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相关自身免疫性抗体对类风湿关节炎早期诊断的意义

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目的同时检测抗环瓜氨酸肽抗体(CCP-Ab)、抗角蛋白抗体(AKA-Ab)、类风湿因子(RF),进一步证实AKA、RF、CCP在类风湿关节炎(RA)患者中的敏感性、特异性和联合检测的意义,探讨早期诊断价值,为临床应用提供依据。方法采用ELISA检测CCP,免疫间接荧光法检测AKA,散射免疫比浊法检测RF。结果 CCP-Ab、AKA-Ab和RF的敏感性和特异性分别为56.99%,96.34%;43.01%,95.1%;58.06%,56.09%。CCP-Ab与AKA-Ab在不同RF含量的阳性率无明显差异,CCP-Ab与AKA-Ab两种方法的检测结果显著相关。结论在对RA早期诊断时,将两种抗体结合起来更有助于对RA早期患者的诊断。
Objective We simultaneously detected CCP-Ab, AKA-Ab and RF to confirm their sensitivity, specificity and significance in rheumatoid arthritis(RA) patients, to provide clinical application in early diagnosis. Methods We used ELISA to detect CCP-Ab, immune indirect fluorescence assay for detection of AKA-Ab, scattering immunoturbidimetry for detection of RF. Results Sensitivity and specificity of CCP-Ab, AKA-Ab and RF were 56.99%, 96.34%; 43.01%, 95.1%and 58.06%, 56.09%, respectively. Percentage of CCP-Ab and AKA-Ab positive patients in different content of RF positive range was not significantly different. However, results of CCP-Ab and AKA-Ab were highly correlated. Conclusion In the early diagnosis of RA, combination of CCP-Ab and AKA-Ab will be more helpful for clinical patients.

AKARFCCPRheumatoid

杨达人、董青

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215009 江苏省苏州市中医院检验科

AKA RF CCP 类风湿

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(9)
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