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瓜氨酸合成蛋白抗体在类风湿关节炎诊断中的应用
引用本文:李珊珊,包惠圆.瓜氨酸合成蛋白抗体在类风湿关节炎诊断中的应用[J].医药论坛杂志,2007,28(2):42-43.
作者姓名:李珊珊  包惠圆
作者单位:河南中医学院第三附属医院检验科,郑州市,450003;河南省胸科医院检验科,郑州市,450008
摘    要:目的 评价瓜氨酸合成蛋白抗体(CPA)诊断类风湿关节炎(RA)的临床应用价值.方法 用酶联免疫固相吸附试验(ELISA)测定包括65例确诊的RA患者,51例非RA疾病对照组以及50例健康对照组在内的166份血清中的CPA水平,并同时检测RA患者抗环瓜氨酸肽抗体(抗CCP).结果 以6.25U/ml为临界值,CPA对RA诊断的敏感性为64.6%,特异性为95.04%.结论 CPA对RA诊断有较好的敏感性和特异性,可作为RA的血清学诊断指标.

关 键 词:瓜氨酸合成蛋白抗体  类风湿关节炎  自身抗体
文章编号:1672-3422(2006)02-0042-02
修稿时间:11 20 2006 12:00AM

Clinical Diagnosis Value of Citrullinated Protein Antibodies for Rheumatoid Arthritis
LI Shanshan,BAO Huiyuan.Clinical Diagnosis Value of Citrullinated Protein Antibodies for Rheumatoid Arthritis[J].Journal of Medical Forum,2007,28(2):42-43.
Authors:LI Shanshan  BAO Huiyuan
Institution:The Third Affiliated Hospital of Henan TCM College, Zhengzhou 450003, China
Abstract:Objective To assess the diagnosis value of citrullinated protein antibodies(CPA)for rheumatoid arthritis(RA).Methods CPA of 166 samples sera were detected in sera from 65 RA patients,51 patients with non-RA diseases and 50 healthy controls by ELISA established with deiminated recombinant rat filaggrin,and compared the result with that of anti-CCP.Results The diagnosis sensitivity and specificity of CPA were 64.6% and 95.04% compared with ani-CCP, there was no difference in the sensitivity and specificity.Conclusion CPA is a new and specific marker for RA.
Keywords:Citrullinated protein antibodies  Rheumatoid arthritis  Autoanibodies
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