首页|分析酶联免疫吸附法及RT-PCR法检验血液标本内乙肝病毒的价值

分析酶联免疫吸附法及RT-PCR法检验血液标本内乙肝病毒的价值

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目的 探讨酶联免疫吸附法及RT-PCR法检验血液标本内乙肝病毒的价值。方法 将2022年1月—2023年10月在本院治疗的78例疑似乙肝患者作为研究对象,根据检测方法不同分为A组和B组,每组39例。两组使用酶联免疫吸附法(ELISA)、实时荧光定量PCR(RT-PCR)检测乙肝病毒(HBV)血清标志物、HBV-DNA含量。其中,A组采用单纯ELISA检验,B组采用单纯RT-PCR检验。以临床最终诊断结果作为金标准,分析两组检测结果,对比诊断效能。结果 A组中,HbeAg阳性率39。74%(31/78),HBsAg阳性率58。97%(46/78),HbcAb阳性率51。28%(40/78),HbeAb阳性率56。41%(44/78),HbsAb阳性率 61。54%(48/78),大三阳的阳性率39。74%(31/78),小三阳的阳性率51。28%(40/78);B组中,HBV-DNA阳性率80。77%(63/78);A组对HBV的诊断敏感度、准确度、阴性预测值均低于B组(P<0。05),但两组特异度、阳性预测值相当(P>0。05)。结论RT-PCR法检验血液标本内HBV的价值更高,对HBV的敏感度及准确度高,整体诊断效能更高。
Value Analysis of Enzyme-Linked Immunosorbent Assay and RT-PCR In Detecting Hepatitis B Virus of Blood Samples
Objective To explore the value of enzyme-linked immunosorbent assay (ELISA) and RT-PCR in detecting hepatitis B virus of blood samples. Methods The paper chose 78 patients with suspected hepatitis B in our hospital from January 2022 to October 2023 as research subjects,and detected Hepatitis B virus (HBV) serum markers and HBV-DNA contents with enzyme linked immunosorbent assay (ELISA) and real-time fluorescent quantitative PCR (RT-PCR). Those with simple ELISA test was included in the group A,and those with simple RT-PCR test in group B. With gold standard of final clinical diagnosis result,test results were analyzed,diagnostic efficacy was compared between two groups. Results In group A,the positive rate of HbeAg was 39.74%(31/78),that of HBsAg was 58.97%(46/78),that of HbcAb was 51.28%(40/78),that of HbeAb was 56.41%(44/78),that of HbsAb was 61.54%(48/78),that of HBsAb was 39.74%(31/78),that of HBsAg,HBeAg and HBcAb was 39.74%(31/78),that of HBsAg,HBeAb and HBcAb was 51.28%(40/78). In group B,the positivity rate of the HBV-DNA was 80.77% (63/78). The diagnostic sensitivity,accuracy,and negative predictive value of group A for HBV were lower than group B (P<0.05),but the specificity and positive predictive value between two groups was comparable (P>0.05). Conclusion The RT-PCR method has higher value,sensitivity,and accuracy in detecting HBV in blood samples,which has higher overall diagnostic effect.

Blood samplesHepatitis B virusEnzyme linked immunosorbent assayReal time fluorescence quantitative PCRDiagnostic effect

冯慧雅、黄树通、卜丹霞、陈彩仁、赖石凤

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湛江中心人民医院检验科,广东 湛江 524000

血液标本 乙肝病毒 酶联免疫吸附法 实时荧光定量PCR 诊断效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)