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乙型肝炎病毒(HBV)的ELISA检测及化学发光法检测的诊断价值

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目的 本研究探讨化学发光法与酶联免疫吸附法在(HBV)中的诊断价值。方法 收集本院2020年6月—2023年4月收治的300例乙型病毒性肝炎病例的血标本为观察组,另随机选择同期住院的300例非乙型病毒性肝炎病例的血标本为对照组。两组均采用HBV的ELISA检测及化学发光法检测,对比两组检测结果。结果 化学发光法对HBV的标准曲线相关系数R2=0。998,平均批内变异系数2。98%,批间变异系数4。20%,优于ELISA检测的平均批内变异系数6。27%及平均批间变异系数7。74%;化学发光法的最低检出浓度为2。5ng/mL,ELISA检测乙型肝炎病毒最低检出浓度为25ng/mL,化学发光法灵敏度优于ELISA检测法。ELISA检测阳性率明显低于化学发光法检测结果,阴性率高于化学发光法。结论 化学发光法有利于早期诊断乙型病毒性肝炎,较ELISA检测具有很高的灵敏度与特异度。
Diagnostic Value of ELISA and Chemiluminescence Detection of Hepatitis B Virus(HBV)
Objective To investigate the diagnostic value of chemiluminescence and enzyme-linked immunosorbent assay(ELISA)in hepatitis B virus.Methods Blood samples of 300 cases of viral hepatitis B and 300 cases of non-viral hepatitis B were collected in our hospital from June 2020 to April 2023.Hepatitis B virus(HBV)was detected by ELISA and chemiluminescence method in both groups.The results of the two groups were compared.Results The correlation coefficient R2=0.998 of the standard curve of hepatitis B virus(HBV)by chemiluminescence method,the average coefficient of intra-batch variation 2.98%,the coefficient of inter-batch variation 4.20%,The Log concentration of hepatitis B virus(HBV)detected by chemiluminescence method was(1.924±0.57)ng/mL in the case group and(0.108±0.03)ng/mL in the control group,with statistical difference.AUC of ROC curve in case group is 0.923.When the critical value is 11.86 ng/mL,the sensitivity and specificity were 95.28%and 92.30%,both higher than ELISA detection.The positive rate of chemical radiation group was also significantly higher than that of ELISA group.Conclusion Chemiluminescence is beneficial to the early diagnosis of viral hepatitis B,and has higher sensitivity and specificity than ELISA.

Hepatitis B virus(HBV)ELISA detectionChemiluminescence method

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怀集县妇幼保健院,广东 肇庆 526400

乙型肝炎病毒(HBV) ELISA检测 化学发光法

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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