世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
26期
39-40
,共2页
戈庆红%马浩杰%翟光华
戈慶紅%馬浩傑%翟光華
과경홍%마호걸%적광화
梅毒螺旋体抗体%梅毒螺旋体酶联免疫吸附试验(tP-elisa)%梅毒螺旋体明胶颗粒凝集试验(tPPa)%快速血浆反应环状卡片试验(rPr)
梅毒螺鏇體抗體%梅毒螺鏇體酶聯免疫吸附試驗(tP-elisa)%梅毒螺鏇體明膠顆粒凝集試驗(tPPa)%快速血漿反應環狀卡片試驗(rPr)
매독라선체항체%매독라선체매련면역흡부시험(tP-elisa)%매독라선체명효과립응집시험(tPPa)%쾌속혈장반응배상잡편시험(rPr)
treponema pallidum antibody%treponema pallidum enzyme-linked immunosorbent assay (tP-elisa)%treponema pallidum gelatin particle agglutination test (tPPa)%rapid plasma reaction ring card test (rPr)
目的：探讨梅毒螺旋体酶联免疫吸附试验（tP-elisa）、（tPPa）和快速血浆反应环状卡片试验（rPr）三种方法同时用于梅毒螺旋体检测的重要性和必要性。方法对住院及门诊患者共40448例用tP-elisa筛查出745例阳性标本，阳性标本则进一步做tPPa和rPr。结果用tP-elisa法检测出阳性的745例标本，进一步做tPPa确证试验，tPPa阳性690例（其中rPr阳性212例），两种方法阳性率具有显著性差异（χ2=55.050，P=0.000）。结论 tP-elisa二步法是较好的梅毒筛查试验，但在临床监测中仍有一定数量假阳性，用tPPa确证能有效排除tP-elisa的假阳性问题，rPr是现症梅毒和疗效观察的指标。
目的：探討梅毒螺鏇體酶聯免疫吸附試驗（tP-elisa）、（tPPa）和快速血漿反應環狀卡片試驗（rPr）三種方法同時用于梅毒螺鏇體檢測的重要性和必要性。方法對住院及門診患者共40448例用tP-elisa篩查齣745例暘性標本，暘性標本則進一步做tPPa和rPr。結果用tP-elisa法檢測齣暘性的745例標本，進一步做tPPa確證試驗，tPPa暘性690例（其中rPr暘性212例），兩種方法暘性率具有顯著性差異（χ2=55.050，P=0.000）。結論 tP-elisa二步法是較好的梅毒篩查試驗，但在臨床鑑測中仍有一定數量假暘性，用tPPa確證能有效排除tP-elisa的假暘性問題，rPr是現癥梅毒和療效觀察的指標。
목적：탐토매독라선체매련면역흡부시험（tP-elisa）、（tPPa）화쾌속혈장반응배상잡편시험（rPr）삼충방법동시용우매독라선체검측적중요성화필요성。방법대주원급문진환자공40448례용tP-elisa사사출745례양성표본，양성표본칙진일보주tPPa화rPr。결과용tP-elisa법검측출양성적745례표본，진일보주tPPa학증시험，tPPa양성690례（기중rPr양성212례），량충방법양성솔구유현저성차이（χ2=55.050，P=0.000）。결론 tP-elisa이보법시교호적매독사사시험，단재림상감측중잉유일정수량가양성，용tPPa학증능유효배제tP-elisa적가양성문제，rPr시현증매독화료효관찰적지표。
Objective to explore the importance and necessity of three methods in testing treponema pallidum including treponema pallidum enzyme-linked immunosorbent assay (tP-elisa), treponema pallidum gelatin particle agglutination test (tPPa) and rapid plasma reaction ring card test (rPr).Methods a total of 40448 patients were screened from inpatient and outpatient department and 745 cases showed positive specimens by tP - elisa screening, which was detected by further tPPa and rPr.Results 745 cases were detected with positive specimens by TP - ELISA. Further conifrmation was performed by tPPa test and 690 cases showed positive (212 patients with positive rPr). the positive rate compared by the two methods showed signiifcant difference(χ2=55.050,P=0.000)Conclusion the two step method of tP-elisa is a better screening test for treponema pallidum, but there are still a number of false positive results in the clinical monitoring. Conifrmed by TPPA can effectively eliminate the false positive problem in tP - elisa test. rPr is a good index for detecting treponema pallidum and observating curative effect.
