检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
8期
1020-1022
,共3页
杨平%毕永春%胡伟%张葵
楊平%畢永春%鬍偉%張葵
양평%필영춘%호위%장규
丙型肝炎诊断%丙型肝炎病毒抗体%丙型肝炎病毒核酸
丙型肝炎診斷%丙型肝炎病毒抗體%丙型肝炎病毒覈痠
병형간염진단%병형간염병독항체%병형간염병독핵산
diagnosis of hepatitis C%HCV antibody%HCV RNA
目的:探讨在丙型肝炎患者早期诊断中丙型肝炎病毒抗体联合丙型肝炎病毒核酸(HCV RNA)检测的临床价值。方法对116例鼓楼医院住院及门诊丙型肝炎患者采用实时荧光定量聚合酶链反应(FQ-PCR)测定HCV RNA、酶联免疫吸附试验(ELISA)和金标法测 HCV抗体、速率法测丙氨酸氨基转移酶(ALT )。结果116例丙型肝炎患者中,ELISA HCV抗体阳性97例(占83.6%),HCV RNA阳性85例(占73.3%),HCV 金标阳性77例(占66.4%),ALT阳性69例(占59.5%),HCV抗体和 HCV RNA联合检测总阳性率(指任一指标阳性即为阳性)为100.0%。结论 HCV抗体和HCV RNA联合检测扩大了丙型肝炎检测范围,降低了丙型肝炎的漏诊率,有利于丙型肝炎的早期诊断。
目的:探討在丙型肝炎患者早期診斷中丙型肝炎病毒抗體聯閤丙型肝炎病毒覈痠(HCV RNA)檢測的臨床價值。方法對116例鼓樓醫院住院及門診丙型肝炎患者採用實時熒光定量聚閤酶鏈反應(FQ-PCR)測定HCV RNA、酶聯免疫吸附試驗(ELISA)和金標法測 HCV抗體、速率法測丙氨痠氨基轉移酶(ALT )。結果116例丙型肝炎患者中,ELISA HCV抗體暘性97例(佔83.6%),HCV RNA暘性85例(佔73.3%),HCV 金標暘性77例(佔66.4%),ALT暘性69例(佔59.5%),HCV抗體和 HCV RNA聯閤檢測總暘性率(指任一指標暘性即為暘性)為100.0%。結論 HCV抗體和HCV RNA聯閤檢測擴大瞭丙型肝炎檢測範圍,降低瞭丙型肝炎的漏診率,有利于丙型肝炎的早期診斷。
목적:탐토재병형간염환자조기진단중병형간염병독항체연합병형간염병독핵산(HCV RNA)검측적림상개치。방법대116례고루의원주원급문진병형간염환자채용실시형광정량취합매련반응(FQ-PCR)측정HCV RNA、매련면역흡부시험(ELISA)화금표법측 HCV항체、속솔법측병안산안기전이매(ALT )。결과116례병형간염환자중,ELISA HCV항체양성97례(점83.6%),HCV RNA양성85례(점73.3%),HCV 금표양성77례(점66.4%),ALT양성69례(점59.5%),HCV항체화 HCV RNA연합검측총양성솔(지임일지표양성즉위양성)위100.0%。결론 HCV항체화HCV RNA연합검측확대료병형간염검측범위,강저료병형간염적루진솔,유리우병형간염적조기진단。
Objective To explore the value of hepatitis C virus antibody (HCV Ab) and hepatitis C virus nu-cleic acid (HCV RNA ) for the diagnosis of hepatitis C .Methods Real-time fluorescence quantitative polymerase chain reaction (FQ-PCR) was used to detect HCV RNA ,enzyme-linked immunosorbent assay (ELISA) and colloidal gold labeled method was used to detect HCV Ab ,and the rate method was used to detect alanine aminotransferase (ALT ) in 116 patients with hepatitis C .Results The positive ratios of HCV Ab detected by ELISA ,HCV RNA , HCV Ab detected by colloidal gold labeled method and ALT were respectively 83 .6% ,73 .3% ,66 .4% and 59 .5% . Positive rated of joint determination of HCV Ab and HCV RNA was 100 .0% .Conclusion Combined detection of HCV Ab and HCV RNA could be conducive to the diagnosis of hepatitis C .