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王茜 刘华 韩冬韧 马耀红 王强.CMV-DNA 与CMV-IgM 对婴幼儿巨细胞感染的诊断价值[J].现代生物医学进展英文版,2015,15(25):4934-4936.
CMV-DNA 与CMV-IgM 对婴幼儿巨细胞感染的诊断价值
Diagnostic Value of CMV-DNA and CMV-IgMDetection toCytomegalovirus Infection in Infants
  
DOI:
中文关键词: CMV-DNA  CMV-IgM  巨细胞感染
英文关键词: CMV-DNA  CMV-IgM  Cytomegalovirus infection
基金项目:国家自然科学基金青年科学基金项目(30670928)
Author NameAffiliation
王茜 刘华 韩冬韧 马耀红 王强 首都医科大学附属北京妇产医院 
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中文摘要:
      目的:研究尿液CMV-DNA 联合血清CMV-IgM检测对婴儿巨细胞感染的诊断价值。方法:选取2012 年8 月到2014 年8 月 期间我院疑似巨细胞感染的婴幼儿70 例,应用化学发光法检测血清CMV-IgM,采用实时荧光定量PCR法(FQ-PCR)来检测尿液 CMV-DNA,并比较经抗病毒治疗前和治疗后检测结果的变化。结果:单独检测尿CMV-DNA 的阳性率为62.8%(44/70),单独检 测血清CMV-IgM的阳性率为55.7%(39/70),两者比较差异无统计学意义(P>0.05);两者联合检测的阳性率为77.1%(54/70),与 两种方法单独检测比较差异具有统计学意义(P<0.05);经抗病毒治疗以后两种检测结果均显著降低,与治疗前比较差异具有统 计学意义(P<0.05)。结论:尿液CMV-DNA联合血清CMV-IgM检测能显著提高婴儿巨细胞感染的阳性率。
英文摘要:
      Objective:To study the diagnostic value of CMV-DNA in urine and serum CMV-IgM detection to cytomegalovirus infection in infants.Methods:70 cases suspected CMV infection in newborns were selected from our hospital during the period from August 2012 to August 2014, CMV-IgM in serum were detected in chemiluminescence, CMV-DNA in urine were detected in real-time quantitative PCR (FQ-PCR), before antiretroviral therapy and after treatment changed were compared.Results:Individually tested positive rate of CMV-DNA in the urine was 62.8% (44/70), separate tested positive rate of CMV-IgM in serum was 55.7%(39/70), the difference was no statistically significant (P>0.05); the positive rate of combined detection was 77.1%(54/70), the difference was statistically significant compared with individually tested with both methods (P<0.05); two detection results were significantly lower after treatment by the anti-virus, the difference was statistically significant compared with before treatment (P<0.05).Conclusion:CMV-DNA in urine and serumCMV-IgMdetection can significantly improve the positive rate of cytomegalovirus infection in infants.
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