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磁微粒化学发光法与胶体层析法对HIV抗体诊断效能的比较

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目的 比较磁微粒化学发光法与胶体层析法对人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体的检出率及诊断效能。方法 选取邵武市立医院输血科 2022 年 1-12月检测HIV抗体的 140 例患者,对所有患者均采用磁微粒化学发光法与胶体层析法、蛋白印迹法(western blotting test,WB)检测HIV。以WB结果作为"金标准",比较磁微粒化学发光法与胶体层析法对HIV抗体的检出率及诊断效能。结果 140 例检测HIV抗体的患者,经WB结果确证,56 例患者检测结果为阳性,84 例患者检测为阴性;经磁微粒化学发光法检测,HIV抗体的检出率为 94。64%(53/56);经胶体层析法检测,HIV抗体的检出率为 78。57%(44/56),磁微粒化学发光法对HIV抗体的检出率高于胶体层析法,差异有统计学意义(P<0。05)。磁微粒化学发光法对HIV抗体的检测结果与WB确证结果具有极好的一致性(Kappa=0。925),胶体层析法对HIV抗体的检测结果与WB确证结果具有理想的一致性(Kappa=0。742)。以WB确证结果为"金标准",磁微粒化学发光法检测HIV抗体敏感度为 94。64%(53/56),准确度为 96。43%(135/140),阴性预测值为 96。47%(82/85),高于胶体层析法的 78。57%(44/56)、87。86%(123/140)、86。81%(79/91),差异有统计学意义(P<0。05)。结论 磁微粒化学发光法对HIV抗体的检出率高于胶体层析法,对HIV抗体的诊断效能中敏感度、准确度、阴性预测值高于胶体层析法,整体诊断效能优于胶体层析法。
Comparison of Magnetic Particle Chemiluminescence Method and Colloidal Chromatography Method in the Diagnosis Efficacy of HIV Antibodies
Objective To compare the detection rate and diagnostic efficacy of magnetic particle chemiluminescence method and colloidal chromatography method for human immunodeficiency virus(HIV)antibodies.Methods A total of 140 patients who were tested for HIV antibodies in the department of blood transfusion,Shaowu Municiple Hospital from January to December 2022 were selected.All patients were tested for HIV content using magnetic particle chemiluminescence,colloidal chromatography,and western blotting test(WB).WB results were used as the"gold standard".The detection rate and diagnostic efficacy of magnetic particle chemiluminescence and colloidal chromatography for HIV antibodies were compared.Results The results showed that among 140 patients who tested for HIV antibodies,56 patients tested positive and 84 patients tested negative as confirmed by WB results.The detection rate of HIV antibodies by magnetic particle chemiluminescence assay was 94.64%(53/56).The detection rate of HIV antibodies by colloidal chromatography was 78.57%(44/56),and the detection rate of HIV antibodies by magnetic particle chemiluminescence was higher than that by colloidal chromatography,the difference was statistically significant(P<0.05).The magnetic particle chemiluminescence method showed excellent consistency between the detection results of HIV antibodies and the WB confirmation results(Kappa=0.925),while the colloidal chromatography method showed ideal consistency between the detection results of HIV antibodies and the WB confirmation results(Kappa=0.742).Using WB confirmation results as the"gold standard",the sensitivity of magnetic particle chemiluminescence method for detecting HIV antibodies was 94.64%(53/56),the accuracy was 96.43%(135/140),and the negative predictive value was 96.47%(82/85),which was higher than colloidal chromatography method for detecting HIV antibodies of 78.57%(44/56),87.86%(123/140),86.81%(79/91),the difference was statistically significant(P<0.05).Conclusion The detection rate of HIV antibodies using magnetic particle chemiluminescence method is higher than that using colloid chromatography method.The sensitivity,accuracy,and negative predictive value of HIV antibody diagnosis are higher than those using colloid chromatography method,and the overall diagnostic efficacy is better than that using colloid chromatography method.

human immunodeficiency virusmagnetic particle chemiluminescence methodcolloidal chromatographydiagnostic efficiencysensitivityspecificity

刘文清

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邵武市立医院输血科,福建 邵武 354000

人类免疫缺陷病毒 磁微粒化学发光法 胶体层析法 诊断效能 敏感度 特异度

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(10)
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