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作 者:李文萍
出 处:《山西职工医学院学报》2014年第3期25-26,共2页Journal of Shanxi Medical College for Continuing Education
摘 要:目的:为了提高临床实验诊断的可信性和准确性,尽可能减少或避免出现假阳性和假阴性。质控要求必需对HBsAg酶免疫测定的方法进行比对。方法:采用ELISA一步法和二步法对体检人群样本进行HBsAg平行测定,结果不一致样本用CLIA重新检测。结果:一步法阳性检出率为10.12%;二步法阳性检出率为12.19%。一步法检测的阴性样本中,有20例二步法检测为阳性。结论:阳性检出率一步法相对较低,二步法较高;方法学比较亦显示二步法优于一步法,建议临床采用二步法检测HBsAg。Objective:To enhance reliability and accuracy of clinical laboratory diagnosis to avoid false positive and false negative as much as possible. Comparison of HBsAg enzyme immunoassay method should be finished. Methods:The HBsAg parallel determination was made by means of one-step and two-step method of ELISA. For the specimens with different results,CLIA method to retest was adopted. Results:Based on the one-step method,the positive rate was 10. 12%;as to two-step method,the positive rate was 12. 19%. 20 cases of two-step method test were positive in the negative specimens of one-step method. Conclusions:The detection rate of one-step method is lower than two-step method test. Methodology comparison shows that two-step method is superior to one-step method. HBsAg two-step method is properly proposed in the clinical detection.
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