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采用离心浓集法提高乙型肝炎病毒表面抗原检出率的可行性研究
引用本文:斯健,连晓孚,黄远荀,周芸. 采用离心浓集法提高乙型肝炎病毒表面抗原检出率的可行性研究[J]. 检验医学与临床, 2011, 8(14): 1675-1677. DOI: 10.3969/j.issn.1672-9455.2011.14.005
作者姓名:斯健  连晓孚  黄远荀  周芸
作者单位:广州医学院第二附属医院检验科,510260
基金项目:广州市医药卫生科技项目
摘    要:目的 探讨离心浓集法预处理血清标本对提高乙型肝炎血清学标志物乙型肝炎表面抗原(HBsAg)检出率的可行性研究.方法 收集广州市内各大医院2009年52例HBsAg阳性者和疑似乙型肝炎感染者血清标本,分别用酶联免疫吸附试验(ELISA) 和化学发光免疫分析法(CLIA)测定HBsAg.再以PEG6000为沉淀剂,将标本进行高速离心浓集(30 000 r/min)25 ℃,40 min,取沉淀用TE Buffer溶解,采用上述相同方法分别进行测定,比较离心前后其HBsAg 的S/CO值与HBsAg定量值的上升情况,用SPSS统计学软件对数据进行非参数检验,分析其差别是否有统计学意义.结果 健康对照组与空白对照经高速离心处理前后的HBsAg 检测结果差异均无统计学意义(P>0.05),而疑似HBV感染组和HBV感染组患者血清经高速离心预处理后的测定结果均明显高于处理前(P<0.01).结论 离心浓集法预处理对于血清中有低水平乙型肝炎病毒颗粒的感染者有效,血清中的病毒颗粒可通过高速离心处理后得到浓缩,提高临床实验室常规诊断手段的灵敏度的范围,使隐匿型乙型肝炎的检出率有所提高.

关 键 词:离心浓集  乙型肝炎病毒  血清标志物  聚乙二醇

Feasibility study on improving detection rate of HBsAg in serum samples by centrifugation-concentration method
SI Jian,LIAN Xiao-fu,HUANG Yuan-xun,ZHOU Yun. Feasibility study on improving detection rate of HBsAg in serum samples by centrifugation-concentration method[J]. Laboratory Medicine and Clinic, 2011, 8(14): 1675-1677. DOI: 10.3969/j.issn.1672-9455.2011.14.005
Authors:SI Jian  LIAN Xiao-fu  HUANG Yuan-xun  ZHOU Yun
Affiliation:SI Jian,LIAN Xiao-fu,HUANG Yuan-xun,ZHOU Yun(Department of Clinical Laboratory,Second Affiliated Hospital of Guangzhou Medical College,510260,China)
Abstract:Objective To study the possibility of improving detection rate of HBsAg in serum samples by centrifugation-concentration method.Methods 52 serum samples of suspect-HBV patients and HBV infected patients were collected.Then the levels of HBsAg in these samples were tested by ELISA and chemiluminescence immunoassay.After that,the serum samples were treated by polyethylene glycol(PEG)and 40 min's ultracentrifugation(30 000 r/min).The precipitation obtained from each serum was dissolved with TE buffer and the s...
Keywords:centrifugation-concentration  HBV  serum marker  polyethylene glycol  
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