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ELISA检测脐血中巨细胞病毒IgM抗体诊断先天性巨细胞病毒感染的探讨
引用本文:郭特鎏,唐泽媛,吴炎兴,姚裕家,李炜如. ELISA检测脐血中巨细胞病毒IgM抗体诊断先天性巨细胞病毒感染的探讨[J]. 四川大学学报(医学版), 1989, 0(4)
作者姓名:郭特鎏  唐泽媛  吴炎兴  姚裕家  李炜如
作者单位:华西医大儿科学教研室(郭特鎏,唐泽媛,吴炎兴,姚裕家),华西医大儿科学教研室(李炜如)
摘    要:作者用直接和间接ELISA方法,对成都市6所医院初生婴儿582例的脐应进行了巨细胞病毒(CMV)IgM抗体检测。结果:两种方法检出CMV IgM抗体阳性者共27扮,阳性率4.6%,其中用直接ELISA检测,阳性者25份,间接ELISA阳性者为15份。前者明显优于后者(P<0.05),表明其敏感性高,特异性强。CMV IgM抗体阳性儿临床随访至5~6月龄,2例听力异常,1例眼底可疑异常。

关 键 词:酶联免疫吸附试验  巨细胞病毒  免疫球蛋白M抗体  先天性巨细胞病毒感染

DIAGNOSIS OF CONGENITAL CMV INFECTION BY SPECIFIC CMV IgM ANTIBODY IN CORD SERUM WITH ELISA
Guo Tieliu,Tang Zeyuan,Wu Yanxing,Yao Yujia,Li Weiru. DIAGNOSIS OF CONGENITAL CMV INFECTION BY SPECIFIC CMV IgM ANTIBODY IN CORD SERUM WITH ELISA[J]. Journal of Sichuan University. Medical science edition, 1989, 0(4)
Authors:Guo Tieliu  Tang Zeyuan  Wu Yanxing  Yao Yujia  Li Weiru
Affiliation:Guo Tieliu;Tang Zeyuan;Wu Yanxing;Yao Yujia;Li Weiru Department of Pediatrics
Abstract:Cytomegalovirus IgM (CMV IgM) anti-bodies of 582 cord sera from 6 hospitals inChengdu were detected by direct ELISA andindirect ELISA. Twenty-seven cases withCMV IgM antibody positive were datectedfrom 582 cord sera. Twenty-five and 15cases were found to have CMV IgM antibodyby direct ELISA and indirect ELISA, respec-tively (P>0.05). Indirect ELISA for detec-tion CMV IgM antibody was only interferedby high concentration of CMV IgG andrheumatoid factor. Children with CMV IgMantibody positive were followed-up to 5-6months. Hearing loss was detected by im-pedance audiology in only 2 cases. But theother physical and mental examinations werenortmal. The result showed that the preva-lence of congenital CMV infection is 4.6%in our study and direct ELISA method ismore specific and sensitive than indirectELISA method to detect CMV IgM antibodyin cord serum.
Keywords:Enzyme-linked immunosorbent assays Cytomegalovirus  IgM antibody  Congenital CMV infection
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