国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
1期
78-81
,共4页
粪便潜血%转铁蛋白%血红蛋白%邻联甲苯胺
糞便潛血%轉鐵蛋白%血紅蛋白%鄰聯甲苯胺
분편잠혈%전철단백%혈홍단백%린련갑분알
Fecal occult blood%Transferrin%Hemoglobin%O-aniline
目的 探讨邻联甲苯胺、血红蛋白胶体金检测试纸(Hb),转铁蛋白胶体金检测试纸(Tf)同时检测粪便潜血对诊断消化道出血性疾病的临床价值.方法 对100例健康人及152例有消化道出血疾病的志右粪便标本,用邻联甲笨胺、血红蛋白胶体金诊断试纸、转铁蛋白胶体金诊断试纸检测粪便隐血,结暴 100例健康人邻联甲苯胺阳性检出率为12%,血红蛋白阳性检出率为2.0%,转铁蛋白阳性检出率为2.0%,同时检测粪便中血红蛋白、转铁蛋白阳性检出率为2.0%;152例有消化道出血疾病的患者邻甲苯胺阳性检出率为69.5%,血红蛋白阳性检出率为73.0%,转铁蛋白阳性检出率为88.2%,同时检测粪便中血红蛋白,转铁蛋白阳性检出率为91.2%.结论 免疫法灵敏度高、特异性强,但是血红蛋白由于受到肠内细菌的作用及大肠粘膜产生的粘液成分影响而变性,出现假阴性反应.因此同时测定血红蛋白和转铁蛋白,可提高消化道出血的阳性检出率.
目的 探討鄰聯甲苯胺、血紅蛋白膠體金檢測試紙(Hb),轉鐵蛋白膠體金檢測試紙(Tf)同時檢測糞便潛血對診斷消化道齣血性疾病的臨床價值.方法 對100例健康人及152例有消化道齣血疾病的誌右糞便標本,用鄰聯甲笨胺、血紅蛋白膠體金診斷試紙、轉鐵蛋白膠體金診斷試紙檢測糞便隱血,結暴 100例健康人鄰聯甲苯胺暘性檢齣率為12%,血紅蛋白暘性檢齣率為2.0%,轉鐵蛋白暘性檢齣率為2.0%,同時檢測糞便中血紅蛋白、轉鐵蛋白暘性檢齣率為2.0%;152例有消化道齣血疾病的患者鄰甲苯胺暘性檢齣率為69.5%,血紅蛋白暘性檢齣率為73.0%,轉鐵蛋白暘性檢齣率為88.2%,同時檢測糞便中血紅蛋白,轉鐵蛋白暘性檢齣率為91.2%.結論 免疫法靈敏度高、特異性彊,但是血紅蛋白由于受到腸內細菌的作用及大腸粘膜產生的粘液成分影響而變性,齣現假陰性反應.因此同時測定血紅蛋白和轉鐵蛋白,可提高消化道齣血的暘性檢齣率.
목적 탐토린련갑분알、혈홍단백효체금검측시지(Hb),전철단백효체금검측시지(Tf)동시검측분편잠혈대진단소화도출혈성질병적림상개치.방법 대100례건강인급152례유소화도출혈질병적지우분편표본,용린련갑분알、혈홍단백효체금진단시지、전철단백효체금진단시지검측분편은혈,결폭 100례건강인린련갑분알양성검출솔위12%,혈홍단백양성검출솔위2.0%,전철단백양성검출솔위2.0%,동시검측분편중혈홍단백、전철단백양성검출솔위2.0%;152례유소화도출혈질병적환자린갑분알양성검출솔위69.5%,혈홍단백양성검출솔위73.0%,전철단백양성검출솔위88.2%,동시검측분편중혈홍단백,전철단백양성검출솔위91.2%.결론 면역법령민도고、특이성강,단시혈홍단백유우수도장내세균적작용급대장점막산생적점액성분영향이변성,출현가음성반응.인차동시측정혈홍단백화전철단백,가제고소화도출혈적양성검출솔.
Objective To discuss the clinical value when using o-aniline, colloidal gold detection paper hemoglobin (Hb),transferrin colloidal gold detection paper (Tf) at the same time for fecal occult blood test to diagnose diseases of the gastrointestinal disease bleeding. Methods On 100 cases of healthy people specimens, with o-aniline, hemoglobin of colloidal gold paper, transferrin colloidal gold diagnostic test paper fecal occult blood test. Results Of 100 healthy people o-aniline positive rate of 12%, hemoglobin positive rate of 2.0%,transferrin positive rate of 2.0%, while the detection of hemoglobin and transferrin in the stool, positive rate is2.0%:152 cases of the disease have gastrointestinal bleeding in patients with o-toluidine positive rate of 69.5%,hemoglobin positive rates of 73.0%, transferrin positive rate of 88.2 %, while the detection of hemoglobin and transferrin in the stool, positive rate is 91.2%. Conclusions Immunity assay has high sensitivity and specificity. But hemoglobin due to the role of intestinal bacteria and the intestinal mucus composition of the infection and then cause variability, it can cause a false negative response. So use hemoglobin and transferring to mensurate gastrointestinal bleeding at the same time may increase the positive rate.
