1,3-β-D-葡聚糖试验、半乳甘露聚糖试验及痰培养诊断肺曲霉菌感染比较  

Comparison of 1,3-β-D-glucose test,galactomannan test and sputum culture in the diagnosis of patients with pulmonary aspergillosis

作　　者：佘鹏 魏欣 SHE Peng;WEI Xin(Department of Clinical Laboratory,Xi′an Fengcheng Hospital,Xi′an,Shaanxi,710016)

机构地区：[1]陕西省西安凤城医院检验科,陕西西安710016

出　　处：《实用临床医药杂志》2020年第14期53-55,共3页Journal of Clinical Medicine in Practice

摘　　要：目的分析肺曲霉菌感染患者应用1,3-β-D-葡聚糖试验(G试验)、半乳甘露聚糖试验(GM试验)以及痰培养试验的临床价值。方法选取疑似感染肺曲霉菌的9005例患者,均采用GM、G试验及痰培养3种方法检测肺曲霉菌,对检测结果进行分析。结果肺泡灌洗G试验与血清G试验的检测准确率比较,差异无统计学意义(P>0.05);肺泡灌洗GM试验与血清GM试验的检测准确率比较,差异无统计学意义(P>0.05);血清G试验的准确度显著高于血清GM试验(P<0.05)。结论血清G试验操作简便,能够有效检测出肺部曲霉菌感染。Objective To analyze the clinical values of 1,3-β-D-glucose test(G test),galactomannan test(GM test)and sputum culture test in diagnosis of patients with pulmonary aspergillus.Methods A total of 9005 patients with suspected pulmonary aspergillus were selected and conducted with GM test,G test and sputum culture,and the results of tests were analyzed.Results There was no significant difference in the detection accuracy between alveolar lavage G test and serum G test(P>0.05).There was no significant difference in the detection accuracy between alveolar lavage GM test and serum GM test(P>0.05).The accuracy of serum G test was significantly higher than that of serum GM test(P<0.05).Conclusion The serum G test is easy to operate,and it can effectively detect pulmonary aspergillus.

关 键 词：半乳甘露聚糖试验 痰培养 1 3-β-D-葡聚糖试验 肺曲霉菌 

分 类 号：R563.9[医药卫生—呼吸系统]