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抗环瓜氨酸肽抗体检测在类风湿关节炎诊断中的应用
引用本文:孙泰,朱俊,宁芬,刘奇珏.抗环瓜氨酸肽抗体检测在类风湿关节炎诊断中的应用[J].安徽卫生职业技术学院学报,2008,7(5):34-35,37.
作者姓名:孙泰  朱俊  宁芬  刘奇珏
作者单位:安徽省中医学院第一附属医院检验中心,合肥,230031
摘    要:目的:探讨抗环瓜氨酸肽(抗-CCP)抗体对类风湿关节炎(RA)的临床应用价值,并比较与类风湿因子(RF)之间的相关性以及在临床诊断上的意义。方法:对75例RA患者血清标本和77例对照者的血清标本用酶联免疫吸附试验(ELISA)进行抗-CCP抗体检测,并测定RF,分析RF与抗-CCP抗体的相关性。结果:75例RA患者中,抗-CCP抗体阳性率为56%(42/75),非RA对照组的阳性率为5.2%(4/77),两者有显著差别。抗-CCP抗体对RA诊断的敏感度为56%,特异性为94.8%;阳性和阴性似然比分别为16.08和0.16。抗-CCP抗体和类风湿因子(RF)具有相关性。结论:抗-CCP抗体对RA诊断具有良好的敏感度和特异性,将是协助诊断RA的一个新的实验指标。

关 键 词:类风湿关节炎  抗环瓜氨酸肽抗体  类风湿因子

Application of anti-cyclic citrullinated peptide antibody in the diagnosis of rheumatoid arthritis
SUN Tai,ZHU Jun,NING Fen,LIU Qi-jue.Application of anti-cyclic citrullinated peptide antibody in the diagnosis of rheumatoid arthritis[J].Journal of Anhui Heaith Vocational & Technical College,2008,7(5):34-35,37.
Authors:SUN Tai  ZHU Jun  NING Fen  LIU Qi-jue
Institution:SUN Tai, ZHU Jun, NING Fen, LIU Qi-jue (The First Affiliated Hospital of Anhui College of Traditional Chinese Medicine, Hefei 230031,Anhui)
Abstract:Objective:To investigate the diagnostic value of anti-cycliccitrullinated peptide antibody ( anti-CCP) in the diagnostic of rheumatoid arthritis ( RA) and compare the relativity of CCP with Rheumatoid Factor (RF) . Methods: 75 serum samples of patients with Rheumatoid Arthritis , 27 serum samples of other rheumatic diseases and 50 serum samples of normal control subjects were tested for anti-CCP by ELISA, and tested for RF at the same time. Results: 42 (42/75 , 56 %) RA specimen and 4 (4/77 , 5.2%) control ...
Keywords:rheumatoid arthritis  anti-cycliccitrullinated peptide antibody  Rheumatoid Factor  
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