Zhao Z T
Shangdong Medical University, Jinan.
Zhonghua Fu Chan Ke Za Zhi. 1991 Mar;26(2):78-81, 123.
3,012 pregnant women were divided into three groups according to the status of Toxoplasma gondii infection, and the pregnancy outcomes were followed up. Results showed that the total incidence rates of spontaneous abortion, premature birth, still birth and congenital defects were 0.70, 3.39, 0.83 and 0.90% respectively. The incidence rates of the four groups of abnormal pregnancies having serologically diagnosed recent or active infection were significantly higher than that having no evidence of infection. The relative risk estimates (ORmh) of the 4 groups were 7.01, 3.44, 8.76 and 9.34% respectively. The incidence rates of the groups diagnosed as having past infection were not significantly different from that having no evidence of infection. Analysis of the time lapse from positive serodiagnosis to the appearance of abnormal pregnancies showed that the development of congenital defects was statistically related with Toxoplasma gondii infection in the first trimester of gestation.
3012名孕妇根据弓形虫感染状况被分为三组,并对妊娠结局进行随访。结果显示,自然流产、早产、死产和先天性缺陷的总发生率分别为0.70%、3.39%、0.83%和0.90%。血清学诊断为近期或活动性感染的四组异常妊娠的发生率显著高于无感染证据的组。四组的相对风险估计值(ORmh)分别为7.01、3.44、8.76和9.34%。诊断为既往感染的组与无感染证据的组发生率无显著差异。对血清学诊断阳性至异常妊娠出现的时间间隔分析表明,先天性缺陷的发生与妊娠早期弓形虫感染在统计学上相关。