). There was no significant difference in the rate of habitual abortion between seropositive and seronegative women. The seropositivity was higher among women living in rural areas (P<0.02), who are using rainwater to drink (P<0.02), ingesting undercooked meat (P<0.001) and who have contact with soil (P<0.02). Toxoplasma antibodies detected by positive serological tests tend to be higher with increased age and parity. It seems that they have no role in habitual abortion.

摘要

我们着手确定通过血清学检测发现的弓形虫病在习惯性流产中的作用。2000年1月至2001年5月期间,在侯赛因国王医疗中心对280名年龄在15至46岁、孕次为0至9次的孕妇进行了前瞻性研究。采用间接荧光抗体试验(IFAT)和酶联免疫吸附试验(ELISA)对IgG和IgM抗弓形虫进行分析。滴度在1:16至1:2048之间的被视为阳性。根据结果,将女性分为两组:血清阳性组(n = 132)和血清阴性组(n = 148)。132名(47.1%)孕妇对IgG抗弓形虫呈血清阳性;其中,两名(1.5%)在孕中期出现IgM抗弓形虫。发现随着年龄和孕次的增加,弓形虫血清阳性率有统计学意义的升高(P<0.05)。血清阳性和血清阴性女性的习惯性流产率没有显著差异。生活在农村地区(P<0.02)、饮用雨水(P<0.02)、食用未煮熟肉类(P<0.001)以及接触土壤(P<0.02)的女性血清阳性率更高。血清学检测呈阳性的弓形虫抗体往往随着年龄和孕次的增加而升高。看来它们在习惯性流产中没有作用。

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