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三种特异性血清学方法诊断流行性出血热的评价

EVALUATION OF THREE SPECIFIC SEROLOGICAL METHODSIN THE DIAGNOSIS OF EPIDEMIC HEMORRHAGIC FEVER
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摘要 本文用IFAT、ELISA、HI平行检测了出血热患者血清161份的出血热病毒抗体,阳性57.9~95.1%;ELISA、HI和IFAT分别于2、4病日出现阳性;ELISA、IFAT分别于60、90病日阴转,HI94病日仍阳性;HI的阳性率(95.1%)高于IFAT(IgM57.9%、IgG88.4%)及ELISA(IgM75.6%、IgG65.9%),其发热期阳性率亦高于其他两法;ELISA-IgM、IgG的阳性率及ELISA-IgM、HI抗体的滴度随病情加重而增加。因此,ELISA(主要是ELISA-IgM)和HI具有高度特异性、敏感度,阳性出现早,HI在三法中灵敏度最高。 The antibodies against epidemic hemorrhagic fever (EHF) virus of 164 serum samples from patients with EHF, 50 samples from normal subjects and 50 samples from patients other than EHF were determined in parallel by IFAT.ELISA and HI. There-suits showed that positive rates were 57.9?5.1% in the patients with EHF. ELISA, HI and IFAT changed into positive from 2nd to 4th day. ELISA and IF AT turned re-spectively to negative in 60 and 90 days,HI-antibody was also positive in 94 days. The positive rate (95,1%) of HI was higher than IFAT (IgM 57.9%, IgG 88.4%) and ELISA(IgM75.6%,IgG 65.9%)(P<0.05).In febrile phase,the positive rate of HI(95.5%) was higher than the other two methods (P<0.05). The positive rates of ELISA-IgM, IgG became higher and titers of ELISA-IgM, Hi-antibody tended to elevating with severity of the disease. Thus, ELISA (chief ELISA-IgM) and HI are highly specific, sensitive and appear early in the disease.
出处 《重庆医药》 CSCD 1989年第5期7-10,共4页
关键词 流行性出血热 IFAT ELISA HI 诊断 Epdemic bemorrhagic fever IFAT ELISA HI
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参考文献3

  • 1陈立礼,王宏禧,顾先仕,陈尚智,许凤琴,秦光明,李成明,杨世全.应用IgM-ELISA法进行流行性出血热早期诊断[J]病毒学报,1986(04).
  • 2宋干,杭长寿,裘学昭,(亻儿)大石,廖化新,高广忠,杜永林,徐剑琨,吴杨生,赵君能,孔碧霞,王正顺,张志强,沈宏开,周宁.用非疫区黑线姬鼠分离到流行性出血热病原因子(简报)[J]中国医学科学院学报,1982(01).
  • 3宋干等.流行性出血热防治手册[M]人民卫生出版社,1987.

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