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105例拟诊莱姆病患者抗伯氏疏螺旋体抗体检查结果分析
引用本文:耿震,侯学霞,万康林,郝琴. 105例拟诊莱姆病患者抗伯氏疏螺旋体抗体检查结果分析[J]. 中国媒介生物学及控制杂志, 2010, 21(1): 65-67
作者姓名:耿震  侯学霞  万康林  郝琴
作者单位:中国疾病预防控制中心传染病预防控制所,传染病预防控制国家重点实验室,北京,102206
摘    要:目的 分析拟诊莱姆病患者血清学检查结果,明确莱姆病临床病症及区域分布情况,为有效诊治莱姆病提供科学依据.方法 应用间接免疫荧光试验(IFA)和ELISA方法,对来自全国各地的临床拟诊莱姆病患者进行血清抗伯氏疏螺旋体IgM和IgG抗体检查,并结合临床疾患进行综合分析.结果 2007-2008年共检查临床拟诊莱姆病患者105例,血清呈阳性反应者16例,阳性率15.24%.其中神经系统患者44例,阳性4例;心血管系统患者5例,阳性1例;皮肤病变25例,阳性6例;发热患者10例,阳性1例;关节痛14例,阳性2例;精神障碍疾患7例,阳性2例.16例患者应用抗生素治疗后有效率达87.50%.16例莱姆病患者分布在9个省(直辖市、自治区),确诊病例以黑龙江、吉林、内蒙古地区较多.结论 我国人群确实存在莱姆病螺旋体散发感染,通过血清学检查能及早发现病例,提高诊疗效率.

关 键 词:莱姆病螺旋体  血清  间接免疫荧光试验  酶联免疫吸附试验

Borrelia burgdorferi antibody levels in 105 patients with suspected Lyme disease
GENG Zhen,HOU Xue-xia,WAN Kang-lin,HAO Qin.National Institute for Communicable Disease Control , Prevention,Chinese Center for Disease Control , Prevention,State Key Laboratory for Infectious Disease Prevention , Control,Beijing ,China. Borrelia burgdorferi antibody levels in 105 patients with suspected Lyme disease[J]. Chinese Journal of Vector Biology and Control, 2010, 21(1): 65-67
Authors:GENG Zhen  HOU Xue-xia  WAN Kang-lin  HAO Qin.National Institute for Communicable Disease Control    Prevention  Chinese Center for Disease Control    Prevention  State Key Laboratory for Infectious Disease Prevention    Control  Beijing   China
Affiliation:GENG Zhen,HOU Xue-xia,WAN Kang-lin,HAO Qin.National Institute for Communicable Disease Control , Prevention,Chinese Center for Disease Control , Prevention,State Key Laboratory for Infectious Disease Prevention , Control,Beijing 102206,China
Abstract:Objective To identify the clinical manifestations and regional distribution of Lyme disease by analyzing the serological testing for suspected patients,providing scientific evidence for proper management of the disease.Methods The indirect immunofluorescence assay(IFA) and the enzyme-linked immune sorbent assay(ELISA) were employed for the detection of serum antibodies(IgM,IgG) against Borrelia burgdorferi for suspected Lyme disease patients.The results were then comprehensively interpreted combining clinic...
Keywords:Lyme disease spirochetes  Blood serum  Indirect immunofluorescence assay  Enzyme-linked immune sorbent assay  
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