摘要
目的 评价不同戊型肝炎诊断试剂对临床急性戊型肝炎诊断的可靠性。 方法 用273份健康人血清和525份肝炎患者血清对三种戊型肝炎诊断试剂进行比较。 结果 E2-IgM试剂用于急性戊型肝炎诊断的特异度为100.0％,显著优于GL-IgM试剂(96.7％)和GL-IgG试剂(85.4％)。E2-IgM、GL-IgG试剂用于急性戊型肝炎诊断的灵敏度(分别为97.9％、93.8％),均显著高于GL-IgM(72.9％)。在65例GL-IgM阳性而E2-IgM阴性的患者中,有58例(89.2％)同时为抗甲型肝炎病毒IgM抗体阳性,提示GL-IgM试剂的检测受其他IgM抗体的干扰较大。 结论 E2-IgM是良好的戊型肝炎急性诊断指标。
Objective To evaluate the reliability of different hepatitis E diagnosis reagen tests on the acute hepatitis E. Methods Three acute hepatitis E diagnosis tests, E2-IgM (Wantai, China), GL-IgM and GL-IgG (Genelabs, Singapore) were compared for their reliability in a sera panel composed by 273 healthy individuals and 525 hepatitis. Results The specificity of E2-IgM on the diagnosis of acute hepatitis E was 100.0%, it was significantly higher than GL-IgM (.96.7%) and GL-IgG (85.4%). The sensitivity of E2-IgM and GL-IgG were 97.9% and 93.8% respectively, both significantly higher than GL-IgM (72.9%). Among 65 acute hepatitis cases being positive on GL-IgM test but negative on E2-IgM, 58 (89.2%) cases were found to be positive with anti-hepatitis A virus IgM, it indicated that the GL-IgM test might be interfered by other IgM antibodies on serum. Conclusion E2-IgM is a good test for the diagnosis of acute hepatitis E.
出处
《中华肝脏病杂志》
CAS
CSCD
2004年第1期16-17,共2页
Chinese Journal of Hepatology
基金
福建省重大科技项目(2002F013)
教育部跨世纪优秀人才培养计划
