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对乙型肝炎表面抗原弱阳性结果进行确认试验的应用研究
引用本文:王文武,曹树正,杨杰,张真路.对乙型肝炎表面抗原弱阳性结果进行确认试验的应用研究[J].上海医学检验杂志,2010(4).
作者姓名:王文武  曹树正  杨杰  张真路
作者单位:武汉亚洲心脏病医院检验中心;
摘    要:目的评估抗体中和确认试验在乙型肝炎表面抗原(HBsAg)低值弱阳性标本中的应用。方法将由微粒子酶免疫发光法(MEIA)检测的HBsAg结果(S/CO)在1.0~10.0之间的111份弱阳性血清标本进行抗体中和确认试验,并进行乙型肝炎病毒(HBV)酶联免疫吸附试验(ELISA),对比各试验结果间的差异。结果抗体中和确认试验阳性92例(82.9%),ELISA检测阳性47例(42.3%),2项试验检测结果间差异有统计学意义(P=0.033)。结论对HBsAg低值弱阳性标本,ELISA检测漏检率很高,敏感性和特异性均不佳;抗体中和确认试验可做为HBsAg弱阳性标本进一步确认的手段。

关 键 词:乙型肝炎表面抗原  弱阳性  抗体中和确认试验  酶联免疫吸附试验  

Research on the clinical application of the confirmatory test for samples with weak positive HBsAg
WANG Wenwu,CAO Shuzheng,YANG Jie,ZHANG Zhenlu..Research on the clinical application of the confirmatory test for samples with weak positive HBsAg[J].Shanghai Journal of Medical Laboratory Sciences,2010(4).
Authors:WANG Wenwu  CAO Shuzheng  YANG Jie  ZHANG Zhenlu
Institution:WANG Wenwu,CAO Shuzheng,YANG Jie,ZHANG Zhenlu.(Center of Clinical Laboratory,Wuhan Asia Heart Hospital,Hubei Wuhan 430022,China)
Abstract:Objective To study the clinical application of the confirmatory test for samples with weak positive hepatitis B surface antigen(HBsAg).Methods 111 weak positive HBsAg serum samples,which were screened by microparticle enzyme immunoassay(MEIA) and their S/CO were 1.0-10.0,were retested by antibody neutralization confirmatory test and Hepatitis B virus(HBV) enzyme-linked immunosorbent assay(ELISA).The differences between the results of these tests were compared.Results The positive results of antibody neutral...
Keywords:Hepatitis B surface antigen  Weak positive  Antibody neutralization confirmatory test  Enzyme-linked immunosorbent assay  
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