CAJ | 학술논문

目的：探讨老年患者梅毒螺旋体抗体呈阳性的临床意义。方法：2008年4月-2013年12月收治梅毒螺旋体抗体阳性患者77例，均采用双抗原夹心酶联免疫法(ELISA法)进行检测。结果：青年组842例，梅毒螺旋体抗体阳性10例，阳性检查率1.19%，占阳性例数的12.99%；中年组989例，梅毒螺旋体抗体阳性21例，阳性检查率2.12%，占阳性例数的27.27%；老年组1035例，梅毒螺旋体抗体阳性46例，阳性检查率4.44%，占阳性例数的59.74%。老年组明显高于中青年组(P＜0.05)。青年组10例中有梅毒症状8例，中年组21例有梅毒症状12例，老年组46例有梅毒症状3例，老年组明显低于中青年组(P＜0.05)。结论：对于梅毒抗体阳性的老年患者，要重点结合临床进行诊断，不能单纯依据血清学检查来确诊。
목적：탐토노년환자매독라선체항체정양성적림상의의。방법：2008년4월-2013년12월수치매독라선체항체양성환자77례，균채용쌍항원협심매련면역법(ELISA법)진행검측。결과：청년조842례，매독라선체항체양성10례，양성검사솔1.19%，점양성례수적12.99%；중년조989례，매독라선체항체양성21례，양성검사솔2.12%，점양성례수적27.27%；노년조1035례，매독라선체항체양성46례，양성검사솔4.44%，점양성례수적59.74%。노년조명현고우중청년조(P＜0.05)。청년조10례중유매독증상8례，중년조21례유매독증상12례，노년조46례유매독증상3례，노년조명현저우중청년조(P＜0.05)。결론：대우매독항체양성적노년환자，요중점결합림상진행진단，불능단순의거혈청학검사래학진。
Objective:To investigate the clinical significance of treponema pallidum antibody positive in elderly patients.Methods:77 cases with treponema pallidum antibody positive were selected from April 2008 to December 2013.All cases were detected used a double antigen sandwich enzyme linked immunosorbent assay(ELISA method).Results:In 842 cases of the young group,10 cases with treponema pallidum antibody positive,and the positive rate was 1.19%,accounting for 12.99% of the number of positive cases.In 989 cases of the middle-aged group,21 cases with treponema pallidum antibody positive,and the positive rate was 2.12%, accounting for 27.27% of the number of positive cases.In 1035 cases of the elderly group,46 cases with treponema pallidum antibody positive,and the positive rate was 4.44%,accounting for 59.74% of the number of positive cases.The positive rate in the elderly group was higher than in the young group(P<0.05).Among 10 cases with positive treponema pallidum antibody in the youth group,there were 8 cases had syphilis symptom.Among 21 cases in the middle-aged group,there were 12 cases had syphilis symptom.Among 46 cases in the elderly group,there were 3 cases had syphilis symptom.It was significantly lower in the elderly group than in the young group.Conclusion:When diagnosing elderly patients who with positive syphilis antibody,we should combine with the clinical symptoms,not based on the serological examination simply.