CAJ | 학술논문

目的：探讨麻疹疑似病例血清麻疹IgM抗体检测的临床意义。方法：选取本地区医院收治的120份麻疹疑似病例，采集其血清标本，使用酶联免疫吸附实验方法（ELISA）检测麻疹和风疹IgM抗体。结果：7例麻疹IgM抗体呈阳性，确诊率为5．8％，98例风疹IgM抗体呈阳性，阳性率为81．67％，麻疹出疹距离采血时间0～3dIgM抗体阳性率明显低于4～22天，麻疹疑似病例与确诊病例发病时间均集中于3～5月份，其中3月份发病率最高，发病年龄25天～41岁，发病年龄主要集中于7岁以下的儿童和20～39岁的成年，有免疫史患者的发病率明显低于无免疫史的患者。结论：检测血清麻疹IgM抗体利于及时确诊疑似病例，加强对易感染人群的麻疹疫苗的预防接种，对于控制麻疹传染具有重要作用。
목적：탐토마진의사병례혈청마진IgM항체검측적림상의의。방법：선취본지구의원수치적120빈마진의사병례，채집기혈청표본，사용매련면역흡부실험방법（ELISA）검측마진화풍진IgM항체。결과：7례마진IgM항체정양성，학진솔위5．8％，98례풍진IgM항체정양성，양성솔위81．67％，마진출진거리채혈시간0～3dIgM항체양성솔명현저우4～22천，마진의사병례여학진병례발병시간균집중우3～5월빈，기중3월빈발병솔최고，발병년령25천～41세，발병년령주요집중우7세이하적인동화20～39세적성년，유면역사환자적발병솔명현저우무면역사적환자。결론：검측혈청마진IgM항체리우급시학진의사병례，가강대역감염인군적마진역묘적예방접충，대우공제마진전염구유중요작용。
Objective:To explore the clinical significance of measles suspected cases of measles IgM antibody in serum detection . Methods:Selected 120 suspected measles cases , collected serum samples , using ELISA experimental methods to detect measles IgM anti-body.Results:7 cases measles IgM antibody positive , positive rate was 5.8%, 98 cases rubella IgM antibody positive , positive rate was 81.67%, 0-3d time from eruption to collect blood antibody positive rate was lower than 4-22d, measles suspected cases and confirmed cases of illness were concentrated from March to May , the highest rates in March , the age of onset was 25 d to 41 years old, mainly in children under the age of 7 and 20 to 39, adult, history of immune patients were significantly lower than the incidence of patients had no history of immunization .Conclusion:Detection of serum IgM antibody for measles suspected cases diagnosed in time , strengthen the sus-ceptible crowd of measles vaccine inoculation , plays an important role for controlling measles .