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化学发光免疫分析法对乙肝的诊断价值研究

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目的 分析化学发光免疫分析法对慢性乙型病毒性肝炎(乙肝)的诊断价值。方法 66例乙肝患者,通过随机抽样法分为常规组和研究组,各 33 例。常规组实施酶联免疫吸附法进行诊断,研究组进行化学发光免疫分析法进行诊断。比较两组患者的阳性检出率、血清标志物[乙肝表面抗原(HBsAg)、乙肝e抗原(HBeAg)、乙肝核心抗体(HBcAb)、乙肝e抗体(HBeAb)、乙肝表面抗体(HBsAb)]阳性检率及临床医生对检验结果的满意度。结果 常规组患者阳性检出率为 78。79%,研究组患者阳性检出率为 96。97%;研究组患者阳性检出率高于常规组(P<0。05)。常规组患者乙肝e抗原、乙肝表面抗原、乙肝e抗体、乙肝表面抗体、乙肝核心抗体阳性检出率分别为 12。12%、39。39%、12。12%、12。12%、60。61%,研究组患者乙肝e抗原、乙肝表面抗原、乙肝e抗体、乙肝表面抗体、乙肝核心抗体阳性检出率分别为 33。33%、66。67%、36。36%、18。18%、69。70%;研究组患者乙肝e抗原、乙肝表面抗原、乙肝e抗体阳性检出率高于常规组(P<0。05);两组乙肝表面抗体、乙肝核心抗体阳性检出率相比无明显差异(P>0。05)。常规组临床医生对检验结果的总满意度为 75。76%,研究组临床医生对检验结果的总满意度为96。97%;和常规组相比,研究组临床医生对检验结果的总满意度更高(P<0。05)。结论 为乙肝患者实施化学发光免疫分析法进行诊断可以提高阳性检出率,降低检验误差,临床应用价值较高。
Study on the diagnostic value of chemiluminescence immunoassay for hepatitis B
Objective To analyze the diagnostic value of chemiluminescence immunoassay for hepatitis B.Methods 66 patients with hepatitis B were divided into a conventional group and a study group by random sampling method,with 33 patients in each group.The positive detection rate,serum markers[hepatitis B surface antigen(HBsAg),hepatitis B e antigen(HBeAg),hepatitis B core antibody(HBcAb),hepatitis B e antibody(HBeAb),hepatitis B surface antibody(HBsAb)],and the clinicians'satisfaction with the test results were compared between the two groups.Results The positive rate of patients in the conventional group was 78.79%,and that of patients in the study group was 96.97%;the positive detection rate of patients in the study group was higher than that in the conventional group(P<0.05).The positive rates of hepatitis B e antigen,hepatitis B surface antigen,hepatitis B e antibody,hepatitis B surface antibody and hepatitis B core antibody in the conventional group were 12.12%,39.39%,12.12%,12.12%and 60.61%;the positive rates of hepatitis B e antigen,hepatitis B surface antigen,hepatitis B e antibody,hepatitis B surface antibody and hepatitis B core antibody in the study group were 33.33%,66.67%,36.36%,18.18%and 69.70%.The positive rates of hepatitis B e antigen,hepatitis B surface antigen,hepatitis B e antibody in the study group were higher than those in the conventional group(P<0.05).There was no significant difference in the positive rates of hepatitis B surface antibody and hepatitis B core antibody between the two groups(P>0.05).The total satisfaction of clinicians with test results was 75.76%in the conventional group and 96.97%in the study group;compared to the conventional group,clinicians in the study group had higher total satisfaction with test results(P<0.05).Conclusion The chemiluminescence immunoassay can improve the positive rate and reduce the test error for hepatitis B patients,and has high clinical application value.

Chemiluminescence immunoassayEnzyme linked immunosorbent assayChronic hepatitis BClinical testing

张贵华

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274000 菏泽市牡丹区中心医院检验科

化学发光免疫分析法 酶联免疫吸附法 慢性乙型病毒性肝炎 临床检验

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(11)