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孕妇ABO血型抗A(B)抗体效价检测分析
引用本文:孙小纯,欧兴义,林伟强,陈亚军,陈晖,石晶.孕妇ABO血型抗A(B)抗体效价检测分析[J].国际检验医学杂志,2012,33(6):719+721.
作者姓名:孙小纯  欧兴义  林伟强  陈亚军  陈晖  石晶
作者单位:广东省珠海市人民医院,519000
摘    要:目的 了解该地区孕妇ABO血型抗A(B)IgG抗体效价异常率,分析其在新生儿溶血病(HDN)中的意义.方法 采用微柱凝胶法对4 000例孕周20周以上、O型血孕妇(丈夫为非O型血)进行血清抗A(B)IgG抗体效价检测;对抗体效价大于1∶64者所分娩新生儿进行HDN试验检测,分析抗体效价与HDN发病率的关系.结果 4 000例孕妇中,血清抗A(B)IgG抗体效价大于1∶64者有432例,异常率为10.8%(432/4 000);295例血清抗A(B)IgG抗体效价大于1∶64者所分娩的新生儿中,HDN发病率为53.9%(159/295).结论 随着血清IgG抗A(B)效价增高,HDN发病率也增高;产前抗体效价检测是可用于判断HDN发病风险的筛查指标.

关 键 词:溶血  ABO血型系统  母婴血型不合  婴儿  新生

Titer analysis of ABO blood type anti-A(B) antibody in gravida
Sun Xiaochun , Ou Xingyi , Lin Weiqiang , Chen Yajun , Chen Hui , Shi Jing.Titer analysis of ABO blood type anti-A(B) antibody in gravida[J].International Journal of Laboratory Medicine,2012,33(6):719+721.
Authors:Sun Xiaochun  Ou Xingyi  Lin Weiqiang  Chen Yajun  Chen Hui  Shi Jing
Institution:(People’s Hospital of Zhuhai City,Zhuhai Guangdong 519000,China)
Abstract:Objective To analyze the abnormal rate of ABO blood group anti-A(B) IgG antibody titer in gravida in this area and its relationship with hemolytic disease of the newborn(HDN).Methods Microcolumn gel method was performed for the detection of antibody titer in 4 000 cases of gravidas.Neonatus,delivered by gravida with antibody titer more than 1:64,were detected with HDN tests.Relationship between antibody titer and the incidence rate of HDN was analyzed.Results The abnormal rate of antibody titer was 10.8%(432/4 000).In neonatus,delivered by gravida with abnormal antibody titer,the incidence rate of HDN was 53.9%(159/295).Conclusion The incidence rate of HND could increase with the increasing of the titer of anti-A(B) antibody in gravida.Detection of antibody titer before delivery might be an effective indicator for the screening of HDN.
Keywords:hemolysis  ABO blood group system  maternal-fetal blood group incompatibility  infant  newborn
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