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检测血清中BCG-A_(60)抗体对结核病诊断的临床意义
引用本文:张景道,陈明辉,杨淑清,史公权,陈起秀,王会茹,林伯芹,王凤靖.检测血清中BCG-A_(60)抗体对结核病诊断的临床意义[J].中华结核和呼吸杂志,1994(3).
作者姓名:张景道  陈明辉  杨淑清  史公权  陈起秀  王会茹  林伯芹  王凤靖
作者单位:黑龙江省大庆市第二医院,辽宁省朝阳市结核病医院
摘    要:BCG-A_(60)是从牛型结核分支杆菌的胞浆中提纯出来的抗原,为了解用聚合酶联免疫(ELISA)法检测血清中抗BCG-A_(60)抗体对结核病诊断的临床意义,对734例健康人和非结核病人,以及560例结核病患者作了抗BCG-A_(60)抗体的检测。结果证实,ELISA-A_(60)·IgG诊断结核病的特异性为89.3%,敏感性为84.5%,获得较满意的效果,认为可用于临床对结核病的辅助诊断。还发现在活动性原发型肺结核中IgM的阳性率明显高于IgG。IgM除在急性期病例阳性率高外,而且也见于慢性结核病例。这些证明IgM的血清学分析在结核病早期诊断中也是一项重要的辅助手段,在诊断结核性脑膜炎,以及肺结核合并其它活动性肺外结核中有补充IgG的价值。

关 键 词:结核,牛结核分支杆菌,抗体,免疫酶技术

The clinical significance of detection of Anti-BCG-A_(60) antibody by ELISA in diagnosis of tuberculosis
Zhang Jingdao,Chen Minghu,Yang Shuqing,et al..The clinical significance of detection of Anti-BCG-A_(60) antibody by ELISA in diagnosis of tuberculosis[J].Chinese Journal of Tuberculosis and Respiratory Diseases,1994(3).
Authors:Zhang Jingdao  Chen Minghu  Yang Shuqing  
Institution:Zhang Jingdao,Chen Minghu,Yang Shuqing,et al.The Second Hospital of Daqing,Hei Longjing 163461
Abstract:n order to find out the clinical significance of de-tection of BCG-A_(60) antibody by ELISA in diagnosis oftuberculosis,734 cases of non-tuberculosis patientsand 560 cases of tuberculosis has been examined.The result of A_(60)-ELISA test for IgG as diagnosilic criteri-a of tuberculosis,sensitivity is 84.5%, specificity is89.3%, It shows satisfactory effect,so it can be usedas an helpful method in clinical diagnosis of tuberculo-sis. IgG, IgA and IgM are measured at same time,andfind that a combined use of the IgG and IgM ELISAstudies considerably increases the significance of thetest.
Keywords:Tuberculosis Mycobacterium bovis Antibodies Immunoenzyme technics  
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