首页|化学发光法与核酸检测法对疑似乙肝人群乙肝病毒的诊断价值

化学发光法与核酸检测法对疑似乙肝人群乙肝病毒的诊断价值

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目的:探讨化学发光法与核酸检测法对疑似乙肝人群乙肝病毒的诊断价值.方法:选取 2020 年 12 月 31 日至 2023 年 12 月 31 日期间于本院就诊的疑似乙肝患者 60 例作为研究对象.所有研究对象入院后均采用化学发光法与核酸检测法对乙肝病毒进行检测.以肝脏穿刺活检结果为"金标准",比较化学发光法与核酸检测法对乙肝病毒单独、联合诊断结果、诊断效能.结果:经肝脏穿刺活检结果显示,60 例疑似乙肝人群中阳性 35 例,阴性 25例.经化学发光法检查显示,阳性 25 例.经核酸检测法检查显示,阳性 24 例.经联合诊断结果显示,阳性 34 例.化学发光法与核酸检测法联合诊断灵敏度为 88.57%、准确度为 88.33%,显著高于单独化学发光法检查(灵敏度为 65.71%、准确度为 76.67%)及核酸检测法(灵敏度为 60.00%、准确度为 71.67%),联合检测的漏诊率为 11.43%,显著低于化学发光法检查的 34.29%及核酸检测法检查的 40.00%(P<0.05).结论:化学发光法联合核酸检测法可提高疑似乙肝人群血液标本乙肝病毒诊断准确率.
Diagnostic value of chemiluminescence and nucleic acid detection for hepatitis B virus in suspected hepatitis B population
Objective:To explore the diagnostic value of chemiluminescence and nucleic acid detection methods for hepatitis B virus in suspected hepatitis B patients.Methods:Sixty suspected hepatitis B patients who were treated in our hospital from December 31,2020 to December 31,2023 were selected as the research subjects.All subjects were tested for hepatitis B virus using chemiluminescence and nucleic acid detection methods after admission.Using the results of liver biopsy as the"gold standard",compare the diagnostic results and efficacy of chemiluminescence and nucleic acid detection methods for the diagnosis of hepatitis B virus alone and in combination.Results:The results of liver biopsy showed that 35 cases were positive and 25 cases were negative among 60 suspected hepatitis B patients.According to the chemiluminescence test,25 cases were positive.According to nucleic acid testing,24 cases were positive.According to the joint diagnosis results,34 cases were positive.The sensitivity and accuracy of the combined diagnosis of chemiluminescence and nucleic acid detection were 88.57%and 88.33%,significantly higher than those of chemiluminescence alone(sensitivity of 65.71%and accuracy of 76.67%)and nucleic acid detection(sensitivity of 60.00%and accuracy of 71.67%).The missed diagnosis rate of the combined detection was 11.43%,significantly lower than the 34.29%of chemiluminescence and 40.00%of nucleic acid detection(P<0.05).Conclusion:The combination of chemiluminescence and nucleic acid detection can improve the accuracy of hepatitis B virus diagnosis in blood samples from suspected hepatitis B patients.

Hepatitis BHepatitis B virusChemiluminescence methodNucleic acid detection methodDiagnostic value

杨华荣

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虞城县疾病预防控制中心检验检测科,河南 虞城 476300

乙肝 乙肝病毒 化学发光法 核酸检测法 诊断价值

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(9)
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