CAJ | 학술논문

目的：探讨风湿三项指标在类风湿患者临床诊断中的应用价值。方法215例类风湿患者为类风湿组，126例健康人员为健康组，分别采用免疫散射比浊速率法定量检测血清RF、ASO的浓度，Westergren法检测ESR，比较两组研究对象的三项指标检测结果、阳性率及诊断效能。结果类风湿组RF、ASO、ESR水平高于健康组，比较差异具有统计学意义（P＜0.05）。类风湿组风湿三项指标及三项联合的阳性率均高于健康组（P＜0.05）。阳性预测值中RF＋ASO＋ESR最高，为92.70%，阴性预测值中RF最高，为84.25%。结论虽然单独的RF、ASO、ESR能够辅助类风湿的诊断，但三项联合检测能够提高类风湿早期诊断的准确性，减少误诊率。
목적：탐토풍습삼항지표재류풍습환자림상진단중적응용개치。방법215례류풍습환자위류풍습조，126례건강인원위건강조，분별채용면역산사비탁속솔법정량검측혈청RF、ASO적농도，Westergren법검측ESR，비교량조연구대상적삼항지표검측결과、양성솔급진단효능。결과류풍습조RF、ASO、ESR수평고우건강조，비교차이구유통계학의의（P＜0.05）。류풍습조풍습삼항지표급삼항연합적양성솔균고우건강조（P＜0.05）。양성예측치중RF＋ASO＋ESR최고，위92.70%，음성예측치중RF최고，위84.25%。결론수연단독적RF、ASO、ESR능구보조류풍습적진단，단삼항연합검측능구제고류풍습조기진단적준학성，감소오진솔。
Objective To discuss the application value of rheumatoid three indicators in the diagnosis of rheumatoid.Methods 215 cases of rheumatoid were chosen as rheumatoid group, 126 cases of healthy people were chosen as healthy group. They used rate nephelometry and to examine concentration of serum RF, ASO quantitatively, and Westergren method to examine ESR.Results RF, ASO, ESR levels in rheumatoid group were significantly higher than healthy group (P<0.05). The positive rate of rheumatoid three indicators and combination of three indicators were significantly higher than healthy group (P<0.05).Conclusion Although separate RF, ASO, ESR detection can help to diagnose rheumatoid, the combination of three indicators detection can improve the accuracy of early diagnosis of rheumatoid and reduce misdiagnosis rate.