首页|化学发光法与TPPA检测梅毒螺旋体抗体的价值分析

化学发光法与TPPA检测梅毒螺旋体抗体的价值分析

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目的 分析梅毒螺旋体抗体明胶颗粒凝集试验法(Treponema Pallidum Particle Agglutination,TPPA)及化学发光法(Chemiluminescent Immunoassay,CLIA)在梅毒螺旋体抗体检测中的价值.方法 选取东平县人民医院检验科于2021年2月—2023年1月收治的门诊及住院患者的1 636份血清标本为研究对象.所有标本均应用TPPA及CLIA行特异性抗体血清学检测,以梅毒螺旋体血清学试验为金标准,计算两种检测方法的敏感度、特异度、准确度,并进行对比分析.结果 CLIA、TPPA的敏感度分别为85.89%、91.02%,特异度为99.87%、99.81%,准确度为99.21%、99.39%,两种检测方法的敏感度、特异度、准确度对比,差异无统计学意义(χ2= 1.005、0.200、0.394,P均>0.05).结论 将CLIA与TPPA应用于梅毒螺旋体抗体检测诊疗中发现,两种检测方法均具有较高的诊断效能,并且CLIA更快速且易适用于自动化高通量实验,能够提高检测效率,成本也更为低廉.
Analysis of the Value of Chemiluminescent Immunoassay and TPPA for Detection of Treponema Pallidum Antibody
Objective To analyze the value of treponema pallidum particle agglutination(TPPA)and chemilumines-cent immunoassay(CLIA)in the detection of treponema pallidum antibody.Methods 1636 serum samples from outpa-tient and inpatient patients admitted to the laboratory department of Dongping County People's Hospital from Febru-ary 2021 to January 2023 were selected as the research oubjects.TPPA and CLIA were used to detect specific anti-bodies serologically.With treponema pallidum serological test as the gold standard,the sensitivity,specificity,and ac-curacy of the two detection methods were calculated and compared for analysis.Results Sensitivity of CLIA and TPPA were 85.89%and 91.02%,with specificity 99.87%and 99.81%,with accuracy 99.21%and 99.39%,respectively.There were no statistically significant differences in sensitivity,specificity,and accuracy between the two detection methods(χ2=1.005,0.200,0.394,all P>0.05).Conclusion The application of CLIA and TPPA in the detection and treatment of treponema pallidum antibodies found that both detection methods have high diagnostic efficacy,and CLIA is faster and easier to apply to automated high-throughput experiments,can improve the detection efficiency,and the cost is lower,and can be clinically promoted in the diagnosis of syphilis.

Chemiluminescent immunoassaySyphilisSpirochaeta antibodySensitivitySpecificityAccuracy

王健、刘永

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东平县人民医院检验科,山东泰安 271500

化学发光法 梅毒 螺旋体抗体 敏感度 特异度 准确度

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(6)
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