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水痘患者血清腺苷脱氨酶的检测
引用本文:曹庆科,谭宇辉,殷文浩,丁韧烨,盛桂芳,陈怿,朱宇翔,李胜华,严凤娟. 水痘患者血清腺苷脱氨酶的检测[J]. 中国皮肤性病学杂志, 2010, 24(7)
作者姓名:曹庆科  谭宇辉  殷文浩  丁韧烨  盛桂芳  陈怿  朱宇翔  李胜华  严凤娟
作者单位:嘉兴市第一医院,浙江,嘉兴,314000
摘    要:目的探讨血清腺苷脱氨酶(ADA)在水痘病诊断中的临床价值。方法应用酶显色法检测105例水痘患者血清ADA活性,同时检测对照组80例丘疹性荨麻疹患者血清ADA活性,并进行比较和统计学分析。结果水痘组及对照组ADA值分别为42.39±12.26IU/L和19.88±7.25IU/L,两者ADA活性比较,差异有统计学意义(P0.01)。在本研究的185例样本中,以ADA活性升高诊断水痘的灵敏度为0.93(99/105),特异度为0.98(79/80),Youden指数为0.93,Kappa值为0.92。结论水痘患者血清ADA活性升高,对诊断和鉴别诊断可能有一定的临床价值。

关 键 词:腺苷脱氨酶  水痘  酶显色法

Detection of Adenosine Deaminase(ADA)in Patients Serum with Varicella
CAO Qing-ke,TAN Yu-hui,YIN Wen-hao,DING Ren-ye,SHENG Gui-fang,CHEN Yi,ZHU Yu-xiang,LI Sheng-hua,YAN Feng-juan. Detection of Adenosine Deaminase(ADA)in Patients Serum with Varicella[J]. The Chinese Journal of Dermatovenereology, 2010, 24(7)
Authors:CAO Qing-ke  TAN Yu-hui  YIN Wen-hao  DING Ren-ye  SHENG Gui-fang  CHEN Yi  ZHU Yu-xiang  LI Sheng-hua  YAN Feng-juan
Abstract:Objective To investigate the diagnostic value of adenosine deaminase(ADA)in patients with varicella.Methods The activity of ADA were determined by enzyme kinetic analytical method in 105 patients with varicella and 80 controls with papular urticaria respectively.Results The activity of ADA in patients with varicella(42.39±12.26 IU/L)was significantly higher than that in controls(19.88±7.25 IU/L)(P<0.01).The sensitivity and specificity of ADA for varicella were 0.93 and 0.98 respectively,the Youden index was 0.93,and the Kappa value was 0.92.Conclusions The activity of ADA may be a valuable parameter for the diagnose and differential diagnosis of varicella.
Keywords:Adenosine deaminase  Varicella(chickenpox)  Enzyme kinetic analytical method
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