培养法,相符率,细菌性阴道病,妊娠期,Open Array 技术," /> 培养法,相符率,细菌性阴道病,妊娠期,Open Array 技术,"/> Culture method,Accordance rate,Bacterial vaginosis,Pregnancy,Open Array technology,"/> <span style="font-size:14px;line-height:2;">基于Open Array 技术的妊娠期阴道菌群</span><span style="font-size:14px;line-height:2;">检测研究</span>
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发育医学电子杂志  2021, Vol. 9 Issue (3): 188-193    DOI: 10.3969/j.issn.2095-5340.2021.03.005
  围产医学   论著 |产科 |
基于Open Array 技术的妊娠期阴道菌群检测研究
郭琦 庄彩霞  蒋宇林  刘俊涛  肖盟  刘理达
1. 中国医学科学院北京协和医学院/北京协和医院 产科中心,北京100730;2. 首都医科大学附属
北京朝阳医院 妇产科,北京 100020;3. 中国医学科学院 北京协和医学院/北京协和医院 检验科/北京市重点实验室,北京 100730;4. 北京市平谷区医院妇产科,北京 101200)
A study of vaginal microflora detection during pregnancy based on Open Array technology
Guo Qi, Zhuang Caixia, Jiang Yulin, et al
(1. Department of Obstetrics,Chinese Academy of Medical Sciences Peking Union Medical College, Beijing 100730, China; 2.Department of Obstetrics and Gynecology, Beijing Chaoyang Hospital, Capital Medical University, Beijing100020, China; 3. Department of Laboratory , Beijing Key Laboratory , Chinese Academy of Medical Sciences Peking Union Medical College, Beijing 100730, China; 4. Obstetrics and Gynecology, Beijing Pinggu Hospital, Beijing 101200, China)
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摘要 【摘要】 目的  探讨 Open Array 平台技术用于孕期阴道菌群分析及筛查感染病原菌检测的临床效率。
方法 选择2017 年11 月至2018 年5 月在北京协和医院产检的孕妇中纳入200 例。采集其阴拭子标本,
分别应用传统培养法和Open Array 平台技术进行检测。 结果  对于阴道真菌和细菌的检测,传统培
养法和Open Array 平台技术的检测阳性率分别为19.0%(38/200)和20.0%(40/200),差异无统计学意
义(P=0.800)。传统培养法和Open Array 平台技术检测细菌的总相符率为94.5%,真菌相符率为97.1%。
此外,Open Array 平台技术可另检出细菌性阴道病(bacterial vaginosis,BV)34 例(17.0%)。本研究中单 纯BV 阳性病例中,胎膜早破比例(26.1%)较BV 阴性且无其他感染的病例中发生率(17.6%)稍高,但尚 不具有显著性差异(P=0.053),需进一步的大样本量研究。 结论 Open Array 平台技术可以作为筛查妊娠期阴道菌群及病原体的快速检测技术,与传统培养的检出率相当,符合度较高,在临床需要快速检
测进行针对性处理及用药指导时具有可信性。
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关键词:  培养法')" href="#">培养法  相符率  细菌性阴道病  妊娠期  Open Array 技术    
Abstract: 【Abstract】 Objective To investigate the clinical efficiency of Open Array platform technology in the analysis of vaginal flora during pregnancy and the detection rate of pathogens screening. Methods From November 2017 to May 2018, 200 pregnant women in Peking Union Medical College Hospital were enrolled, whose swab specimens were tested by traditional culture and Open Array platform technology. Results For the detection of vaginal candidiasis and bacteria infection, the positive rates of traditional culture method and Open Array platform technology were 19.0% (38/200) and 20.0% (40/200), respectively, with no statistical difference (P=0.800). The accordance rate between traditional culture and Open Array platform technology for candida and bacteria was 94.5%, and 97.1% for candidasis. In addition, 34 cases (17.0%) of bacterial vaginosis (BV)were detected by Open Array platform. In this study, the proportion of premature rupture of membranes in BV positive cases (26.1%) was higher than that in BV negative or any other infection cases (17.6%), but there was no significant difference (P=0.053), and further study with a large sample size was needed.Conclusions Open Array platform technology can be used as a rapid detection technology for screening vaginal flora and pathogens during pregnancy. The detection rate of Open Array platform technology is similar to that of traditional culture with a high degree of conformity. It has credibility when there are clinical needs for rapid detection for targeted treatment and medication guidance.

Key words:  Culture method')" href="#">Culture method    Accordance rate    Bacterial vaginosis    Pregnancy    Open Array technology
收稿日期:  2021-02-19                     发布日期:  2021-05-26     
通讯作者:  蒋宇林    E-mail:  Jiangyulin@pumch.cn
引用本文:    
郭琦 庄彩霞  蒋宇林  刘俊涛  肖盟  刘理达. 基于Open Array 技术的妊娠期阴道菌群检测研究[J]. 发育医学电子杂志, 2021, 9(3): 188-193.
Guo Qi, Zhuang Caixia, Jiang Yulin, et al. A study of vaginal microflora detection during pregnancy based on Open Array technology. Journal of Developmental Medicine(Electronic Version), 2021, 9(3): 188-193.
链接本文:  
http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2021.03.005  或          http://www.fyyxzz.com/CN/Y2021/V9/I3/188
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